Kedziora A, Duflou J
New South Wales Institute of Forensic Medicine, Glebe, Sydney, Australia.
Am J Forensic Med Pathol. 1995 Jun;16(2):172-6. doi: 10.1097/00000433-199506000-00021.
We present the autopsy findings of a case of attempted suicide by self-administration of elemental mercury, resulting in mercury embolization to the heart and lungs. The person lived for 5 months afterward and subsequently died as a result of narcotic toxicity combined with loss of blood from an incised radial artery. A collection of metallic mercury droplets imbedded in a fibrous tissue granuloma was found in the apex of the right ventricular chamber, and metallic densities were seen on radiography of heart and lungs. The levels of mercury in various organs are shown, and the toxicology of elemental mercury is briefly discussed. The literature describing similar cases of metallic mercury emboli is reviewed. Owing to the apparent rarity of the phenomenon, many questions regarding the risk of death following intravenous injection of metallic mercury still remain unanswered.
我们报告一例通过自行服用金属汞企图自杀的尸检结果，该事件导致汞栓塞至心脏和肺部。此人此后存活了5个月，随后因麻醉药中毒合并桡动脉切开失血而死亡。在右心室心尖处发现了嵌入纤维组织肉芽肿中的金属汞滴集合，并且在心脏和肺部的X光片上可见金属密度影。展示了各个器官中的汞含量，并简要讨论了金属汞的毒理学。回顾了描述类似金属汞栓病例的文献。由于该现象明显罕见，许多关于静脉注射金属汞后死亡风险的问题仍未得到解答。
