磷化氢中毒死亡的法医学鉴定

Forensic Identification about Four Cases of Death from Phosphine Poisoning

目的探讨磷化氢中毒死亡的法医学检验鉴定要点。方法通过对4例磷化氢中毒死亡案例的法医学鉴定及磷化氢中毒的文献复习,对磷化氢的理化性质、中毒原因、临床表现、中毒及死亡机制、法医学检验、检材的提取等六个方面进行论述。结果 4例磷化氢中毒死亡案例的法医学检验鉴定无明显特异性病理改变,尸体现象主要表现为尸斑暗红、颜面及指甲紫绀、心血不凝等,组织病理学检查主要有肺水肿、肺气肿、心肌灶性坏死等。结论磷化氢中毒死亡案例的法医学鉴定需立足尸体,重视案情,结合现场,并在相关检材提取检验后综合得出。

Objective To investigate the key points of forensic identification about the death from phosphine poisoning.Methods Four cases of death from phosphine poisoning were perused on their identifi cation with the literature review being made about the cases of such kind,therefore the elucidation was put forth from six aspects of phosphine about its physicochemical properties,poisoning cause and clinical symptoms,poisoning mechanism and resultant death,forensic examination,and the samples’extraction as well.Results No specifi c pathological changes were found in the four cases of phosphine poisoning-caused death.The postmortem phenomenon mainly appeared dark red livor mortis,cyanosis on face and nail,blood’s non-coagulation.Histopathological examination mostly showed pulmonary edema,emphysema and focal myocardial necrosis.Conclusion Cases of death from phosphine poisoning must put their forensic identifi cation into corpse examination,analysis of cases’status and details,fi eld investigation and comprehensive verifi cation of the relevant samples and extracts.