20例海洛因滥用相关死亡案例的法医学分析  

Forensic Analysis of 20 Dead Cases Related to Heroin Abuse

作　　者：黄万麒 李利华[2] 李桢[1] 洪仕君[1] 

机构地区：[1]昆明医科大学法医学院,云南昆明650500 [2]昆明医科大学科技处,云南昆明650500

出　　处：《法医学杂志》2016年第4期266-268,共3页Journal of Forensic Medicine

摘　　要：目的对20例海洛因滥用相关死亡案例进行回顾性分析,为相关案例的法医学鉴定提供参考依据。方法对20例海洛因相关死亡案例死者的一般情况、毒品使用方式、死亡原因、法医学检验情况进行统计分析,总结案例的死亡原因及法医病理学改变。结果本组案例死者多为青壮年,男性多于女性。组织病理学检验为非特异性改变。死亡原因包括海洛因使用(或泄露)后急性中毒死亡(13例,占65%)、滥用海洛因后继发性疾病(3例,占15%)、吸食海洛因致吸入性窒息(2例,占10%)及戒断综合征导致死亡(2例,占10%)四种。结论海洛因滥用相关死亡者的法医学鉴定,需在全面系统的尸体检验基础上,结合实验室对死者体内海洛因及代谢产物的定性、定量分析,综合案情资料、现场勘验情况进行分析。Objective To perform retrospective analysis on 20 dead cases related to heroin abuse, and to provide references for the forensic assessment of correlative cases. Methods Among 20 dead cases related to heroin abuse, general situation, using method of drug, cause of death and result of forensic exami- nation were analyzed by statistical analysis for summarizing the cause of death and pathologic changes. Results The dead were mostly young adults, with more male than female. The results of histopathologi- cal examinations showed non-specific pathological changes. There were four leading causes of death, in- cluding acute poisoning of heroin abuse or leakage （13 cases, 65%）, concurrent diseases caused by heroin abuse （3 cases, 15%）, inspiratory asphyxia caused by taking heroin （2 cases, 10%）, and heroin with- drawal syndrome （2 cases, 10%）. Conclusion The forensic identification on dead related to heroin abuse must base on the comprehensive autopsy, and combine with the qualitative and quantitative analysis of heroin and its metabolites in death and the case information, as well as the scene investigation.

关 键 词：法医病理学 海洛因依赖 案例分析 

分 类 号：R595.5[医药卫生—内科学]