Citation

Zhao YF, Zhao BQ, Ma KJ, Zhang J, Chen FY. Fa Yi Xue Za Zhi 2017; 33(4): 374-375.

Affiliation

Suzhou Municipal Public Security Bureau, Suzhou 234000, China.

Copyright

(Copyright © 2017, Si fa bu Si fa jian ding ke xue ji shu yan jiu suo)

DOI

10.3969/j.issn.1004-5619.2017.04.008

PMID

29219267

Abstract

Suxamethonium chloride, also known as suxamethonium or succinylcholine, is a medication used to cause short-term muscle relaxation or paralysis as part of general anesthesia.
OBJECTIVES: To observe and analyze the performance of forensic science in the cases of suxa- methonium chloride poisoning, and to improve the identification of suxamethonium chloride poisoning.

METHODS: Fifty-four cases of suxamethonium chloride poisoning were collected. The rules of determination of suxamethonium chloride poisoning were observed by the retrospective analysis of pathological and toxicological changes as well as case features.

RESULTS: The pathological features of suxamethonium chloride poisoning were similar to the general changes of sudden death, which mainly included acute pulmonary congestion and edema, and partly showed myocardial disarray and fracture. Suxamethonium chloride could be detected in the heart blood of all cases and in skin tissue of part cases.

CONCLUSIONS: Suxa-methonium chloride poisoning has the characteristics with fast death and covert means, which are difficult to rescue and easily miss inspection. For the cases of sudden death or suspicious death, determination of suxamethonium chloride should be taken as a routine detection index to prevent missing inspection.

Language: zh

Keywords

cases analysis; forensic pathology; forensic toxicology; poisoning; suxamethonium chloride