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死后间隔时间的估计:脑脊液与玻璃体液化学指标的比较

Estimation of post-mortem interval: A comparison between cerebrospinal fluid and vitreous humour chemistry.

作者信息

Swain Rajanikanta, Kumar Adarsh, Sahoo Jyotiranjan, Lakshmy R, Gupta S K, Bhardwaj D N, Pandey R M

机构信息

Department of Forensic Medicine, AIIMS, New Delhi, India.

Department of Community Medicine, AIIMS, Bhubaneswar, India.

出版信息

J Forensic Leg Med. 2015 Nov;36:144-8. doi: 10.1016/j.jflm.2015.09.017. Epub 2015 Oct 19.

Abstract

Accurate estimation of post-mortem interval is of great importance in medico-legal autopsy cases. The present study is intended to compare the accuracy of estimating post-mortem interval from biochemical parameters of vitreous humour and cerebrospinal fluid (CSF). Both the fluids were collected from 100 medico-legal autopsies with known time of death and analysed for potassium, glucose, sodium, calcium, urea and creatinine. The current study found that vitreous humour is a better fluid in comparison to CSF for estimation of post-mortem interval. It is also observed that among the statistically significant parameters in both the fluids, level of potassium and sodium in vitreous humour are giving more accurate results in comparison to their corresponding parameters in CSF while accuracy of glucose is more or less same in both the fluid. Nevertheless potassium concentration in vitreous humour is a single best time honoured parameter to estimate post-mortem interval.

摘要

在法医尸检案件中,准确估计死后间隔时间非常重要。本研究旨在比较根据玻璃体液和脑脊液(CSF)的生化参数估计死后间隔时间的准确性。从100例已知死亡时间的法医尸检中采集了这两种液体,并对钾、葡萄糖、钠、钙、尿素和肌酐进行了分析。当前研究发现,与脑脊液相比,玻璃体液是用于估计死后间隔时间的更好液体。还观察到,在两种液体中具有统计学意义的参数中,玻璃体液中的钾和钠水平比脑脊液中的相应参数给出的结果更准确,而两种液体中葡萄糖的准确性大致相同。尽管如此,玻璃体液中的钾浓度是估计死后间隔时间的单一最佳久经验证的参数

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