POSTMORTEM CHANGES IN CARBON MONOXIDE POISONING

Yıl 2021, Cilt: 45 Sayı: 3, 722 - 735, 27.09.2021

Ayşegül Koçyiğit Benay Can Eke

https://doi.org/10.33483/jfpau.945665

Öz

Objective: In this study, it was aimed to review postmortem changes in deaths caused by carbon monoxide poisoning.

Result and Discussion: It has been stated that the most characteristic feature of carbon monoxide poisoning is that it causes a specific red color of the skin surface. In general, it occurs when COHb concentrations exceed 30%. Autopsy reveals blood, organs, and muscles with a cherry red color similar to the formation of COHb and COMb. There is also generalized organ obstruction and pulmonary edema. Symptoms and autopsy findings of CO poisoning emerge as non-specific. Therefore, detecting COHb in the blood is essential for diagnosing.CO exposure has been shown to be a contributing factor in deaths where% COHb is 10-50%. According to the sources we examined in this study, it has been observed that tissues such as muscle, blood, lung, brain, and kidney are the most appropriate tissues for the diagnosis of death due to exposure to fatal CO and can be used for this. Because of the seasonal use of stoves and the prevalence of influenza infections, patients who report these symptoms mostly in the winter months should be examined closely. It should be kept in mind that delayed diagnosis may result in death.

Anahtar Kelimeler

Carbon monoxide, poisoning, postmortem

KARBONMONOKSİT ZEHİRLENMELERİNDE POSTMORTEM DEĞİŞİKLİKLER

Öz

Amaç: Bu çalışmada karbonmonoksit gazı ile zehirlenme sonucu görülen ölümlerde postmortem değişikliklerin derlenmesi amaçlanmıştır.

Sonuç ve Tartışma: Karbonmonoksit zehirlenmesi sonucu cilt yüzeyinin spesifik bir kırmızı renk alması en karakteristik özellik olarak belirtilmiştir. Genel olarak, COHb konsantrasyonları % 30'u aştığında ortaya çıkmaktadır. Otopsi, COHb ve COMb oluşumuyla benzer spesifik kırmızı renge sahip kan, organ ve kasları ortaya çıkarmaktadır. Akciğer ödemi ve genelleşmiş organ tıkanıklığı da gözlenmektedir CO zehirlenmesinin semptomları ve otopsi bulguları nonspesifik olarak ortaya çıkmaktadır. Bu nedenle kanda COHb saptanması ile teşhis konulması önemlidir. CO maruziyeti, % COHb'nin% 10-50 olduğu ölümlerde katkıda bulunan bir faktör olabileceği görülmüştür. Bu çalışmada incelediğimiz kaynaklara göre, kan, kas, beyin, akciğer ve böbrek gibi dokuların, ölümcül CO'ya maruz kalma nedeniyle ölüm teşhisi için en uygun dokular olduğu ve bunun için kullanılabileceği görülmüştür. Mevsimsel olarak soba kullanımı ve gribal enfeksiyonların yaygın olması ile daha çok kış aylarında bu şikayetlerle başvuran hastalar detaylı sorgulanmalı ve tanı koymada geç kalmanın sonucunda ölüm olabileceği unutulmamalıdır.

Anahtar Kelimeler

karbonmonoksit, zehirlenme, postmortem

Kaynakça

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