Study on acute poisoning cases brought for Medico Legal Autopsy in Gandhi Medical College, Secunderabad

Medico-Legal Update Pub Date : 2023-01-01 DOI:10.37506/mlu.v23i4.3445

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Abstract

Background: Regular epidemiological investigations are essential for gaining insights into the incidence ofpoisoning in various geographical areas. The purpose of this study was to assess the characteristics and trendsof deaths due to poisoning in Gandhi Medical College, Secunderabad.Methods: Hospital records, inquest reports, post-mortem reports and toxicological analysis reports were analysedamong various age groups, sex, type and manner of poisoning. Snake bite poisoning cases were excluded.Results: Out of 318 cases, we got positive toxicological analysis report for 287 (90.2%) cases. In our studypredominance of male cases 259(81.45%) compared to female cases 59(18.55%) reported. In the age group mostinvolved was 21-30 yrs 107 cases (34%) followed by 31-40 yrs 82 (26%), 41-50 yrs 49 (15%). Organophosphatepoisoning reported in high number of cases 189(65.85%) followed by paraquat poisoning 44(15.33%), tabletpoisoning 23(2.01%), Sulphuric acid poisoning 22(7.67%) and others 9 (3.14%) (Rodenticide, phenol, pyrethroid,nitrite). In manner of death suicidal cases 311(97.80%) reported more followed by accidental cases 7 (2.20%). Insuicidal cases, economic constraints as a reason were outnumbered 209 cases (67.20%) followed by health issues52(16.72%), academic failure 35(11.25%), love failure 15(4.82%). In region wise, rural areas reported more cases244(76.73%) when compared to urban area 74 (23.27%). In season wise, more cases reported in April to July 148cases (46.50%) followed by December to March 97 cases (30.5%), August to November 73 (23%). Zero homicidalpoisoning noted.Conclusion: Organophosphate poisoning in active male population of rural areas with economic constraintswere reported to be predominant.

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塞昆德拉巴德甘地医学院为法医尸检带来的急性中毒病例研究

背景:定期流行病学调查对于了解不同地理区域的中毒发生率至关重要。本研究的目的是评估塞昆德拉巴德甘地医学院中毒死亡的特征和趋势。方法:对不同年龄、性别、中毒类型和方式的住院记录、验尸报告、尸检报告和毒理学分析报告进行分析。排除蛇咬中毒病例。结果:318例毒理分析阳性者287例(90.2%)。在我们的研究中，男性259例(81.45%)高于女性59例(18.55%)。在年龄组中，21-30岁发病最多，107例(34%)，其次是31-40岁，82例(26%)，41-50岁，49例(15%)。有机磷中毒最多189例(65.85%)，其次是百草枯中毒44例(15.33%)，片剂中毒23例(2.01%)，硫酸中毒22例(7.67%)，其他中毒9例(3.14%)(杀鼠剂、苯酚、拟除虫菊酯、亚硝酸盐)。自杀死亡311例(97.80%)，其次是意外死亡7例(2.20%)。在自杀案例中，经济困难作为自杀原因的人数超过209例(67.20%)，其次是健康问题52例(16.72%)，学业失败35例(11.25%)，爱情失败15例(4.82%)。从地区来看，农村地区报告病例244例(76.73%)，而城市地区报告病例74例(23.27%)。从季节上看，4 ~ 7月报告病例最多，为148例(46.50%)，其次是12 ~ 3月97例(30.5%)，8 ~ 11月73例(23%)。注意到零凶杀中毒。结论:有机磷中毒以农村经济条件较差的男性活动人群为主。

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Medico-Legal Update

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