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[苯丙胺类药物法医毒理学的结果诊断与解读]

[Diagnostics and interpretation of results in forensic toxicology of amphetamines].

作者信息

Janus Tomasz

机构信息

Zakład Medycyny Sadowej, Pomorskiej Akademii Medycznej, al. Powstańców Wlkp. 72, 70-111 Szczecin.

出版信息

Ann Acad Med Stetin. 2006;52(3):47-59; discussion 59.

Abstract

INTRODUCTION

Amphetamine and its analogues belong to the large group of psychoactive compounds. Due to the growing problem of amphetamine poisoning, author decided to review and improve the laboratory diagnostic procedures with regard to forensic toxicology analysis.

MATERIAL AND METHODS

Biological material of 8 persons taken during autopsy for routine toxicological tests was used to examine characteristic of biological matrix. Following excludion the presence of xenobiotics during expertise process, material was divided and kept in sealed containers, then analysed after defined time period: 0, 30 and 90 days. Blood, urine, liver, brain and kidney were considered, 96 samples were examined in total. Biological material was analysed using gas chromatography equipped with flame ionization detector (GC-FID), liquid chromatography with diode array detector (HPLC-DAD), and magnetic resonance spectrometer (H NMR).

CONCLUSIONS

  1. Workout analytical GC-FID method enable to verify positive initial result of amphetamine and metamphetamine analysis in urine. 2. Biological matrix is composed mainly of low molecular aliphatic organical compounds which cause significant impact in analytical and opinion problem in amphetamine analysis. Its influence determine in proportion as time of biological material self-decomposition and noted cross-reactivity concern both immunological and chromatographic methods (HPLC-DAD). 3. H NMR method may be used to confirm amphetamine presence in biological material for confirmation of positive results obtained using immunological and enzymatic methods used in forensic toxicology.
摘要

引言

苯丙胺及其类似物属于一大类精神活性化合物。鉴于苯丙胺中毒问题日益严重,作者决定回顾并改进法医毒理学分析方面的实验室诊断程序。

材料与方法

选取8例尸检时采集的用于常规毒理学检测的生物样本,以研究生物基质的特性。在鉴定过程中排除外源性物质的存在后,将样本进行分割并保存在密封容器中,然后在规定时间(0天、30天和90天)后进行分析。研究对象包括血液、尿液、肝脏、大脑和肾脏,共检测了96个样本。使用配备火焰离子化检测器的气相色谱仪(GC-FID)、配备二极管阵列检测器的液相色谱仪(HPLC-DAD)和磁共振光谱仪(H NMR)对生物样本进行分析。

结论

  1. 制定的GC-FID分析方法能够验证尿液中苯丙胺和甲基苯丙胺分析的阳性初始结果。2. 生物基质主要由低分子脂肪族有机化合物组成,这对苯丙胺分析中的分析和鉴定问题产生了重大影响。其影响程度与生物样本的自身分解时间成正比,且观察到的交叉反应同时涉及免疫法和色谱法(HPLC-DAD)。3. H NMR方法可用于确认生物样本中苯丙胺的存在,以证实法医毒理学中使用的免疫法和酶法所获得的阳性结果。

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