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Evaluating protective helmet efficacy in work-related accident: A forensic biomechanical analysis of concussion risk from falling objects 评估防护头盔在工伤事故中的功效:对高空坠物造成脑震荡风险的法医生物力学分析
IF 1.3 4区 医学 Q3 MEDICINE, LEGAL Pub Date : 2024-10-10 DOI: 10.1016/j.legalmed.2024.102535
Zdenek Horak , Petr Tichy , Miloslav Vilimek
This study investigates the risk of head injuries, specifically concussions, from falling objects in workplace accidents. A case study focuses on a construction worker who sustained a head injury despite wearing a protective helmet. Utilizing finite element (FE) analysis, the helmet-head system was modeled to assess impact forces and head accelerations. The helmet, made of High-Density Polyethylene with a 6-point suspension system, was tested against falling objects of 332 g and 665 g. Simulations, conducted from heights of 5 to 25 m, revealed that objects weighing as little as 332 g could cause severe concussions from a 10-meter fall. These findings demonstrate that helmets, while mitigating some impact, absorb significantly less energy than the kinetic energy of falling objects. The analyses carried out confirmed the worker’s statement that his injury was caused by a foreign object falling on his head, which was protected by a helmet.
本研究调查了工伤事故中物体坠落造成头部伤害(特别是脑震荡)的风险。案例研究的重点是一名建筑工人,尽管他戴着防护头盔,但头部仍然受伤。利用有限元(FE)分析,对安全帽-头部系统进行建模,以评估冲击力和头部加速度。该安全帽由高密度聚乙烯制成,配有 6 点悬挂系统,针对重量为 332 克和 665 克的坠落物体进行了测试。从 5 米至 25 米的高度进行的模拟显示,重量仅为 332 克的物体从 10 米高处坠落会造成严重脑震荡。这些研究结果表明,头盔虽然可以减轻一些冲击力,但其吸收的能量远远低于坠落物体的动能。分析结果证实了这名工人的说法,即他的受伤是由于有头盔保护的头部受到异物坠落造成的。
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引用次数: 0
Intraoral gunshot injury associated with soot in the deep airways 口内枪伤与深呼吸道烟灰有关
IF 1.3 4区 医学 Q3 MEDICINE, LEGAL Pub Date : 2024-10-09 DOI: 10.1016/j.legalmed.2024.102533
Markus Große Perdekamp , Dominik Schuldis , Angela Cornacchia , Katrin Mierdel , Stefan Pollak
In suicidal gunshots to the head, the oral cavity ranks among the preferred entrance sites. If the weapon’s muzzle end is located within the mouth, it is to be expected that the cartridge discharge residues are deposited on the buccal and palatal mucosa, the tongue and the pharynx, often in combination with tears of the lips due to the expanding combustion gases. Ensuing from the bullet entrance wound and any concomitant injuries, blood is released into the upper airways and subsequently aspirated into the lung periphery provided that respiration continues for at least a short time. Evidently, this impedes the detection of additional soot deposits in the trachea, bronchi and alveoli. Using the example of an intraoral gunshot with a revolver cal. 357 Magnum, the paper points out that in individual cases it may be possible to prove the presence of gunshot residues in the deep airways.
