怀疑采取不当的毒物护理措施的法医学鉴定 （实践案例）
- 作者: Kuznetsov S.V.1,2, Reinuk V.L.1, Litvincev B.S.1, Molin Y.A.3, Yatsenko D.S.4, Kuznetsova A.A.5
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隶属关系:
- The Federal State-Financed Institution Golikov Research Clinical Center of Toxicology
- Saint-Petersburg State Agrarian University
- North-Western State Medical University named after I.I. Mechnikov
- Regional Murmansk Bureau of Forensic Medical Examination
- Bureau of forensic medical examination
- 期: 卷 9, 编号 1 (2023)
- 页面: 87-93
- 栏目: 临床病例报告
- URL: https://bakhtiniada.ru/2411-8729/article/view/133088
- DOI: https://doi.org/10.17816/fm764
- ID: 133088
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详细
在乙二醇中毒的情况下怀疑采取不当的毒物护理措施时，对诊疗过程进行法医学评估，以实践观察为例来显示该评估的主要原则。强调了阻碍采取毒理护理措施及进行其法医学评估的因素。
阻碍采取毒理护理措施及进行其法医学评估的因素包括：缺乏关于口服给药的目睹者或病人的信息，以及只有通过化学毒理学测试才能可靠地确定体内存在乙二醇。只是具有关于乙二醇中毒的正确信息或充分根据的假设，才采取毒物护理措施，其中包括用乙醇的解毒药疗法。因为在口服乙二醇的中毒时血流动力学的指标一直不稳定，病人运输时发生并发症的 风险比病人留在有高科技设备和24小时监控的专科医院时发生的高得多。
如果在乙二醇中毒时一个的医疗不能改善或至少不能稳定病人的状况，这不一定意味着医疗救护不当（不准确）。在急性口服乙二醇中毒的情况下，适当的医疗救护也不能保证避免 死亡。
作者简介
Semyon V. Kuznetsov
The Federal State-Financed Institution Golikov Research Clinical Center of Toxicology; Saint-Petersburg State Agrarian University
Email: nachsml@mail.ru
ORCID iD: 0000-0002-3132-8522
SPIN 代码: 5122-0242
MD, Cand. Sci. (Med), Associate Professor
俄罗斯联邦, Saint Petersburg; Saint PetersburgVladimir L. Reinuk
The Federal State-Financed Institution Golikov Research Clinical Center of Toxicology
Email: institute@toxicology.ru
ORCID iD: 0000-0002-4472-6546
SPIN 代码: 5828-0337
MD, Dr. Sci. (Med), Associate Professor
俄罗斯联邦, Saint PetersburgBogdan S. Litvincev
The Federal State-Financed Institution Golikov Research Clinical Center of Toxicology
Email: litvintsevs@yandex.ru
ORCID iD: 0000-0001-6364-2391
SPIN 代码: 4829-8023
MD, Dr. Sci. (Med)
俄罗斯联邦, Saint PetersburgYuri A. Molin
North-Western State Medical University named after I.I. Mechnikov
Email: juri.molin@yandex.ru
ORCID iD: 0000-0002-4343-4656
SPIN 代码: 7439-0540
MD, Dr. Sci. (Med.), Professor
俄罗斯联邦, Saint PetersburgDmitry S. Yatsenko
Regional Murmansk Bureau of Forensic Medical Examination
Email: murmansk@ombsme51.ru
ORCID iD: 0000-0001-6702-569X
SPIN 代码: 8244-7505
俄罗斯联邦, Murmansk
Alexandra A. Kuznetsova
Bureau of forensic medical examination
编辑信件的主要联系方式.
Email: alexandra88@yandex.ru
ORCID iD: 0000-0002-8414-9763
SPIN 代码: 4156-5420
俄罗斯联邦, Saint Petersburg
参考
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