氯氮平中毒溺死案件中的硅藻检验

Diatom Test for Death from Drowning Post-clozapine Poisoning

溺死尸体通常肺内硅藻富集,肝、肾等脏器可检出硅藻,部分尸体可在骨髓及牙齿内检出硅藻,且上述硅藻种类符合溺死水域硅藻种类。本文报道一起因服用抗精神病药物氯氮平导致中毒后溺死的案例,分析探讨死者体内硅藻分布及含量不符合上述规律的原因。

Diatoms are frequently of high concentration found insides the lungs of corpses died from drowning, likewise showing their presence in liver, kidney and sometimes the teeth or marrow, therefore demonstrating significant evidence for a case of drowning. Certainly, the types of diatoms found in lungs（or other organs） should be the same as those at the waters where the death took place. Here, one case was reported of drowning because diatoms, same type as that in death place, were discovered in the victim＇s lung and other viscera at very small amount. The reason for diatoms not to comply with the common distribution and content was ascribed to the prior clozapine poisoning before drowning.