在头部自杀性枪击中,口腔是首选的入口部位之一。如果武器的枪口位于口腔内,预计弹壳排出的残留物会沉积在颊粘膜、腭粘膜、舌和咽部,通常还会因燃烧气体膨胀而导致嘴唇撕裂。子弹入口处的伤口和任何伴随的损伤都会导致血液排入上呼吸道,随后吸入肺部周围,前提是呼吸至少要持续很短的时间。显然,这阻碍了对气管、支气管和肺泡中其他烟尘沉积物的检测。论文以 357 口径马格南左轮手枪口内枪击为例,指出在个别情况下,有可能证明深呼吸道中存在枪击残留物。
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引用次数: 0
Relationship between fat embolism and endothelial glycocalyx 脂肪栓塞与内皮糖萼之间的关系
IF 1.3 4区 医学 Q3 MEDICINE, LEGAL Pub Date : 2024-09-26 DOI: 10.1016/j.legalmed.2024.102531
Rikimaru Kuwata
Fat embolism (FE) is acknowledged as one of the significant causes of sudden death following traumatic injury. To clarify the relevance of vascular endothelial glycocalyx (EGC) damage and FE, temporal changes in the mRNA levels of inflammatory cytokines associated with EGC components were investigated in an experimental fat embolization rat model. Nine-week-old rats were used as FE models through triolein injection (TO) and femoral fracture (FX), and physiological saline was administered to the control group. RT-qPCR and fat staining were performed. The target genes were Il6, Il10, Tnf, Elane, Sdc1, Sdcbp, Vcan, Hyal1, Fn1, and CD14. Notably, FE was detected in 100% and 5.6% of the TO and FX groups, respectively, using fat staining. Bimodal peaks in the mRNA expression levels of Sdc1, Tnf, Elane, IL6, and IL10 were observed 4 and 20 h after treatment in both groups. In the TO group, mRNA expression peaked at 4 h and then declined to the lowest level at 16 h. The incidence of fat emboli due to trauma was consistent with that reported in previous studies. Bimodal mRNA peaks may correspond to FE progression, in which physical obstructions are followed by biochemical reactions. The fluctuation in Sdc1 expression suggests that the initial peak resulted from physical EGC damage. The subsequent peak could be because of EGC damage caused by the secretion of inflammatory cytokines induced by oleic acid from lipid droplet decomposition. These results suggest that EGC disorders caused by lipid droplets may induce lung damage during FE.
脂肪栓塞(FE)被认为是创伤后猝死的重要原因之一。为了阐明血管内皮糖萼(EGC)损伤与脂肪栓塞的相关性,研究人员在实验性脂肪栓塞大鼠模型中调查了与EGC成分相关的炎性细胞因子mRNA水平的时间变化。将九周大的大鼠作为脂肪栓塞模型,通过注射三尖杉脂(TO)和股骨骨折(FX)进行治疗,对照组使用生理盐水。进行 RT-qPCR 和脂肪染色。靶基因为 Il6、Il10、Tnf、Elane、Sdc1、Sdcbp、Vcan、Hyal1、Fn1 和 CD14。值得注意的是,使用脂肪染色法,TO 组和 FX 组分别有 100% 和 5.6% 的人检测到 FE。两组患者在治疗后 4 和 20 h,Sdc1、Tnf、Elane、IL6 和 IL10 的 mRNA 表达水平均出现双峰。在 TO 组中,mRNA 表达在 4 h 达到峰值,然后在 16 h 下降到最低水平。mRNA 的双峰现象可能与 FE 的发展过程相对应,即物理障碍之后发生生化反应。Sdc1 表达的波动表明,最初的峰值是由 EGC 物理损伤引起的。随后的峰值可能是由于脂滴分解产生的油酸诱导炎症细胞因子分泌造成的EGC损伤。这些结果表明,脂滴引起的EGC紊乱可能会在FE期间诱发肺损伤。
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引用次数: 0
Post-mortem transmission risk of infectious disease: A systematic review 传染病的死后传播风险:系统综述。
IF 1.3 4区 医学 Q3 MEDICINE, LEGAL Pub Date : 2024-09-23 DOI: 10.1016/j.legalmed.2024.102530
L. Geoffray , L. Tuchtan , M-D. Piercecchi-Marti , C. Delteil

