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法医血液样本中总血红蛋白的测定,特别涉及碳氧血红蛋白分析。

Determination of total hemoglobin in forensic blood samples with special reference to carboxyhemoglobin analysis.

作者信息

Sato K, Tamaki K, Hattori H, Moore C M, Tsutsumi H, Okajima H, Katsumata Y

机构信息

Department of Legal Medicine, Nagoya University School of Medicine, Japan.

出版信息

Forensic Sci Int. 1990 Nov;48(1):89-96. doi: 10.1016/0379-0738(90)90275-4.

Abstract

For the determination of total hemoglobin (Hb) in blood containing elevated carboxyhemoglobin (COHb), a newly developed reagent containing a 100-fold concentration of ferricyanide (20 g/l) and a 2-fold concentration of Sterox SE was compared with a standard reagent (0.2 g/l ferricyanide), the reagent of van Kampen and Zijlstra, using forensic blood samples and experimentally heated blood samples. There were no significant differences between the spectra of hemiglobincyanide (HiCN) solution produced with our reagent and the van Kampen and Zijlstra reagent using experimentally heated blood samples. Although the spectra of HiCN changed gradually with increased heating time and with the passage of time after mixing, the absorbance at 540 nm (A540) did not change until at least 120 min for both the reagents. When forensic blood samples containing elevated COHb were mixed with the van Kampen and Zijlstra reagent, total-Hb concentrations determined 5 min after mixing were 10-20% higher than those determined after 180 min. The overestimates of total Hb determined after 5 min resulted in comparable underestimates of percentage saturation of COHb (COHb%) when COHb% was obtained from the ratio of COHb content, determined by gas chromatogrpahy, to total-Hb concentration in blood. However, there was an extremely good correlation between the values of total Hb in forensic blood samples determined with the van Kampen and Zijlstra reagent after 180 min and those determined with our reagent after 5 min. From the results obtained, our reagent proved to be suitable for the determination of total Hb in forensic science practice.

摘要

对于含有高浓度碳氧血红蛋白(COHb)的血液中总血红蛋白(Hb)的测定,将一种新开发的、含有100倍浓度铁氰化物(20 g/l)和2倍浓度Sterox SE的试剂与标准试剂(0.2 g/l铁氰化物,即范坎彭和齐尔斯特拉试剂)进行比较,使用法医血液样本和实验加热的血液样本。使用实验加热的血液样本时,我们的试剂与范坎彭和齐尔斯特拉试剂产生的氰化高铁血红蛋白(HiCN)溶液光谱之间没有显著差异。尽管HiCN的光谱随着加热时间的增加和混合后时间的推移而逐渐变化,但两种试剂在至少120分钟内,540 nm处的吸光度(A540)均未改变。当将含有高浓度COHb的法医血液样本与范坎彭和齐尔斯特拉试剂混合时,混合后5分钟测定的总Hb浓度比180分钟后测定的高10%-20%。5分钟后测定的总Hb高估导致从气相色谱法测定的COHb含量与血液中总Hb浓度之比获得COHb%时,COHb%的百分比饱和度出现相当程度的低估。然而,180分钟后用范坎彭和齐尔斯特拉试剂测定的法医血液样本中总Hb值与5分钟后用我们的试剂测定的总Hb值之间存在极好的相关性。从获得的结果来看,我们的试剂被证明适用于法医学实践中总Hb的测定。

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