Turkiye Klinikleri Journal of Forensic Medicine and Forensic Sciences

.: ORIGINAL RESEARCH
Ölüm Nedeni Uyutucu, Uyuşturucu veya Uyarıcı Madde Kullanımı Olarak Belirlenen Adli Olguların Değerlendirilmesi
Evaluation of Forensic Cases with the Cause of Death Determined As Drug or Stimulating Substance Use
Hüseyin Çetin KETENCİ a, Halil BOZ a, Mustafa ŞEN a, Uğur REYHAN a, Halil İlhan AYDOĞDU b, Nazım Ercüment BEYHUN c, Hülya KARADENİZd
aAdli Tıp Kurumu Trabzon Grup Başkanlığı, Trabzon, TÜRKİYE
bAdli Tıp Kurumu Başkanlığı, İstanbul, TÜRKİYE
cKaradeniz Teknik Üniversitesi Tıp Fakültesi, Halk Sağlığı ABD, Trabzon, TÜRKİYE
dKaradeniz Teknik Üniversitesi Adli Bilimler Enstitüsü, Tıp Bilimleri ABD, Trabzon, TÜRKİYE
Turkiye Klinikleri J Foren Sci Leg Med. 2021;18(2):107-14
doi: 10.5336/forensic.2020-79691
Article Language: TR
ÖZET
Amaç: Bu çalışmada, otopsisi Adli Tıp Kurumu Trabzon Grup Başkanlığında yapılan ve uyutucu, uyuşturucu veya uyarıcı madde kullanımı sonucu ölen olgulara ait verilerin değerlendirilmesi ile orijin ve kesin ölüm nedenlerinin tespiti konusunda karşılaşılan sorunların tartışılması amaçlanmıştır. Gereç ve Yöntemler: Adli Tıp Kurumu Trabzon Grup Başkanlığında Ocak 2015 ve Aralık 2017 tarihleri arasında otopsisi yapılan 1.912 olguya ait raporlar incelendi ve uyutucu, uyuşturucu veya uyarıcı madde intoksikasyonu sonucu öldüğü tespit edilen 26 olguya ait yaş, cinsiyet, olay yeri ve otopsi bulguları, tespit edilen uyuşturucu maddelerin profilleri retrospektif olarak değerlendirildi. Bulgular: Tamamı erkek olan 26 olgunun yaş ortalaması 31,2±9,5 yıl idi. Olguların toksikolojik analiz sonuçları değerlendirildiğinde, örneklerde %57,7'lik (n=15) oran ile ilk sırada sentetik kannabinoidlerin (en sık *5F-ADB, *FUB-AMB) tespit edildiği görüldü. İç organların makroskobik ve mikroskobik incelemelerinde 13 (%50) olguda, kardiyak veya pulmoner patolojik bulgular (miyokardiyal nedbe, pnömoni, intraalveoler/interstisyel kanama, ödem) saptandı. Sonuç: Ölüm nedeni olarak uyuşturucu intoksikasyonu yönünde karar verilen vakalarda, en sık rastlanan grup sentetik kannabinoidler olmuştur. Değişen kimyasal yapıları dikkate alındığında, sentetik kannabinoidler başta olmak üzere uyutucu, uyuşturucu ve uyarıcı maddelerin analizine yönelik imkânlar artırılmalıdır.

Anahtar Kelimeler: Uyuşturucu; intoksikasyon; ölüm; otopsi; sentetik kannabinoidler
ABSTRACT
Objective: In this study, it was aimed to discuss the problems encountered in determining the origin and exact causes of death by evaluating the data of the cases whose autopsy was performed at Trabzon Branch of the Council of Forensic Medicine and died as a result of the use of narcotic drugs or stimulants. Material and Methods: Reports of 1,912 cases autopsy was performed at Trabzon Branch of the Council of Forensic Medicine between January 2015 and December 2017 were analyzed and the age, gender, crime scene and autopsy findings of 26 cases who were found to have died as a result of narcotic, drug or stimulant intoxication, and the profiles of the detected drugs were evaluated retrospectively. Results: The mean age of 26 cases, all male, was 31.2±9.5 years. When the toxicology analysis results of the cases were evaluated, it was observed that synthetic cannabinoids (most frequently *5F-ADB, *FUB-AMB) were found in the examined samples with a rate of 57.7% (n=15). In the macroscopic and microscopic examinations of internal organs, cardiac or pulmonary pathological findings (myocardial scar, pneumonia, intraalveolar/interstitial bleeding, edema) were detected in 13 (50%) cases. Conclusion: Synthetic cannabinoids have been found most frequently in the valas that have been declared drug-related deaths. Opportunities for the analysis of synthetic cannabinoids should be increased, given their changing chemical structures.

Keywords: Drugs; intoxication; death; autopsy; synthetic cannabinoids
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