Introduction

Autopsies may expose to infectious risks. The objective of this study is to assess the risk of post-mortem transmission of HIV, HBV, HCV, Mycobacterium tuberculosis (MBT), SARS-CoV2 and prion in the workplace and to estimate the duration of their infectiousness.

Material and method

the PRISMA 2020 guideline was used. Pubmed, Web of Science, Google Scholar and Sciencedirect databases were assessed until February 28, 2023. We searched for articles in any language and any date of publication. Studies involving animals, transmission between two living people or transmission outside the workplace were excluded. Risk of bias was assessed using the appropriate assessment tools for each type of study. A descriptive analysis was performed.

Results

A total of 46 studies were included. Cases of post-mortem transmission were certain for HIV (n = 1) and MBT (n = 18). The longest post-mortem interval for positive diagnostic tests was 17 days for HIV, 60 for HBV, 7 for HCV, 36 for MBT and 17 for SARS-CoV2. The longest post-mortem interval for positive cultures was 21 h for HIV, 6 days for HBV, 36 days for MBT, 17 days for SARS-CoV2. The methodology of the studies was heterogeneous, some of them associated with a high risk of bias.

Conclusion

There is a lack of consistent data in the literature concerning the infectivity of cadavers, except for MBT. Legislation appears to be based on minimizing contact between the biological agent and the professional. In the absence of recent robust scientific data, workers should systematically follow the best practice recommendations.
介绍:尸体解剖可能面临传染风险。本研究的目的是评估工作场所死后传播 HIV、HBV、HCV、结核分枝杆菌(MBT)、SARS-CoV2 和朊病毒的风险,并估计其传染性的持续时间。对 Pubmed、Web of Science、Google Scholar 和 Sciencedirect 数据库进行了评估,直至 2023 年 2 月 28 日。我们搜索了任何语言、任何出版日期的文章。涉及动物、两个活人之间传播或工作场所以外传播的研究均被排除在外。针对每种类型的研究,我们使用适当的评估工具对偏倚风险进行了评估。对结果进行了描述性分析:共纳入 46 项研究。确定了艾滋病毒(1 例)和甲基溴(18 例)的死后传播病例。艾滋病毒、乙型肝炎病毒和丙型肝炎病毒的死后诊断检测呈阳性的最长间隔时间分别为 17 天、60 天、7 天、36 天和 17 天。艾滋病毒培养呈阳性的最长尸检间隔时间为 21 小时,乙型肝炎病毒为 6 天,甲基溴检测为 36 天,SARS-CoV2 为 17 天。这些研究的方法不尽相同,其中一些研究存在较高的偏倚风险:结论:文献中缺乏有关尸体感染性的一致数据,甲基溴灭菌法除外。立法似乎以尽量减少生物制剂与专业人员的接触为基础。在缺乏最新可靠科学数据的情况下,工作人员应系统地遵循最佳做法建议。
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引用次数: 0
Comparison of the accuracy and bias of Demirjian’s method for East Asian children and development of Japanese population-specific age estimation formulae 比较德米尔坚方法对东亚儿童的准确性和偏差以及日本特定人口年龄估算公式的制定情况
IF 1.3 4区 医学 Q3 MEDICINE, LEGAL Pub Date : 2024-09-14 DOI: 10.1016/j.legalmed.2024.102529
Sang-Seob Lee , Akiko Kumagai

Despite the increased global mobility owing to the development of the international community, there remains a need for population-specific methods to estimate children’s ages. Therefore, this study aimed to substantiate the necessity for a Japanese-specific age estimation method by contrasting the formerly reported age estimation accuracy and bias using Demirjian’s method for Chinese, Taiwanese, South Korean, and Japanese children. We analyzed 1,558 panoramic radiographs from Japanese children (777 boys and 781 girls), assessed the maturity of seven left permanent teeth using Demirjian’s criteria, and calculated the estimated age using Demirjian’s method. The accuracy of the estimated ages was compared with previous reports of children from other East Asian countries which used the same age estimation method. Chinese, Taiwanese, and South Korean boys and girls were all reported to be older than their chronological ages, with the Eastern and Northern Chinese regions being the only exceptions. The same was true for Japanese children: the estimated ages of both sexes tended to be higher than their chronological age. However, there were significant variations in the values, indicating the differences in tooth growth and development between East Asian countries and sexes. Therefore, new regression equations specific to the Japanese population were formulated, and their accuracy was evaluated as the final result of this study.

