溴敌隆中毒损伤程度鉴定讨论

Discussion on Identification of Damage Degree of Bromadiolone Poisoning

溴敌隆属于香豆素类化合物,是广泛使用的二代抗凝血杀鼠剂。由于其中毒潜伏期长,一般在4~6天后才出现临床症状,并且其不明原因不同部位、器官出血的症状不易与其它疾病相鉴别,故而临床上对溴敌隆曾发生过误诊。溴敌隆中毒的案件时有发生,但是相关报道并不多见。《人体损伤程度鉴定标准》中缺少针对溴敌隆中毒的具体条款,为此给法医学相关鉴定带来一定困难。本文就3人中毒的案例进行分析讨论,希望能为今后溴敌隆中毒的损伤程度具体评定提供一定的参考依据。

Bromadiolone is a coumarin compound, which is a widely used second-generation anticoagulant rodenticide. Due to the long incubation period of the poisoning, clinical symptoms usually appear after 4~6 days, and the unknown symptoms of bleeding in different parts and organs are not easily distinguished from other diseases. Therefore, the bronopol poisoning has been misdiagnosed clinically. Cases of bromadiolone poisoning have occurred from time to time, but related reports are rare. The “Standards for the Identification of Human Injury Degree” lacks some specific provisions for the identification of bromadiolone poisoning, which has brought certain difficulties to the identification of forensic medicine. This paper analyzes and discusses the case of three people who were poisoned, hoping to provide a reference for the specific assessment of the damage degree of bromadiolone poisoning in the future.