Mao Rui-Ming, Zheng Ping-Ping, Zhu Cheng-Rui, Zhu Bao-Li
School of Forensic Medicine, China Medical University, Shenyang 110001, China.
Fa Yi Xue Za Zhi. 2010 Jun;26(3):202-5.
Pericardial fluid is a kind of serous fluid in pericardial cavity. Because blood undergoes postmortem changes such as autolysis and putrefaction, vitreous humor is limited,cerebrospinal fluid is easily mixed with blood, pericardial fluid, on the other hand, exists in a closed cavity and can be hardly contaminated by postmortem changes, and also is easily obtained. Pericardial fluid not only plays an important role in clinic practice, but also is widely applicable in forensic practice. This paper briefly presented the properties of pericardial fluid and its clinical significance. It reviewed biochemical changes in decedents died of heart diseases, drowning and asphyxia, and explored the significance in medico-legal investigation. Moreover, application of pericardial fluid in forensic serology, forensic toxicological analysis and other fields were also discussed. Pericardial fluid analysis may provide important information for determination of the cause of death with further investigation concerning forensic applicability of pericardial fluid.
心包液是心包腔内的一种浆液性液体。由于血液会经历死后自溶和腐败等变化，玻璃体液有限，脑脊液易与血液混合，而心包液存在于封闭腔隙中，几乎不会被死后变化污染，且易于获取。心包液不仅在临床实践中发挥重要作用，在法医学实践中也有广泛应用。本文简要介绍了心包液的性质及其临床意义。综述了死于心脏病、溺水和窒息死者的心包液生化变化，并探讨了其在法医学调查中的意义。此外，还讨论了心包液在法医血清学、法医毒理学分析等领域的应用。心包液分析可为死因判定提供重要信息，有待进一步研究心包液在法医学中的适用性。
