Jothee Shatishraj, Shafie Mohamed Swarhib, Vijayaretnam Suthaa Veni, Nor Faridah Mohd
From the Forensic Unit, Department of Pathology.
Institute of Mathematical Science, Faculty of Science, Universiti Malaya, Kuala Lumpur, Malaysia.
Am J Forensic Med Pathol. 2020 Jun;41(2):110-114. doi: 10.1097/PAF.0000000000000539.
Organ weights are routinely measured during autopsies as a crude screening tool to detect possible organ pathology. In several centers, inclusion of major organ weights indicates whether an autopsy report has achieved its standard of practice, which in turn should be subjected to an audit. Previous studies show statistical variation in organ weights across different populations. Malaysian pathologists have relied on Western data and crude subjective determination in the interpretation of normal organ weights. Hence, the need for a reference range as a guide for pathologists is acute. Organ weights from traumatic deaths between 2004 and 2017 were analyzed in the UKM Medical Centre. Statistical analysis was performed to form reference ranges for normal weights of the brain, heart, lung, liver, spleen, and kidneys. In addition, the data were compared between sexes, races, and body mass index values to determine whether organ weights were affected by these parameters. In this study, reference ranges for organ weights are presented for Malaysian adult men and women.
尸检时通常会测量器官重量,作为检测可能存在的器官病变的一种粗略筛查工具。在一些中心,纳入主要器官重量可表明尸检报告是否达到了实践标准,而这反过来又应接受审核。以往研究表明,不同人群的器官重量存在统计学差异。马来西亚病理学家在解释正常器官重量时一直依赖西方数据和粗略的主观判断。因此,迫切需要一个参考范围来指导病理学家。对马来西亚理科大学医学中心2004年至2017年期间因创伤死亡者的器官重量进行了分析。进行统计分析以形成大脑、心脏、肺、肝脏、脾脏和肾脏正常重量的参考范围。此外,还对不同性别、种族和体重指数值的数据进行了比较,以确定这些参数是否会影响器官重量。在本研究中,给出了马来西亚成年男性和女性器官重量的参考范围。