关键词: bleach ingestion forensic medicine suicide toxicology

Mesh : Humans Female Middle Aged Suicide, Completed Sodium Hypochlorite / poisoning Fatal Outcome Bleaching Agents / poisoning

来  源:   DOI:10.7417/CT.2024.5122

Abstract:
UNASSIGNED: Nowadays it is estimated that worldwide more than 700 000 people die by suicide every year and a greater amount attempt this practice. Suicide is the fourth cause of death among 15-29 years old people. Sodium Hypochlorite (NaOCl) is used in household and com-mercial bleaches and due to its easy availability, accidental exposure to or intentional ingestion of NaOCl occurs frequently. In most cases health effects are only transient but if the subject ingests a large amount of this substance, this can generate severe consequences as oesophageal or stomach lesions and electrolytic imbalance. In the present study we analyse a rare case of suicide by fatal ingestion of bleach.
UNASSIGNED: Case of a caucasic 47 years old woman with a background of several suicide attempts by exogenous substance ingestion that was found death alone in her apartment. The purpose of our investigation was identifying the cause of death. A rigorous and multidisciplinary methodological approach was adopted, including an accurate judicial inspection of the environment, an anamnestic collection, an autoptic procedure completed by macro and microscopic examinations of internal organs and a toxicological examination of biological fluids. Furthermore, a literature overview of similar cases was carried out. The resulting evidence demonstrates that woman\'s death occurred after a massive bleach ingestion.
UNASSIGNED: This case report highlights the importance of forensic methodology in investigating the ingestion of exogenous substances. Crime scene investigation, a detailed post-mortem examination, toxicology and a complete histopathological study are mandatory to solve the enigma.
摘要:
如今,据估计,全世界每年有超过700,000人死于自杀,并且有更多的人尝试这种做法。自杀是15-29岁人群的第四大死因。次氯酸钠(NaOCl)用于家庭和商业漂白剂,由于其易于获得,经常意外接触或有意摄入NaOCl。在大多数情况下,健康影响只是短暂的,但如果受试者摄入大量的这种物质,这可能会产生严重的后果,如食管或胃部病变和电解质失衡。在本研究中,我们分析了一例罕见的因致命摄入漂白剂而自杀的病例。
一名47岁高加索妇女的案例,其背景是通过摄入外源性物质多次自杀未遂,结果在她的公寓中独自死亡。我们调查的目的是确定死因。采取了严格的多学科方法,包括对环境的准确司法检查,一个令人印象深刻的收藏,通过内部器官的宏观和微观检查以及生物液体的毒理学检查完成的自动手术。此外,对类似病例进行了文献综述.由此产生的证据表明,妇女的死亡是在大量摄入漂白剂后发生的。
本案例报告强调了法医方法学在调查外源性物质摄入方面的重要性。犯罪现场调查,详细的验尸,毒理学和完整的组织病理学研究必须解决这个谜。
公众号