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아산화질소(N2 O) 및 일산화탄소(CO) 중복 흡입에 의한 특이적 자살 사례

A Case of Unusual Suicide due to Overlapping Inhalation of Nitrous Oxide and Carbon Monoxide

대한법의학회지 2020년 44권 4호 p.173 ~ 177
김진영, 신하식, 이도경, 김동훈, 이준엽, 김국주, 김순권,
소속 상세정보
김진영 ( Kim Jin-Yeong ) - Seoul Metropolitan Police Agency Scientific Investigation Division
신하식 ( Shin Ha-Shig ) - Seoul Metropolitan Police Agency Scientific Investigation Division
이도경 ( Lee Do-Kyung ) - Seoul Metropolitan Police Agency Scientific Investigation Division
김동훈 ( Kim Dong-Hun ) - Seoul Metropolitan Police Agency Scientific Investigation Division
이준엽 ( Lee Jun-Yeop ) - Seoul Metropolitan Police Agency Scientific Investigation Division
김국주 ( Kim Kuk-Ju ) - Seoul Metropolitan Police Agency Scientific Investigation Division
김순권 ( Kim Sun-Kwon ) - Seoul Metropolitan Police Agency Scientific Investigation Division

Abstract


Nitrous oxide (N2 O) is a chemical used as a medical anesthetic supplement, industrial semiconductor cleaning agent, and food additive in the manufacture of whipping cream. Nitrous oxide causes hypoxemia and suffocation during repeated inhalation. In severe cases, it causes coma and death. Some of those who are not aware of the dangers still illegally obtain and abuse nitrous oxide even with the law enforcing its use, and some people seem to have abused nitrous oxide after purchasing large amounts in small containers before the law has taken effect. Deaths from misuse of nitrous oxide are extremely rare in South Korea compared to those from other addictions such as carbon monoxide poisoning. No autopsy or follow-up blood tests were performed in this case. However, this is a unique and rare case in which carbon monoxide inhalation due to the combustion of lightning coal at the last moment overlaps with continuous inhalation of large amounts of nitrous oxide for several days beyond simple hallucination use, and is included in this report with a simple literature review.

키워드

Nitrous oxide; Carbon monoxide; Inhalant abuse; Toxicology; Suicide

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