Karbonmonoksit Zehirlenmesine Bağlı Ölümler

Öz

Adli TIp ~all§malan i~erisinde zehirlenmelerin ayn bir onemi varrnr. Karbonmonoksit zehirlenmesine (COZ) bagh OHimler, diger toksik madde ahmma bagh oHimlere nazaran daha stk goriilmektedir. Bu ~all~mada, 8 Yllltk bir siire i~erisinde Adli TIp Kurumu Morg ihtisas Dairesince otopsileri yapllan ve orijini yangma bagh olmayan 381 COZ'si olgusu ara§ttnlml§tlr. istanbul'da yapllan adli otopsiler i~inde COZ'ne bagh olgular % 3'Iiik bir oran olu~turmaktadlr. Olgulann % 76.6'sl erkek olup, % 6S'i 11-40 ya§ grubunda saptanml§tu. Y~ ortalamasl 32.6 bulunan olgulann en slk goriildiigii ya~ dekadl ise 21-30'dur. Oliimlerin ~ogu Ia§ aylarmda meydana gelmi§tir. Bu oHimler % 80'Iik bir oranla evlerde meydana gelmektedir. Olgulann % 13.6'smda alkol saptanml§ olup, letal karboksihemoglobin (CO-Hb) diizeyi ortalama % 63.2 olarak tespit edilmi~tir.

Anahtar Kelimeler

• Karbonmonoksit zehirlenmesi
• Ölüm
• Olgu

Kaynakça

1. Teilade, P. (1990) Am. 1. Forensic Med. Pathol., 11(3),219-25.
2. Bowen, D.A.L., Duffy, P., Collear, A., Filion, J. (1989) Forensic Sci. Int., 41, 163-fl.
3. Spitz, W.U. (1993) in Medicolegal Investigation of Death, 3 rd edn, pp. 487-92, Charles c., Thomas, Springfield.
4. Thienes, c.H., Haley, TJ. (1955) in Clinical Toxicology, 3 rd edn., pp. 234-8, Lea and Febiger, Philadelphia.
5. Daull, J., Klaassen, C.D., Amdur, 11.1.0. (1980) in Casarelt and Doull's Toxicology, 2 nd edn., pp. 191-2,317-9, McMillan Publ. Co., New York, Toronto. London.
6. Gonzales, T.A., Vance, M, (19.54) in Legal Medicine, Pathology and Toxicology, 2 nd cdn, pp. 496·512, Appleton Century Crofts Inc., New YorK.
7. Gobbato, F, Cont, A., (1989) G. Ita I. Med. Law, 11(3-4), 103-8.
8. Thomson, L.F., Mardel, S.N., Jack, A., Shield, T,G. (1992) Arch, Emerg. Med., 9(2), 208-13.

9. Caplan, YH., Oltinger, WE, Park. J., Smith, T.D. (1985) 1. Forensic Sci., 30(4), 1012-21.
10. Dolan, M.e. (1985) Cal!. Med. Assoc. 1., 13.~, 392-7.
11. Moar, J.l., (1984) S. Afr. Med. J., 66, 650-2.
12. -.:-------(1992) Morb. Morlal. Wkly. Rep., 41(47), 881-3, 889.
13. B Ozen. C. (1971) Adli Tip ve Toksikoloji, pp. 134·5, Sermet MalbaasL Istanbul.
14. Thomsen, J .L., Kardet, T. (1988) F or ell sic Sci. lilt., 36, 69·72.
15. Adlf, Y., Bitterman, H., Kol, S .. Melarnet, Y. (1991) Isr. J. Med Sci., 27, 669· 73.
16. Petty, C.S. (1980) Multiple Death Investigalion in "Modern L.egal Medicine, Psychiatry and Forensic Medicine" (\V.l. Curran, A.L. McCarry, C.S. Petty cds.), pp. 629·33, fA Davis Co., Philadelphia.
17. Rentilul, E, Smith, H. (1973) in Glaisler's Medical Jurisprlllldence alld Toxirology, 13th edn, pp. 565-70, Churchill Livingstone, Edinburg, London.
18. Fatteh, A. (1973) in Handbook of Forensic Pathology, pp. 276-79, J.B. Lippincolt Comp., Philadelphia, Toronto.
19. Gordon, I., Shapiro, H.A. (1988) in Forensic Medicine: A Guide to Principles, 3 nd. edn, pp. J 30·32, Churchill I .ivingslone. ·Edinburg. L.ondon, New York.
20. T:;unenari, S., Yonemitsu, K., Kanda M., Yoshida, S. (1985) Am 1. Forensic .Med. Pathol., 6(3), 233-9.
21. Moritz, A.R., Morris. R.C. (\970) in lIundbook of Legal Medicine, .3 rd cdn, pp. 84-6, The C.V. Mosby Comp.; Saint LOUIS,
22. Knight, B. (1982) ill Legal Aspects of Medical Practice, 3 rd edn, pp. 274-77, Churchill Livingstone, Edinburg.
23. Smith, S, Simpson, K. (1957) in Taylor'S Principles alld Practice of Medical Jurispnmdence, Vol. 2, 11 til edn., pp, 399·412, Churchi!! Ltd., London.
24. Sala<;:tn, S. (1991) Am. 1. ForenSIc ,Hed. Parhol.. 12(3), 191-3.
25. ~~ Klfi~ngjl, B., FinCil1lcl. ~. K .. KiH~kwl' U (1989) Adli TIp Derg , 5, 33-411.
26. Cobb, N., Etzel, R.A. (1991)J.A.M.A., 266, 659-63.
27. Crove, M.T.1. (\989) Mea Sci. Law, 29(2),124-9.
28. Steenloft, A, Teige, B., Vuori, E., Ceder, G, Holmgren, P., Kaa, E. (1989) Z. Rechtsmed., .102, 355-65.
29. Kaa, E., Gregersen, M. (1992) Int. J. Leg. Med, 105, 133-8.
30. Tonglll:;, E (1992) Meslek Hastal/klan Kzlavuw, 2. baskt, pp.46-51, Turk Tabipleri Birligi Yay 1I1i , Maya Matbaacllik, Ankara.
31. Investigation Committe of the MedicilegaJ Society of Japan (1991) Nippo/!. Hoigaku. Zasshi., 45(3), 258-62.