尽管随着国际社会的发展,全球流动性增加,但仍然需要针对特定人群的儿童年龄估计方法。因此,本研究旨在通过对比之前报道的使用 Demirjian 方法对中国、台湾、韩国和日本儿童进行年龄估计的准确性和偏差,来证实日本特定年龄估计方法的必要性。我们分析了 1,558 张日本儿童(777 名男孩和 781 名女孩)的全景照片,使用戴米尔鉴标准评估了七颗左恒牙的成熟度,并使用戴米尔鉴方法计算了估计年龄。估算年龄的准确性与之前其他东亚国家使用相同年龄估算方法的儿童报告进行了比较。据报告,中国、台湾和韩国的男孩和女孩的年龄都比他们的实际年龄大,只有中国东部和北部地区例外。日本儿童的情况也是如此:男女儿童的估计年龄往往高于他们的实际年龄。然而,这些数值之间存在着明显的差异,这表明东亚各国和男女儿童在牙齿生长发育方面存在着差异。因此,我们制定了专门针对日本人口的新回归方程,并对其准确性进行了评估,这是本研究的最终结果。
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引用次数: 0
Assessing head injury risks in electric scooter accidents: A multi-body simulation study with insights into sex differences 评估电动滑板车事故中的头部伤害风险:洞察性别差异的多体模拟研究
IF 1.3 4区 医学 Q3 MEDICINE, LEGAL Pub Date : 2024-09-12 DOI: 10.1016/j.legalmed.2024.102526
André Salgado , Daniel Wdowicz , Fábio Fernandes , Mariusz Ptak , Ricardo Alves de Sousa

E-scooters have become increasingly popular for short-distance travel in urban areas, but this rise in usage also brings about an increased risk of accidents. Studies have shown that approximately 40% of electric scooter accident victims admitted to hospitals suffer head injuries. Therefore, it is crucial to implement safety measures and improve safety systems and equipment to mitigate these risks. One approach to gaining insights into the injuries users face is through simulations using the multi-body method. This method allows for the reconstruction of accidents by modeling and analyzing the dynamic behavior of interconnected bodies. This study aims to assess the impacts on the user’s head and the injuries they may sustain in electric scooter accidents using numerical methods. Initially, a reference scenario was established based on a YouTube video, with the assumption that the user was an average-height man. Simulations were conducted for various percentiles, including both males and females. Different velocities were simulated to determine the threshold velocity at which survival becomes practically impossible. Two scenarios were considered: one where the car braked for 0.333 s and another where the distance between the start the braking task and the collision was kept constant. The location of the first head impact on the vehicle was also examined. Injury assessment was conducted using two criteria: Head Injury Criterion (HIC) and Brain Injury Criterion (BrIC). The study found that smaller individuals are more vulnerable to severe injuries, and higher car velocities correlate with more severe user injuries. Furthermore, the location of the first impact varies between genders, with women more likely to experience impacts in the lower part of the windshield, while men tend to experience impacts in the central zone. This study highlights the importance of considering user characteristics and accident dynamics in assessing injury risks associated with e-scooters.

