Penning R, Fromm E, Betz P, Kauert G, Drasch G, von Meyer L
Institut für Rechtsmedizin der Universität München, Germany.
Forensic Sci Int. 1993 Nov;62(1-2):135-9. doi: 10.1016/0379-0738(93)90058-i.
A total of 638 drug death autopsy cases in southern Bavaria from 1981 to 1992 were analysed, including epidemiological and toxicological investigations. The rate of HIV infections decreased during the last few years. Cocaine does not (yet) play a major role. Suicide rates are high. Heroin intoxications are the most frequent cause of death, mostly in combination with other drugs and alcohol. In 1992 we observed a sharp increase of the number of deaths associated with dihydrocodeine abuse. This seems to be a local phenomenon and has to be explained by uncritical and uncontrolled prescription of large amounts of this opiate by individual physicians.
对1981年至1992年巴伐利亚南部638例药物致死尸检病例进行了分析，包括流行病学和毒理学调查。在过去几年中，艾滋病毒感染率有所下降。可卡因（目前）尚未起主要作用。自杀率很高。海洛因中毒是最常见的死亡原因，大多与其他药物和酒精混合使用。1992年，我们观察到与二氢可待因滥用相关死亡人数急剧增加。这似乎是一种局部现象，必须解释为个别医生无节制地大量开具这种阿片类药物的处方。
