Teresiński Grzegorz, Buszewicz Grzegorz, Madro Roman
Katedry i Zakładu Medycyny Sadowej AM w Lublinie.
Arch Med Sadowej Kryminol. 2004 Jan-Mar;54(1):37-43.
The purpose of the study was to determine whether the postmortem diffusion of carbon monoxide (CO) significantly affected the results of carboxyhemoglobin (COHb) and carboxymyoglobin (COMb) determinations. The musculocutaneous and muscular specimens collected from adult cadavers were used. The specimens were treated with CO for 24 h at room temperature. COHb and COMb were determined using gas chromatography. It was demonstrated that the skin substantially limited the diffusion of CO which slightly penetrated only the superficial layers of the muscle and did not change the blood level of COHb in the 4.5-cm layer of the muscle located underneath. The CO diffusion through the superficially charred and thermally coagulated muscle did not differ from that observed in the intact integuments. On the other hand, the membrane of the skin completely deprived of the adipose layer was not the barrier to moderate diffusion into the blood layer situated below. Thus, in charred corpses the results pf COHb and COMb determinations in the material collected under the layer of charred and coagulated tissues enable us to determine whether the victim was alive at the moment of the outbreak.
本研究的目的是确定一氧化碳(CO)在死后的扩散是否会显著影响碳氧血红蛋白(COHb)和碳氧肌红蛋白(COMb)的测定结果。使用从成年尸体采集的肌皮和肌肉标本。将标本在室温下用CO处理24小时。使用气相色谱法测定COHb和COMb。结果表明,皮肤显著限制了CO的扩散,CO仅轻微渗透到肌肉的表层,并未改变位于其下方4.5厘米深处肌肉层的血液中COHb水平。CO通过表面烧焦和热凝固的肌肉的扩散与在完整皮肤中观察到的情况没有差异。另一方面,完全没有脂肪层的皮肤膜并不是适度扩散到下方血液层的屏障。因此,在烧焦的尸体中,在烧焦和凝固组织层下方采集的材料中进行COHb和COMb测定的结果,能够让我们确定受害者在火灾发生时是否还活着。