溺水的诊断：蝶窦液中的电解质和总蛋白。
Diagnosis of drowning: Electrolytes and total protein in sphenoid sinus liquid.
作者信息
Hayakawa Akira, Terazawa Koichi, Matoba Kotaro, Horioka Kie, Fukunaga Tatsushige
机构信息
Tokyo Medical Examiner's Office, Tokyo Metropolitan Government, Tokyo, Japan; Department of Forensic Medicine, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
Department of Forensic Medicine, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
出版信息
Forensic Sci Int. 2017 Apr;273:102-105. doi: 10.1016/j.forsciint.2017.02.017. Epub 2017 Feb 24.
In this study, electrolyte (sodium (Na), chlorine (Cl), and magnesium (Mg)) and total protein (TP) concentrations and volume of liquid in the sphenoid sinus were examined to determine their usefulness to elucidate whether drowning occurred in freshwater or seawater. We examined 68 cases (seawater drowning group: 27 cases, freshwater drowning group: 21 cases, non-drowning group: 20 cases). There was a significant difference in Na, Cl, Mg, and TP concentrations of liquid in the sphenoid sinus among the three groups (seawater drowning, freshwater drowning, and non-drowning groups). To distinguish freshwater drowning from seawater drowning, Na, Cl, and Mg concentrations of liquid in the sphenoid sinus might serve as useful indicators.
在本研究中，检测了蝶窦内电解质（钠（Na）、氯（Cl）和镁（Mg））以及总蛋白（TP）浓度和液体量，以确定它们在阐明溺水发生于淡水还是海水中的作用。我们检查了68例病例（海水溺水组：27例，淡水溺水组：21例，非溺水组：20例）。三组（海水溺水组、淡水溺水组和非溺水组）蝶窦内液体的Na、Cl、Mg和TP浓度存在显著差异。为区分淡水溺水和海水溺水，蝶窦内液体的Na、Cl和Mg浓度可能是有用的指标。
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