法医学杂志

法医学杂志 ›› 2011, Vol. 27 ›› Issue (3): 200-204.DOI: 10.3969/j.issn.1004-5619.2011.03.012

• 案例分析 • 上一篇    下一篇

607例不同年份中毒尸检资料对比分析

梁  曼1，郑  娜2，周  兰3，刘  茜1，张海东4，卓  荦1，刘  艳1，黄光照1，刘  良1   

  1. （1. 华中科技大学 同济医学院法医学系，湖北 武汉 430030； 2. 汕头大学 医学院法医学教研室，广东 汕头 515041； 3. 江苏省公安厅 物证鉴定中心，江苏 南京 210024； 4. 中国政法大学 证据科学教育部重点实验室，北京 100040）
  • 发布日期:2011-06-25 出版日期:2011-06-28
  • 作者简介:梁曼（1982—），女，湖北武汉人，博士，主要从事法医毒理学研究；E－mail：casper1107@126.com

Comparative Analysis of 607 Autopsy Cases of Poisoning Death

LIANG MAN1, ZHENG NA2, ZHOU LAN3, LIU QIAN1, ZHANG HAI-DONG4, ZHUO LUO1, LIU YAN1, HUANG GUANG-ZHAO1, LIU LIANG1   

  1. （1. Department of Forensic Medicine, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China; 2. Department of Forensic Medicine, Medical College, Shantou University, Shantou 515041, China; 3. The Evidence Identifying Center, Department of Public Security of Jiangsu, Nanjing 210024, China; 4. Key Laboratory of Evidence Science, China University of Political Science and Law, Ministry of Education, Beijing 100040, China）
  • Online:2011-06-25 Published:2011-06-28

被引次数

5

摘要： 目的 研究不同年份中毒案例的毒物种类、中毒途径、中毒方式等相关问题，为此类案例的法医学鉴定提供参考。 方法 对华中科技大学同济医学院法医学系（湖北同济法医学司法鉴定中心）1957—2008年鉴定的607例中毒案例尸检资料进行对比分析。 结果 1999—2008年218例中毒案例中死者男性居多，30～49岁占50%，中毒以口服方式为主，意外中毒居首位，毒物种类以杀鼠剂、有毒气体、农药类位居前三位。与1983—1998年及1957—1982年的中毒尸检资料对比，不同年份间毒物种类明显变化，近年农药、氰化物中毒减少，杀鼠药、有毒气体及醇类中毒增加，毒品滥用激增。 结论 农药中毒是长期威胁公众健康的一类毒物，须对此提高防范意识；对联合中毒日益增多的趋势应引起关注。

关键词: 法医学, 中毒, 尸体检验, 案例分析

Abstract: Objective To provide references for forensic expertise by investigating the kinds of toxicant, routes of exposure and manners of poisoning deaths, etc. Methods Six hundred and seven autopsy cases of poisoning deaths from 1957 to 2008 in Department of Forensic Medicine, Tongji Medical College（Tongji Forensic Science Identification Center of Hubei）, were comparatively reviewed. Results In 218 cases from 1999 to 2008, more than 50% of decedents were male in the ages of 30-49. The toxicants are usually taken orally and the most common manner of death was accidental. The common substances involved in poisoning death were rodenticide, poisoning gas and insecticide. Compared to the data of 1983-1998 and 1957-1982, the common toxic agents had changed significantly. The number of cases involving insecticide and cyanide poisoning decreased in recent years, and the number of cases of rodenticide, poisoning gas, alcohols poisoning displayed an increase tendency, especially for drugs abuse. Conclusion Poisoning deaths of pesticides remain a major public health problem for a long time and the awareness of prevention need to be raised, especially for the prevention of deaths from multiple poisons.

Key words: forensic medicine, poisoning, postmortem examination, cases study

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