乙醇对超声荧光激光多晶膜测定脑脊液死亡时间准确性的影响

M. Garazdiuk, V. Bachynskyi, O. Garazdiuk, I. Ivaskevych
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引用次数: 0

摘要

由于不同程度的酒精中毒导致死亡的发生率很高,因此,分析酒精对脑脊液多晶膜结构变化的影响的可能性,进而分析自荧光激光偏振法诊断死亡时间的准确性是有益的。工作的目的。目的:通过分析脑脊液膜的多晶结构变化,探讨酒精可能对脑脊液的影响,并建立客观的法医诊断标准。材料和方法。研究对象:80具尸体的CSF原生膜,155份样品- 1组;30名健康志愿者CSF(0组)- 30份样本;在死者血液中含有乙醇的情况下获得的脑脊液膜,30个样本-第2组。采用气液色谱法、激光诱导荧光法和统计处理方法对结果进行分析。结果。证明了脑脊液多晶膜激光自体荧光法诊断死亡时间的有效性。通过确定表征激光诱导荧光显微图像的方位偏振值分布的4阶统计矩的大小,在生物体中存在和不存在乙醇的心血管病理死亡病例之间存在统计学上的显著差异。在此基础上,实现了对人体内乙醇存在的鉴别的极好的平衡准确性(Ac (M4) = 94%)。结论。乙醇会影响脑脊液多晶膜的结构,在用自体荧光激光偏振法估计死亡时间时必须考虑到这一点。
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Influence of ethyl alcohol on accuracy of time since death estimation by the method of avtofluorescent laser polyarimetry of polycristalline films of cerebrospinal fluid
Due to the high prevalence of death on the base of alcoholic intoxication of varying degrees, it is expedient to analyze the possibility of the influence of alcohol on the change in the structure of the polycrystalline films of the cerebrospinal fluid, and accordingly on the accuracy of the diagnosis of the time since death by the method of autofluorescent laser polarimetry.The purpose of the work. To study the possible influence of alcohol and to develop objective forensic criteria for diagnosing its effects on the basis of analysis of changes in the polycrystalline structure of cerebrospinal fluid (CSF) films. Materials and methods. Object of research: native films of CSF, selected in 80 corpses, in the quantity of 155 samples - 1 group; CSF from 30 healthy volunteers (group 0) - 30 samples; CSF films obtained in the deceased with the presence of ethyl alcohol in the blood, 30 samples - group 2. The methods of gas-liquid chromatography, laser-induced fluorescence and statistical processing of the results were used. Results. The efficiency of using the methods of laser autofluorescence of polycrystalline films of the cerebrospinal fluid for the diagnosis of the time since death was proved. A statistically significant difference between cases of death from cardiovascular pathology with the presence and absence of ethyl alcohol in the organism was established by determining the magnitude of the statistical moment of the 4th order, which characterizes distribution of azimuth polarization values of microscopic images of laser-induced fluorescence. On this basis, an excellent balanced accuracy of the differentiation of the presence of ethyl alcohol in the human body (Ac (M4) = 94%) was achieved. Conclusion. Ethyl alcohol affects the structure of the polycrystalline films of the cerebrospinal fluid, which must be taken into account when estimating the time since death by autofluorescence laser polarimetric methods.
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