54例氯化琥珀胆碱中毒案件的法医学分析

目的观察分析氯化琥珀胆碱中毒案件的法医学表现,以期提高氯化琥珀胆碱中毒的检验鉴定。方法收集54例氯化琥珀胆碱中毒案例,通过病理学、毒理学变化及案件特点进行回顾性分析,观察氯化琥珀胆碱中毒的检验鉴定规律。结果氯化琥珀胆碱中毒的病理学表现以急性肺淤血、肺水肿等一般猝死改变为主,部分死者心肌排列紊乱及断裂。死者心血中均检见琥珀胆碱成分,皮肤组织部分检见琥珀胆碱成分。结论氯化琥珀胆碱中毒具有死亡快、手段隐蔽、难以抢救、易漏检等特点。对于猝死案件、死因可疑案件应将氯化琥珀胆碱作为常规检验指标,防止此类案件的未检或漏检。

Forensic Analysis for 54 Cases of Suxamethonium Chloride Poisoning

Objective To observe and analyze the performance of forensic science in the cases of suxamethonium chloride poisoning,and to improve the identification of suxamethonium chloride poisoning.Methods Fifty-four cases of suxamethonium chloride poisoning were collected.The rules of determination of suxamethonium chloride poisoning were observed by the retrospective analysis of pathological and toxicological changes as well as case features.Results The pathological features of suxamethonium chloride poisoning were similar to the general changes of sudden death,which mainly included acute pulmonary congestion and edema,and partly showed myocardial disarray and fracture.Suxamethonium chloride could be detected in the heart blood of all cases and in skin tissue of part cases.Conclusion Suxamethonium chloride poisoning has the characteristics with fast death and covert means,which are difficult to rescue and easily miss inspection.For the cases of sudden death or suspicious death,determination of suxamethonium chloride should be taken as a routine detection index to prevent missing inspection.