电动滑板车在城市地区的短途旅行中越来越受欢迎,但使用率的上升也带来了事故风险的增加。研究表明,在入院治疗的电动代步车事故受害者中,约有 40% 的人头部受伤。因此,采取安全措施、改进安全系统和设备以降低这些风险至关重要。要深入了解用户面临的伤害,一种方法是使用多体方法进行模拟。这种方法可以通过模拟和分析相互连接的物体的动态行为来重建事故。本研究旨在使用数值方法评估电动滑板车事故对用户头部的影响以及可能造成的伤害。首先,根据 YouTube 视频建立了一个参考情景,假设使用者是一名身高中等的男性。针对不同的百分位数进行了模拟,包括男性和女性。模拟了不同的速度,以确定几乎不可能存活的阈值速度。模拟了两种情况:一种是汽车制动 0.333 秒,另一种是制动开始与碰撞之间的距离保持不变。此外,还考察了头部首次撞击车辆的位置。伤害评估采用两个标准进行:头部损伤标准(HIC)和脑损伤标准(BrIC)。研究发现,体型较小的人更容易受到严重伤害,而车速越高,使用者受到的伤害越严重。此外,第一次撞击的位置因性别而异,女性更容易在挡风玻璃下部受到撞击,而男性则倾向于在中央区域受到撞击。这项研究强调了在评估与电动摩托车相关的伤害风险时考虑用户特征和事故动态的重要性。
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引用次数: 0
Expanding bullets and ballistic gelatin – A restricted expansion experiment 膨胀子弹和弹道明胶 - 限制膨胀实验
IF 1.3 4区 医学 Q3 MEDICINE, LEGAL Pub Date : 2024-09-06 DOI: 10.1016/j.legalmed.2024.102528
Juho-Antti Junno , Mikael Brix , Eveliina Lammentausta , Timo Liimatainen , Alina Junno , Juha Kiljunen , Jaakko Niinimäki , Petteri Oura

Ballistic gelatin has gained a status as standard method for terminal ballistic testing and experimenting. Variation considering the recipe and manufacturing of the blocks exists. The golden standard has been a cuboid gelatin block, dimensions varying according to the type and kinetic energy of the ammunition.

Powerful ammunition requires larger gelatin blocks, making their handling and manufacturing difficult. This is the case especially with powerful, expanding hunting ammunition that leave most of their kinetic energy within the gelatin block. High speed cameras reveal that blocks tend to expand or swell significantly and even travel upon impact, potentially affecting to some basic values of terminal ballistics such as cavitation and energy transfer.

In this study, we wanted to experiment new method to study terminal ballistics of high power, expanding ammunition by using cylinder shaped gelatin blocks. Secondly, we used a plastic tube around the gelatin cylinder to restrict the expansion/swelling. Thirdly we attached our gelatin target to a sturdy platform to restrict the movement of the cylinder and potentially improve the energy transfer of the bullet into the gelatin.

To conduct our study we compared our experimental setting with a traditional, cuboid gelatin block. After the test firing the blocks underwent computed tomography scanning with clinical equipment. Three-dimensional reconstructions of gelatin cavitation and bullet fragment deposition were created.

Our results clearly demonstrate that the restricted expansion of the block also clearly restricts the cavitation inside the gelatin. We believe that the method can be further developed, and it allows better potential for ballistic testing of heavy ammunition. In addition, it may aid in terminal ballistic reconstruction of forensic cases with gunshot trauma in anatomical structures fully enclosed by connective tissue such as brain and structures of the thorax.

弹道明胶已成为终端弹道测试和实验的标准方法。明胶块的配方和制造方法各有不同。黄金标准一直是长方体明胶块,其尺寸根据弹药的类型和动能而有所不同。尤其是威力强大的膨胀型狩猎弹药,其大部分动能都留在明胶块内。高速摄影机显示,胶块在撞击时会明显膨胀,甚至移动,这可能会影响终端弹道的一些基本值,如气蚀和能量传递。在这项研究中,我们希望尝试新的方法,使用圆柱形明胶块来研究大威力膨胀弹药的终端弹道。其次,我们在明胶圆柱体周围使用塑料管来限制膨胀。第三,我们将明胶靶固定在一个坚固的平台上,以限制圆柱体的移动,并有可能改善子弹向明胶中的能量传递。试射后,我们使用临床设备对胶块进行了计算机断层扫描。我们的结果清楚地表明,明胶块的膨胀受限也明显限制了明胶内部的空化。我们相信这种方法可以得到进一步发展,并为重型弹药的弹道测试提供更好的可能性。此外,它还可以帮助对法医案件中完全被结缔组织包裹的解剖结构(如大脑和胸部结构)进行末端弹道重建。
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引用次数: 0
Fatal acute lemborexant Poisoning: An autopsy case report 致命的急性lemborexant中毒:尸检病例报告
IF 1.3 4区 医学 Q3 MEDICINE, LEGAL Pub Date : 2024-09-05 DOI: 10.1016/j.legalmed.2024.102527
Gentaro Yamasaki , Yasuhiro Ueno , Motonori Takahashi , Takeshi Kondo

