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软骨:确定死亡时间间隔的一个新参数?

Cartilage: a new parameter for the determination of the postmortem interval?

作者信息

Alibegović Armin

机构信息

Institute of Forensic Medicine, Medical Faculty, University of Ljubljana, Korytkova 2, 1000 Ljubljana, Slovenia.

出版信息

J Forensic Leg Med. 2014 Oct;27:39-45. doi: 10.1016/j.jflm.2014.08.005. Epub 2014 Aug 19.

Abstract

The determination of the time of death or the postmortem interval (PMI) is one of the most important and frequently asked questions in forensic medicine. The methods used for PMI determination are based largely on early and late postmortem changes. The determination of the PMI during the late postmortem changes is based primarily on a subjective assessment and is less precise due to the lack of objective methods. Different studies have presented a gradual decrease in chondrocytes' viability but these researches did not answer the question whether we can use the decrease of chondrocytes' viability for an objective PMI determination. The structure and anatomical location of the cartilage together with its mechanical, physical and chemical properties enable chondrocytes to survive for several weeks after the individual's death, and give cartilage the attributes of a compartment. Therefore, cartilage could be a new parameter for PMI determination. This idea had been partially confirmed by a few in vitro studies. The next step in testing this idea should be an extensive in corpore study.

摘要

死亡时间或死后间隔时间(PMI)的确定是法医学中最重要且经常被问到的问题之一。用于确定PMI的方法很大程度上基于早期和晚期的死后变化。在晚期死后变化期间确定PMI主要基于主观评估,并且由于缺乏客观方法而不太精确。不同的研究表明软骨细胞的活力逐渐下降,但这些研究没有回答我们是否可以利用软骨细胞活力的下降来进行客观的PMI确定这一问题。软骨的结构、解剖位置及其机械、物理和化学性质使软骨细胞能够在个体死亡后存活数周,并赋予软骨一种隔室的特性。因此,软骨可能是确定PMI的一个新参数。这一想法已在一些体外研究中得到部分证实。测试这一想法的下一步应该是进行广泛的体内研究。

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