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死后血糖及血尿素氮测定

POSTMORTEM BLOOD SUGAR AND BLOOD UREA NITROGEN DETERMINATIONS.

作者信息

FEKETE J F, KERENYI N A

出版信息

Can Med Assoc J. 1965 May 1;92(18):970-3.

Abstract

Glucose and urea nitrogen determinations were made on blood and cerebrospinal fluid samples collected during 160 postmortem examinations in order to determine the usefulness of such tests in diagnosing diabetes and uremia at the time of autopsy. The results indicated that: (1) Blood is unsuitable for postmortem glucose determination, and no postmortem normal can be established. (2) Cerebrospinal fluid gave more uniform but very low glucose values. (3) Diabetics as a group had very high postmortem glucose levels but showed a marked overlap with non-diabetics. (4) Infants less than 3 months of age showed high postmortem glucose values. (5) Postmortem blood urea nitrogen and cerebrospinal fluid urea nitrogen levels were within normal limits in previously healthy persons who died suddenly from accidental causes. (6) Hospital autopsy cases had high urea nitrogen levels. (7) Postmortem urea nitrogen levels higher than 100 mg.% were indicative of uremia.

摘要

对160例尸体解剖检查期间采集的血液和脑脊液样本进行了葡萄糖和尿素氮测定,以确定此类检测在尸检时诊断糖尿病和尿毒症的实用性。结果表明:(1)血液不适合用于死后葡萄糖测定,无法建立死后正常参考值。(2)脑脊液葡萄糖值更均匀但非常低。(3)糖尿病患者作为一个群体,死后血糖水平非常高,但与非糖尿病患者有明显重叠。(4)3个月以下婴儿死后血糖值较高。(5)因意外原因突然死亡的既往健康者,死后血尿素氮和脑脊液尿素氮水平在正常范围内。(6)医院尸检病例尿素氮水平较高。(7)死后尿素氮水平高于100mg.%提示尿毒症。

引用本文的文献

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Is the formula of Traub still up to date in antemortem blood glucose level estimation?
Int J Legal Med. 2012 May;126(3):407-13. doi: 10.1007/s00414-011-0659-1. Epub 2012 Feb 11.
2
Postmortem chemistry update part I.
Int J Legal Med. 2012 Mar;126(2):187-98. doi: 10.1007/s00414-011-0625-y. Epub 2011 Sep 24.
3
Postmortem Blood Sugar and Blood Urea Determinations.
Can Med Assoc J. 1965 Aug 7;93(6):277.

本文引用的文献

1
Studies on postmortem chemistry.
Am J Clin Pathol. 1950 Apr;20(4):314-24. doi: 10.1093/ajcp/20.4.314.

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