A 50-year-old male was found dead in a park. Postmortem analysis using liquid chromatography-tandem mass spectrometry revealed lemborexant concentrations of 1.651 μg/mL in blood from the right heart, 0.236 μg/mL in the urine, and 58.642 μg/mL in the stomach contents. Based on the autopsy findings and postmortem analyses, the cause of death was identified as acute lemborexant poisoning due to an overdose. Although lemborexant is generally considered safe, its excessive ingestion can be fatal. Since no lethal concentration of lemborexant has been reported, the blood levels in this case can serve as a reference. Despite its widespread clinical use, lemborexant is not detected by the rapid urine drug screening tests currently available in Japanese investigative agencies. Forensic pathologists must be vigilant in order not to overlook acute lemborexant poisoning.

一名 50 岁的男性被发现死于公园。使用液相色谱-串联质谱法进行的尸检分析显示,右心血液中的利眠宁浓度为 1.651 微克/毫升,尿液中的利眠宁浓度为 0.236 微克/毫升,胃内容物中的利眠宁浓度为 58.642 微克/毫升。根据尸检结果和尸检分析,死因被确定为过量使用急性利眠宁中毒。虽然人们普遍认为左旋氨苯砜是安全的,但过量摄入也可能致命。由于没有关于致死浓度的报道,本病例中的血药浓度可作为参考。尽管利眠宁在临床上被广泛使用,但日本调查机构目前提供的快速尿液药物筛查测试并不能检测出利眠宁。法医病理学家必须保持警惕,以免忽视急性利眠宁中毒。
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引用次数: 0
The brain and systemic oxidative stress and memory changes induced by inhaled paraquat in rat improved by Crocus sativus 茜草可改善大鼠吸入百草枯引起的脑和全身氧化应激及记忆变化。
IF 1.3 4区 医学 Q3 MEDICINE, LEGAL Pub Date : 2024-09-03 DOI: 10.1016/j.legalmed.2024.102525
Sima Beigoli , Ali Asghar Hajizadeh , Mohammad Ehsan Taghavizadeh Yazdi , Hossin Zarei , Farzaneh Vafaee , Mohammad Hossein Boskabady

The present study aimed to investigate the effect of Crocus sativus (Cs) on paraquat (PQ)-induced learning and memory deficits as well as brain and lung oxidative stress and systemic inflammation, and oxidative stress in rats.

Rats were exposed to saline (Ctrl) or PQ (PQ groups) aerosols. PQ groups were treated with 0.03 mg/kg/day dexamethasone (Dexa), 20 and 80 mg/kg/day Cs-L and Cs-H, 5 mg/kg/day pioglitazone (Pio), and Cs-L+Pio for 16 days during PQ exposure period. Learning and memory abilities were assessed by Morris water maze (MWM) and passive avoidance tests.

PQ group showed increased numbers of total and differential WBCs in blood, and increased malondialdehyde (MDA), in the serum, brain, and lung but reduced thiol, catalase (CAT), and superoxide dismutase (SOD) levels compared to the control group (for all, p < 0.001). The escape latency and traveled distance were increased in the PQ group. However, the time spent in the target quadrant in the MWM test and the latency to enter the dark room were reduced after receiving an electrical shock (p < 0.05 to P<0.001). In all treated groups, measured values were improved compared to PQ group (p < 0.05 to p < 0.001). The combination of Cs-L+Pio showed more pronounced effects compared to either treatment alone (p < 0.05 to p < 0.001).

