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一氧化碳中毒后的延迟死亡。病例报告。

Delayed death following carbon monoxide poisoning. A case report.

作者信息

Opeskin K, Drummer O H

机构信息

Victorian Institute of Forensic Pathology, South Melbourne, Australia.

出版信息

Am J Forensic Med Pathol. 1994 Mar;15(1):36-9. doi: 10.1097/00000433-199403000-00009.

DOI:10.1097/00000433-199403000-00009
PMID:8166113
Abstract

The body of a deceased woman was found in a car. The circumstances were typical for suicidal carbon monoxide (CO) poisoning by inhalation of exhaust gases, except that the vacuum cleaner hose had become detached from the exhaust. Autopsy revealed only decompositional changes. No CO or other drugs were detected. Hypoxic changes were present in the cortex and hippocampus, with an age of 2-3 days. It is consistent that this woman inhaled sufficient CO to cause coma, at which stage the hose became detached, and that she then exhaled CO over the next 2-3 days before finally dying. Delayed death following CO poisoning is an uncommon occurrence. This case is reported because of its unusual nature.

摘要

一具女性尸体在一辆汽车内被发现。除了吸尘器软管已从排气管脱落外,现场情况符合吸入废气导致自杀性一氧化碳(CO)中毒的典型特征。尸检仅发现了尸体腐烂的变化。未检测到一氧化碳或其他药物。大脑皮层和海马体存在缺氧变化,死亡时间为2至3天。这名女性吸入了足以导致昏迷的一氧化碳,在此阶段软管脱落,然后在接下来的2至3天内呼出一氧化碳,最终死亡,这一推断是合理的。一氧化碳中毒后延迟死亡并不常见。因该病例性质特殊,故予以报道。

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