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[法医尸检中的ABO血型鉴定]

[ABO blood group typing in forensic autopsies].

作者信息

Nishi Katsuji

机构信息

Department of Social Medicine, Division of Legal Medicine, Shiga University of Medical Science, Otsu 520-2192, Japan.

出版信息

Nihon Hoigaku Zasshi. 2005 Oct;59(2):111-7.

Abstract

In forensic science and medicine the ABO system has been a major focus, since the record of this blood system is a very prevalent one and A, B and O(H) antigens on erythrocytes are also associated with other cells and tissues throughout the body and are known to be considerably stable to the such violent conditions as heating or drying. However the determination of the ABO grouping from the body often encounters the difficulty due to haemolytic erythrocytes, and putrefaction, mummification or skeletonization of the body during post-mortem interval. In this presentation I review the merit and demerits of the ABO blood-grouping methods utilized in my division at the forensic autopsies according to the haemagglutination, absorption-elution and histochemical techniques and ABO genotyping method. It is important for ABO grouping to know the distribution of the ABO antigen in the body. I would like to emphasize that the species identification prior to ABO grouping is an important procedure because forensic materials such as from saliva, urine and seminal fluid might be contaminated with the fluid from animals, and DNA extracted from vertebrate species might be amplified with the primer for ABO genotyping and the amplified PCR products might be hybridized to those from human.

摘要

在法医学中,ABO血型系统一直是主要关注点,因为该血型系统的记录非常普遍,并且红细胞上的A、B和O(H)抗原也与全身的其他细胞和组织相关联,而且已知在加热或干燥等剧烈条件下相当稳定。然而,从尸体上确定ABO血型分类常常因红细胞溶血以及尸体在死后间隔期间发生腐败、木乃伊化或白骨化而遇到困难。在本报告中,我根据血凝、吸收-洗脱和组织化学技术以及ABO基因分型方法,回顾了我所在部门在法医尸检中使用的ABO血型分类方法的优缺点。了解ABO抗原在体内的分布对于ABO血型分类很重要。我想强调的是,在进行ABO血型分类之前进行物种鉴定是一个重要步骤,因为来自唾液、尿液和精液等法医材料可能会被动物体液污染,并且从脊椎动物物种中提取的DNA可能会用ABO基因分型引物进行扩增,扩增的PCR产物可能会与人类的产物杂交。

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