死后分析玻璃体体液中的电解质以确定死亡时间

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摘要

背景:研究发现,许多生化物质,包括电解质,在人死后保持显著的稳定,而其他物质则表现出不同程度的变化;因此,分析玻璃体体液中的电解质具有重要的医学和法律意义。方法:采用无菌注射器10 ml,纱布针20支,距角膜缘5 ~ 6 mm处穿刺95例尸检。将吸出的玻璃体倒入橡胶塞的小瓶中。收集的液体被送到生物化学系进行电解质分析。采用铁选择电极法进行了分析,并对结果进行了记录和比较。结果:27例(28.4%)PM间期为<12小时,12 ~ 24小时32例(33.6%),24小时36例(37.8%)。在不同电解质的研究中,氯化钠值仍然显著,但钾值具有极显著的p值(p<0.001)。意外跌倒时钾离子平均值最高为10.62(±1.90),蛇咬死亡时钾离子平均值最低为6.7(±0.23)。结论:目前的实际研究证明,玻璃体钾是准确估计和预测死后死亡的单一最佳参数。
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Post Mortem analysis of electrolytes in vitreous humour to determine time since death
Background: It has been found that so many biochemical materials, including electrolytes, remain remarkablystable after death while others show varying degrees of change; hence, the analysis of electrolytes in vitreoushumour has great medico-legal importance.Method: 95 autopsies were studied by making a puncture 5–6 mm away from the limbus by using a 10 ml sterilesyringe and 20 gauze needles. Aspirated vitreous was poured into a rubber stopped vial. The collected fluid wassent to the biochemistry department for electrolyte analysis. The analysis was carried out using the iron selectiveelectrode method, and the results were noted and compared.Results: The PM interval for 27 cases (28.4%) was < 12 hours, 32 cases (33.6%) was between 12-24 hours, and36 cases (37.8%) was >24 hours. In the study of different electrolytes, the sodium chloride value remainedinsignificant, but the potassium value had a highly significant p value (p<0.001). The highest mean value ofpotassium 10.62 (±1.90) in accidental falls and least in snake bite deaths was 6.7 (±0.23).Conclusion: The present pragmatic study has proved that vitreous potassium is the single best parameter toestimate and predict post mortem death accurately.
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