Suppr超能文献

死后生物化学真的有用吗?为什么它没有在法医病理学中广泛应用?

Is postmortem biochemistry really useful? Why is it not widely used in forensic pathology?

作者信息

Luna A

机构信息

Department of Forensic and Legal Medicine, University of Murcia, Espinardo, Medical School, 30100 Murcia, Spain.

出版信息

Leg Med (Tokyo). 2009 Apr;11 Suppl 1:S27-30. doi: 10.1016/j.legalmed.2009.02.040. Epub 2009 Apr 1.

Abstract

Medico legal autopsy has a basic objective to reconstruct as accurately as possible the circumstances of death to solve a judicial problem, is a process of collection of evidences from the cadaver and interpretation of the data to solve a series of questions raised in the judicial process. These questions are not only the cause of death, the survival time, the data of death, the role of previous pathology in the death's process, etc. Considering that there are more difficult problems to be solved and higher requirements for quality it is necessary that new diagnostic tools are introduced into forensic pathology. In Forensic Pathology the scientific and technological evolution has been subsidiary to other disciplines: immunology, inmunopathology, molecular biology, clinical pathology, etc. The little influence that postmortem biochemical methods have had in forensic pathology is a fact not an opinion. The reasons can be very diverse and they go from a lack of trust in the scientific literature on these topics, to an ignorance of the many possibilities which are offered by biochemical complementary tests in the cadaver for the solutions of some questions. One of the problematic issues in postmortem biochemistry is the interpretation of the obtained results; in the absence of databases with sufficient numbers of cases to establish the ranges of normality, therefore it is a real difficulty to use these types of results. On the other hand there are very few works where a correspondence between the histopathologycal findings and the biochemical values has been established; this fact is decisive for understanding the difficulties of introduction of these biochemical techniques. The main problem is forgetting that a complementary test needs a set of basic data for its interpretation and it's integration into the global findings. It is not easy for the pathologist to include in their work routine tests that require not only a change of attitude but a change in the sampling methods to obtain the materials and necessary fluids for these determinations. The weight of histopathology is decisive and it is more practical. Obviously pathologist prefers take the closer methodology to own field.

摘要

法医解剖的基本目标是尽可能准确地重构死亡情形以解决司法问题,它是一个从尸体收集证据并解读数据以解决司法程序中一系列问题的过程。这些问题不仅包括死因、存活时间、死亡时间、既往病理状况在死亡过程中的作用等。鉴于存在更多有待解决的难题且对质量有更高要求,有必要将新的诊断工具引入法医病理学。在法医病理学领域,科技发展一直依赖于其他学科:免疫学、免疫病理学、分子生物学、临床病理学等。死后生化方法在法医病理学中影响甚微,这是事实而非观点。原因可能多种多样,从对这些主题的科学文献缺乏信任,到对尸体生化补充检测为解决某些问题所提供的诸多可能性的无知。死后生物化学中的一个问题是对所获结果的解读;由于缺乏足够数量病例的数据库来确定正常范围,因此使用这类结果存在实际困难。另一方面,很少有研究建立起组织病理学发现与生化值之间的对应关系;这一事实对于理解引入这些生化技术的困难具有决定性意义。主要问题在于忘记了补充检测需要一组基础数据来进行解读并将其整合到整体发现中。病理学家要将这些不仅需要态度转变,还需要改变采样方法以获取用于这些测定的材料和必要液体的检测纳入日常工作并非易事。组织病理学的分量具有决定性且更具实用性。显然,病理学家更倾向于采用与自身领域更接近的方法。

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验