Karbonmonoksit Zehirlenmesine Bağlı Ölümler

Yıl 1994, Cilt: 10 Sayı: 1, 60 - 67, 30.04.1994

Derya Azmak

https://izlik.org/JA28DX44XX

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

• Teilade, P. (1990) Am. 1. Forensic Med. Pathol., 11(3),219-25.
• Bowen, D.A.L., Duffy, P., Collear, A., Filion, J. (1989) Forensic Sci. Int., 41, 163-fl.
• Spitz, W.U. (1993) in Medicolegal Investigation of Death, 3 rd edn, pp. 487-92, Charles c., Thomas, Springfield.
• Thienes, c.H., Haley, TJ. (1955) in Clinical Toxicology, 3 rd edn., pp. 234-8, Lea and Febiger, Philadelphia.
• 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.
• 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.
• Gobbato, F, Cont, A., (1989) G. Ita I. Med. Law, 11(3-4), 103-8.
• Thomson, L.F., Mardel, S.N., Jack, A., Shield, T,G. (1992) Arch, Emerg. Med., 9(2), 208-13.
• Caplan, YH., Oltinger, WE, Park. J., Smith, T.D. (1985) 1. Forensic Sci., 30(4), 1012-21.
• Dolan, M.e. (1985) Cal!. Med. Assoc. 1., 13.~, 392-7.
• Moar, J.l., (1984) S. Afr. Med. J., 66, 650-2.
• -.:-------(1992) Morb. Morlal. Wkly. Rep., 41(47), 881-3, 889.
• B Ozen. C. (1971) Adli Tip ve Toksikoloji, pp. 134·5, Sermet MalbaasL Istanbul.
• Thomsen, J .L., Kardet, T. (1988) F or ell sic Sci. lilt., 36, 69·72.
• Adlf, Y., Bitterman, H., Kol, S .. Melarnet, Y. (1991) Isr. J. Med Sci., 27, 669· 73.
• 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.
• Rentilul, E, Smith, H. (1973) in Glaisler's Medical Jurisprlllldence alld Toxirology, 13th edn, pp. 565-70, Churchill Livingstone, Edinburg, London.
• Fatteh, A. (1973) in Handbook of Forensic Pathology, pp. 276-79, J.B. Lippincolt Comp., Philadelphia, Toronto.
• 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.
• T:;unenari, S., Yonemitsu, K., Kanda M., Yoshida, S. (1985) Am 1. Forensic .Med. Pathol., 6(3), 233-9.
• 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,
• Knight, B. (1982) ill Legal Aspects of Medical Practice, 3 rd edn, pp. 274-77, Churchill Livingstone, Edinburg.
• 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.
• Sala<;:tn, S. (1991) Am. 1. ForenSIc ,Hed. Parhol.. 12(3), 191-3.
• ~~ Klfi~ngjl, B., FinCil1lcl. ~. K .. KiH~kwl' U (1989) Adli TIp Derg , 5, 33-411.
• Cobb, N., Etzel, R.A. (1991)J.A.M.A., 266, 659-63.
• Crove, M.T.1. (\989) Mea Sci. Law, 29(2),124-9.
• Steenloft, A, Teige, B., Vuori, E., Ceder, G, Holmgren, P., Kaa, E. (1989) Z. Rechtsmed., .102, 355-65.
• Kaa, E., Gregersen, M. (1992) Int. J. Leg. Med, 105, 133-8.
• Tonglll:;, E (1992) Meslek Hastal/klan Kzlavuw, 2. baskt, pp.46-51, Turk Tabipleri Birligi Yay 1I1i , Maya Matbaacllik, Ankara.
• Investigation Committe of the MedicilegaJ Society of Japan (1991) Nippo/!. Hoigaku. Zasshi., 45(3), 258-62.