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[在现场存在可疑发现的情况下对糖尿病危象进行尸检诊断]

[Post-mortem diagnosis of diabetic crisis in the presence of suspicious findings at the scene].

作者信息

Hagemeier Lars, Madea Burkhard

机构信息

Institut für Reehtsmedizin der Universität Bonn, Bonn.

出版信息

Arch Kriminol. 2009 Sep-Oct;224(3-4):82-92.

Abstract

In Germany, approximately 8 million people suffer from diabetes mellitus, of which over 90% have type 2 diabetes. Worldwide, there are around 246 million people with diabetes mellitus. As diabetes is often symptomless for a long time, around 2.5% of the population have diabetes without knowing it. Diabetic coma is a life-threatening complication, which affects up to 1.2% of all diabetics annually and is associated with a mortality rate of 20-25%. Since in 25% of patients the diabetic coma is the first manifestation of the disease, a valid post-mortem biochemical method for the diagnosis of the metabolic crisis is very important. The article presents cases from the authors' own autopsy material showing that the analysis of the vitreous humour is indispensable for the reconstruction of the events leading to death even in cases in which the cause of death is seemingly clear.

摘要

在德国,约有800万人患有糖尿病,其中90%以上为2型糖尿病。在全球范围内,约有2.46亿人患有糖尿病。由于糖尿病在很长一段时间内通常没有症状,约2.5%的人口患有糖尿病却不自知。糖尿病昏迷是一种危及生命的并发症,每年影响高达1.2%的糖尿病患者,死亡率为20% - 25%。由于25%的患者糖尿病昏迷是该疾病的首发表现,因此一种有效的死后生化诊断代谢危机的方法非常重要。本文介绍了作者自身尸检材料中的案例,表明即使在死因看似明确的情况下,玻璃体液分析对于重构导致死亡的事件也是不可或缺的。

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