These findings suggest that Cs has neuroprotective properties and may be beneficial in the treatment of neurodegenerative diseases induced by noxious agents such as PQ.

本研究旨在探讨茜草(Cs)对百草枯(PQ)诱导的大鼠学习和记忆缺陷以及脑和肺氧化应激、全身炎症和氧化应激的影响。大鼠暴露于生理盐水(Ctrl)或百草枯(PQ 组)气溶胶中。在 PQ 暴露期间,PQ 组大鼠接受 0.03 毫克/千克/天的地塞米松(Dexa)、20 和 80 毫克/千克/天的 Cs-L 和 Cs-H、5 毫克/千克/天的吡格列酮(Pio)以及 Cs-L+Pio 治疗,为期 16 天。学习和记忆能力通过莫里斯水迷宫(MWM)和被动回避测试进行评估。与对照组相比,PQ 组显示血液中白细胞总数和差异白细胞数增加,血清、大脑和肺中丙二醛 (MDA) 含量增加,但硫醇、过氧化氢酶 (CAT) 和超氧化物歧化酶 (SOD) 含量降低(所有组间比较,p<0.05)。
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引用次数: 0
Acute fatal chromium toxicity: A case report of electroplating water ingestion 急性致命铬中毒:电镀水摄入病例报告。
IF 1.3 4区 医学 Q3 MEDICINE, LEGAL Pub Date : 2024-09-01 DOI: 10.1016/j.legalmed.2024.102524
Jie Zhang , Rongshuai Wang , Guoqiang Qu , Jinghong Ma , Yunyun Wang , Dongchen Zhang , Xiaowei Zhou , Liang Liu
Heavy metals, including chromium, are extensively employed in industrial processes, leading to human poisoning and environmental contamination. Chronic exposure to chromium commonly occurs through skin contact and inhalation of airborne particles. The bioaccumulation of chromium can result in toxicity and harm to various biological systems. However, it is quite rare to come across reports of acute fatal cases resulting from oral ingestion of chromium.
Here we report a case of the accidental ingestion of electroplating water containing chromium by the female worker resulted in multiple organ failure and ultimately died. The initial symptoms of nausea and abdominal pain are consistent with chromium toxicity. The sequential impairment of various organ systems, starting with the kidneys and progressing damage to the liver, digestive system, cardiovascular system, and immune system, indicates the widespread toxic effects of chromium on the body. Interestingly, the yellow-green changes observed in multiple organs during the autopsy and it have not been previously documented in the literature. The histopathological examination further confirmed the extensive damage. Toxicological analysis substantiated the presence of chromium in various body fluids and organs, both qualitatively and quantitatively. This confirms the absorption and distribution of chromium throughout the body following oral ingestion. These findings highlight the acute and severe toxic effects of orally ingested chromium, leading to fatal consequences in this case.
包括铬在内的重金属被广泛应用于工业生产过程中,导致人类中毒和环境污染。长期接触铬通常是通过皮肤接触和吸入空气中的微粒。铬的生物蓄积会导致毒性,并对各种生物系统造成危害。然而,因口服铬而导致急性死亡病例的报道却十分罕见。在此,我们报告了一例女工意外摄入含铬电镀水导致多器官衰竭并最终死亡的病例。最初的恶心和腹痛症状与铬中毒相符。从肾脏开始,依次损害肝脏、消化系统、心血管系统和免疫系统等多个器官系统,这表明铬对人体的毒性影响非常广泛。有趣的是,在尸检过程中观察到的多个器官的黄绿色变化在以前的文献中没有记载。组织病理学检查进一步证实了这种广泛的损害。毒理学分析证实,各种体液和器官中都存在定性和定量的铬。这证实了铬在口服后会被人体吸收并分布到全身。这些发现凸显了口服铬的急性和严重毒性作用,在本案例中导致了致命后果。
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引用次数: 0
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