Gherardi R K, Baud F J, Leporc P, Marc B, Dupeyron J P, Diamant-Berger O
Emergency Forensic Service and Biochemistry-Toxicology Laboratory, Hôtel Dieu, Paris, France.
Lancet. 1988 May 14;1(8594):1076-8. doi: 10.1016/s0140-6736(88)91897-1.
The presence of opiates and benzoylecgonine, the major metabolite of cocaine, in the urine was detected by means of enzyme immunoassay in a series of 120 smugglers who had either ingested or inserted into their rectum cocaine or heroin packaged for transportation. There was a striking relation between the presence of drugs in the urine and swallowing of drug-filled bundles (cocaine 49 of 50 cases, heroin 9 of 10). The proportion of positive results was also high in cases of rectal insertion (cocaine 2 of 2, heroin 35 of 58). In 30 cases of cocaine-packet ingestion, serial measurements showed that the accuracy of the test progressively decreased with respect to the detection of residual packets in the body. Drug detection in the urine of suspected body-packers seems to be a useful test, positive results justifying subsequent radiological investigations.
通过酶免疫测定法对120名走私者的尿液进行检测，这些走私者曾吞食或经直肠塞入用于运输的可卡因或海洛因包裹。在尿液中检测到了阿片类药物以及可卡因的主要代谢物苯甲酰爱康宁。尿液中药物的存在与吞食装有毒品的包裹之间存在显著关联（可卡因50例中有49例，海洛因10例中有9例）。经直肠塞入毒品的情况下阳性结果比例也很高（可卡因2例中有2例，海洛因58例中有35例）。在30例吞食可卡因包裹的案例中，连续检测表明，就检测体内残留包裹而言，该检测的准确性逐渐降低。对疑似人体藏毒者尿液进行药物检测似乎是一项有用的检测，阳性结果可为后续的放射学检查提供依据。
