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镇静催眠药自杀中毒——附六例尸检报告
引用本文:沈美愉,赵子琴,孔祥麟,张其英. 镇静催眠药自杀中毒——附六例尸检报告[J]. 中国法医学杂志, 1987, 0(3)
作者姓名:沈美愉  赵子琴  孔祥麟  张其英
作者单位:上海医科大学 法医学教研室
摘    要:本文分析6例镇静催眠药急性中毒死亡的临床症状,法医学尸检和毒物分析资料。镇静催眠药中毒临床表现为昏迷、呼吸抑制、低血压、反射消失、周围循环衰竭等。病理变化以肺、肝、肾、脑等脏器较明显,肺淤血、水肿、肝细胞脂肪变性、肾近曲小管上皮细胞变性、脑水肿等。病变程度与服药至死亡时间长短有关,中毒死亡与药物剂量、个体差异、所患疾病及中毒后抢救所致的临床并发症等因素有关。

关 键 词:自杀  镇静催眠药  毒物分析

SUICIDAL INTOXICATION WITH SEDATIVE SOPORIFIC DRUGS—AN ANALYSIS OF 6 CASES
Shen Meiyu Zhao Ziqin Kong Xianglin Zhang Qiying. SUICIDAL INTOXICATION WITH SEDATIVE SOPORIFIC DRUGS—AN ANALYSIS OF 6 CASES[J]. Chinese Journal of Forensic Medicine, 1987, 0(3)
Authors:Shen Meiyu Zhao Ziqin Kong Xianglin Zhang Qiying
Affiliation:Shen Meiyu Zhao Ziqin Kong Xianglin Zhang Qiying Department of Forensic Medicine,Shanghai Medical University
Abstract:Six cases of suicidal sedative-soporific drug poisoning is reported.The main clinical features were coma,respiratory depression,hypotension,disappearance of reflexes and peripherel circulatory failure.Thepathological fingdings were as follows:pulmonary congestion and edema;fatty degeneration of the liver;degeneration of the epithalial cells of the proximal convoluted tubules and cerebral edema.The severityof the pathological changes depend upon the duration between the drug administration and the time of deathThe longer the course,the more prominent the changes.The fatality rate related with the dose of drugadministration,the underlying deseases and the complications.
Keywords:Suicidal intoxication  Sedative-soporific drug  
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