Zhu Xin-ju, Chen Li-ping, Li Kai, Xu Yong-cheng, Ke Yong, Wang Zhen-yuan
Department of Forensic Medicine, School of Medicine, Xi'an Jiaotong University, Xi'an 710061, China.
Fa Yi Xue Za Zhi. 2007 Feb 15;23(1):23-5.
Morphologic features of the corpse of rabbits died of potassium intoxication were studied in order to elucidate an objective evidence for forensic determination of death caused by potassium intoxication.
Macroscopic, microscopic, and ultrastructural (by transmission electron microscopy) changes were observed in the heart, brain, and kidney of rabbits killed by intravenous push or continuous infusion at 100 drips per minute with 0.3% and 1% KCl, respectively. Normal rabbits without any treatment killed by bleeding were used as controls.
Macroscopically, cardiac dilatation and congestion/stasis as well as ischemic and hypoxic changes in various organs were observed in rabbits died of potassium injection. Microscopically and ultrastructurally, there were destruction of the cardiac fibers with thickening, concentrating, or disappearing of the Z-line, constriction of the glomerular capillaries, enlargement of the Bowman capsule, thinning and fusion of foot processes, as well as apoptosis with phagocytosis in brain observed, particularly in the group infused with 1% KCl.
The morphologic changes observed in the heart and kidney appear to be characteristic, supporting death caused by potassium intoxication.
研究死于钾中毒的家兔尸体的形态学特征,以阐明钾中毒致死后法医鉴定的客观依据。
分别以每分钟100滴的速度静脉推注或持续输注0.3%和1%氯化钾,观察家兔心脏、脑和肾脏的大体、显微镜及超微结构(透射电子显微镜)变化。将未经任何处理、放血处死的正常家兔作为对照。
大体观察,死于钾注射的家兔出现心脏扩张、充血/淤血以及各器官缺血缺氧改变。显微镜及超微结构观察,可见心肌纤维破坏,Z线增粗、浓缩或消失,肾小球毛细血管收缩,肾小囊扩大,足突变薄融合,脑内可见凋亡伴吞噬现象,尤其是输注1%氯化钾的组。
心脏和肾脏观察到的形态学改变具有特征性,支持钾中毒致死。