法医学杂志

法医学杂志 ›› 2015, Vol. 31 ›› Issue (3): 204-205.DOI: 10.3969/j.issn.1004-5619.2015.03.008

• 案例分析 • 上一篇    下一篇

6例食用含三聚氰胺奶粉中毒死亡患儿的法医学分析

赵  杰1，李红涛2   

  1. （1. 河北省公安厅物证鉴定中心，河北 石家庄 050000； 2. 保定市公安局刑警支队，河北 保定 071000）
  • 发布日期:2015-06-25 出版日期:2015-06-28
  • 作者简介:赵杰（1983—），男，山西介休人，硕士，主要从事法医病理学工作；E-mail：zhaojie142433@sina.com

Forensic Analysis of Melamine-tainted Milk Powder Poisoning: Six Fatal Cases

ZHAO JIE1, LI HONG-TAO2   

  1. （1. Institute of Forensic Science, Hebei Public Security Department, Shijiazhuang, 050000, China; 2. Criminal Investigation Team, Baoding Public Security Bureau, Baoding 071000, China）
  • Online:2015-06-25 Published:2015-06-28

摘要： 目的 通过分析食用含三聚氰胺的奶粉中毒死亡患儿的病历材料，为此类中毒案件的法医学鉴定提供参考。 方法 选取6例因食用某品牌含三聚氰胺的奶粉中毒死亡患儿的病历材料，从中毒症状、影像学和血生化检查以及转归情况进行归纳分析。 结果 中毒患儿年龄在8个月左右，主要因泌尿系统结石梗阻尿路引起少尿、无尿等中毒症状，最终因急性肾功能衰竭或其他并发症导致死亡，血清BUN和Cr均异常升高。 结论 结合三聚氰胺的毒理作用，推断6例患儿的死亡与三聚氰胺中毒有关。

关键词: 法医毒理学, 中毒, 三聚氰胺, 奶粉

Abstract: Objective To analyze the medical records of poisoned children to provide references for the forensic identification of melamine-tainted milk powder poisoning. Methods Medical records of six fatal cases of consuming some brand melamine-tainted milk powder were studied, specifically the poisoning symptoms, medical imaging, blood biochemical tests, treatment and prognosis. Results The major medical problems of these eight-month sick infants were urinary tract obstruction caused by urinary tract calculi. The poisoned infants developed oliguria, anuria and other symptoms, eventually, acute renal failure or other complications leaded to death. The serum BUN and Cr abnormally increased. Conclusion By considering the toxicological effects of melamine, it was concluded that the deaths of these sick infants were related to the melamine poisoning.

Key words: forensic toxicology, poisoning, melamine, milk powder

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