Püschel K
Institut für Rechtszmedizin, Universität Hamburg, Germany.
Forensic Sci Int. 1993 Nov;62(1-2):121-8. doi: 10.1016/0379-0738(93)90056-g.
Some epidemiological, morphological and toxicological aspects from a continuous prospective study of drug-related fatalities in Hamburg are described. The lethal risk for intravenous drug addicts (IVDA) has increased (1990: n = 136 drug-related fatalities in Hamburg; 1991: n = 184). Infectious diseases are common. From the epidemiological point of view the HIV-1 prevalence is decreasing; hepatitis C turned out to be a serious medical problem for IVDA. The fatal course of the addiction is mostly caused by heroin overdosage (sometimes in combination with ethyl-alcohol, benzodiazepines and barbiturates); about 40% of the fatalities were alcoholized (20% with a blood alcohol concentration of more than 1%).
本文描述了对汉堡市与毒品相关死亡案例进行连续前瞻性研究的一些流行病学、形态学和毒理学方面的情况。静脉注射吸毒者（IVDA）的致死风险有所上升（1990年：汉堡市有136例与毒品相关的死亡案例；1991年：有184例）。传染病很常见。从流行病学角度来看，HIV-1的流行率正在下降；丙型肝炎已成为静脉注射吸毒者面临的一个严重医学问题。成瘾的致命过程大多由海洛因过量（有时与乙醇、苯二氮䓬类药物和巴比妥类药物联用）所致；约40%的死亡案例中死者血液中含有酒精（20%的死者血液酒精浓度超过1%）。
