218例一氧化碳(CO)中毒死亡法医学分析  

Forensic Analysis of 218 Cases of Carbon Monoxide Poisoning Death

作　　者：张敏[1] 丁杨[1] 

机构地区：[1]上海市公安局浦东新区刑事科学技术研究所,上海200125

出　　处：《中国司法鉴定》2017年第4期48-50,共3页Chinese Journal of Forensic Sciences

摘　　要：目的分析一氧化碳中毒死亡案例中血COHb浓度影响因素。方法收集218例一氧化碳中毒死亡者的血液,测量COHb含量,将COHb浓度影响因素分类分析。结果不同因素共同影响下COHb浓度的性别、年龄差异不显著,不同CO来源下的COHb浓度有明显差异,饮酒、药物、毒物及自身疾病会对COHb浓度有明显影响。结论 COHb浓度受多种因素影响,对一氧化碳中毒死亡案例进行法医学鉴定(尤其是血COHb含量低于致死量的案例)时,应综合考虑其CO来源、自身疾病、饮酒情况及其他可能的影响因素综合判断。Objective To study factors that may influence the concentration of Carbonyl Hemoglobin（COHb） determined in carbon monoxide poisoning death. Method 218 cases of CO poisoning death were collected and the concentrations of COHb were analyzed. The results were sorted by different factors. Results The difference of COHb concentrations in gender and age was not significant, but there was significant difference of COHb concentrations between various CO sources. Moreover,drinking, drug, poison and underlying diseases showed significant influence on COHb concentrations. Conclusion The COHb concentration is relevant to factors including the source of CO, underlying disease, alcohol consumption, etc. They should be taken into consideration in forensic expertise of CO poisoning death cases.

关 键 词：一氧化碳中毒 法医病理学 碳氧血红蛋白 死亡 

分 类 号：DF795.4[医药卫生—法医学]