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法医尸检案例中的HIV感染情况。

HIV-infection in forensic autopsy cases.

作者信息

Püschel K, Lieske K, Hashimoto Y, Karch H, Laufs R, Racz P, Janssen W

机构信息

Institut für Rechtsmedizin, Universität Hamburg, F.R.G.

出版信息

Forensic Sci Int. 1987 Jul;34(3):169-74. doi: 10.1016/0379-0738(87)90070-3.

DOI:10.1016/0379-0738(87)90070-3
PMID:3311934
Abstract

Sudden and unexpected death and violent death of persons with a high risk of acquiring HIV-infections, especially homosexual males and intravenous drug abusers, have to be investigated by forensic autopsies. Therefore every forensic pathologist has to be aware of this infection and should try to make the proper diagnosis. Three typical cases are described: (1) suicide by hanging, (2) homicide by cutting the throat and (3) intravenous heroin overdose. Merely retrospectively it could be cleared up that the deceased were homosexual but did not manifestly suffer from AIDS. The morphological findings in the lymph nodes and the postmortem serological findings are described in detail.

摘要

对于感染艾滋病毒风险较高的人群,尤其是男同性恋者和静脉注射吸毒者的突然意外死亡和暴力死亡,必须通过法医尸检进行调查。因此,每位法医病理学家都必须了解这种感染,并应努力做出正确诊断。本文描述了三个典型案例:(1)缢死自杀,(2)割喉 homicide,(3)静脉注射海洛因过量。只是通过回顾才弄清楚死者是同性恋者,但并未明显患有艾滋病。详细描述了淋巴结的形态学发现和死后血清学发现。

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1
HIV-infection in forensic autopsy cases.法医尸检案例中的HIV感染情况。
Forensic Sci Int. 1987 Jul;34(3):169-74. doi: 10.1016/0379-0738(87)90070-3.
2
HIV-infection in the autopsy material (Hamburg 1984-1989).
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Comparison between enzyme-linked immunosorbent and I.F. assays in the serological diagnosis of HIV infections.酶联免疫吸附法与免疫荧光法在HIV感染血清学诊断中的比较。
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[Diagnosis of AIDS in postmortem conditions].[死后条件下艾滋病的诊断]
Beitr Gerichtl Med. 1987;45:129-34.
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Postmortem localization of HIV-1 RNA by in situ hybridization in lymphoid tissues of intravenous drug addicts who died unexpectedly.通过原位杂交对意外死亡的静脉吸毒者淋巴组织中HIV-1 RNA进行尸检定位。
Am J Pathol. 1993 Jun;142(6):1701-13.
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[AIDS fatalities in Hamburg (status: February 1985)--legal medicine aspects].
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[Acquired immunodeficiency syndrome. Review of the literature. Apropos of a pre-AIDS case in a heroin addict].
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[The HIV-associated diseases encountered in the practice of forensic medical autopsies].[法医解剖实践中遇到的与艾滋病病毒相关的疾病]
Sud Med Ekspert. 2018;61(4):28-31. doi: 10.17116/sudmed201861428.
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High risk medicolegal autopsies: is a full postmortem examination necessary?高风险医学法律解剖:是否有必要进行全面的尸检?
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引用本文的文献

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Unexpected brain finding in pre-autopsy postmortem CT.尸检前死后CT检查中意外发现的脑部情况。
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2
Neuropathological studies in the brains of AIDS patients with opportunistic diseases.对患有机会性疾病的艾滋病患者大脑进行的神经病理学研究。
Int J Legal Med. 1993;105(6):339-50. doi: 10.1007/BF01222119.
3
HIV-1-prevalence in fatalities from Hamburg, Germany.德国汉堡死亡病例中的HIV-1流行情况。
Int J Legal Med. 1993;106(1):11-3. doi: 10.1007/BF01225017.
4
[The detection of HIV antibodies in blood stains].[血渍中HIV抗体的检测]
Z Rechtsmed. 1989;102(7):487-93. doi: 10.1007/BF00204079.
5
Screening for HIV in medicolegal necropsies in Helsinki.在赫尔辛基的法医尸检中进行艾滋病毒筛查。
BMJ. 1989 Apr 29;298(6681):1160. doi: 10.1136/bmj.298.6681.1160.
6
Postmortem viability of the human immunodeficiency virus.
Int J Legal Med. 1991 Mar;104(2):109-10. doi: 10.1007/BF01626041.