刑事技术2024,Vol.49Issue(1) :107-110.DOI:10.16467/j.1008-3650.2024.1003

一氧化碳中毒致听力障碍的法医学鉴定1例

Forensic Identification of Hearing Impairment Caused by Carbon Monoxide Poisoning:A Case Report

丁艳杰 肖向宇 王威 张世林 张宵 杨根杰 金波
刑事技术2024,Vol.49Issue(1) :107-110.DOI:10.16467/j.1008-3650.2024.1003

一氧化碳中毒致听力障碍的法医学鉴定1例

Forensic Identification of Hearing Impairment Caused by Carbon Monoxide Poisoning:A Case Report

丁艳杰 1肖向宇 2王威 1张世林 1张宵 1杨根杰 1金波1
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作者信息

  • 1. 川北医学院基础医学与法医学院,四川南充 637000
  • 2. 成都市公安局刑事科学技术研究所,成都 610000
  • 折叠

摘要

近年来,由于煤气泄漏或烤火等原因引起CO中毒的案件有增多的趋势,但是因CO中毒导致听功能障碍的案件却鲜有报道.本文报道1例CO中毒导致听力损失的案例,详细描述了该案例的临床表现、影像学改变等检查结果,并结合国内外相关文献对此类案件中导致听力损失的发病机制进行了深入分析.CO中毒可通过影响内耳血液供应、损伤听觉神经和干扰听觉传导途径等三个途径导致听力损失.本文探讨了CO中毒与听力损失之间的关系,并总结了 CO中毒导致听力损失的特征及相关的法医学鉴定要点,旨在提高对CO中毒案件的认知和防范意识,为司法实践提供科学依据,为法医学鉴定人员提供指导和参考.

Abstract

In recent years,there has been an increasing trend of cases of carbon monoxide(CO)poisoning caused by gas leaks or fires.However,there have been few reports on cases how CO poisoning leads to hearing impairment.This article reports a case of CO poisoning resulting in hearing loss,providing detailed descriptions of clinical manifestations,imaging findings,and other test results.Based on relevant literature from both domestic and international sources,the article conducted an in-depth analysis of the pathogenesis of hearing loss in such cases.The results showed that cerebral ischemia and hypoxia caused by CO poisoning involved the posterior limb of internal capsule in the auditory central conduction pathway,and could also cause vasodilation and contraction of the Round window membrane,resulting in blood circulation disorders in the inner ear,as well as cell damage and inflammation leading to hydrotympanum and other changes.Therefore,this article explores the relationship between CO poisoning and hearing loss,as well as summarizes the characteristics of CO-induced hearing loss and relevant forensic identification points.The aim of this article is to enhance awareness and prevention of CO poisoning cases,provide scientific evidence for judicial practice,and offer guidance and reference for forensic experts.

关键词

法医临床学/CO中毒/听力损失/伤残等级

Key words

forensic medicine/CO poisoning/hearing loss/disability class

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基金项目

川北医学院校级科研发展基金青年项目(CBY21-QA15)

南充市2020年市校科技战略合作专项(20SXQT0319)

出版年

2024
刑事技术
公安部物证鉴定中心

刑事技术

CSTPCD
影响因子:0.315
ISSN:1008-3650
参考文献量3
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