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硅藻定量分析在溺死诊断中的应用。

Application of Diatoms Quantitative Analysis in the Diagnosis of Drowning.

机构信息

Guangzhou Forensic Science Institute & Key Laboratory of Forensic Pathology, Ministry of Public Security, Guangzhou 510442, China.

School of Forensic Medicine, Southern Medical University, Guangzhou 510515, China.

出版信息

Fa Yi Xue Za Zhi. 2022 Feb 25;38(1):110-113. doi: 10.12116/j.issn.1004-5619.2021.410707.

Abstract

OBJECTIVES

To retrospectively analyze diatom test cases of corpses in water and discuss the value of quantitative analysis of diatoms in the diagnosis of drowning.

METHODS

A total of 490 cases of water-related death were collected. They were divided into drowning group and postmortem immersion group according to the cause of death. Diatoms in lung, liver, kidney tissue and water sample were analyzed quantitatively by microwave digestion-vacuum filtration-automated scanning electron microscopy (MD-VF-Auto SEM) method. The ratios of content of diatoms in lung tissue and water sample (/) were calculated.

RESULTS

The results of diatom test for three organs (lung, liver and kidney) were all positive in 400 cases (85.5%); the content of diatom in lung, liver, kidney tissues, and water samples of drowning group were (113 235.9±317 868.1), (26.7±75.6), (23.3±52.2) and (12 113.3±21 760.0) cells/10 g, respectively; the species of diatom were (7.5±2.8), (2.6±1.9), (2.9±2.1) and (8.9±3.0) types, respectively; the / of drowning group and postmortem immersion group were (100.6±830.7) and (0.3±0.4), respectively.

CONCLUSIONS

Quantitative analysis of diatoms can provide supportive evidence for the diagnosis of drowning, and the parameter / can be introduced into the analysis to make a more accurate diagnosis of drowning.

摘要

目的

回顾性分析水中尸体的硅藻检验案例,并探讨硅藻定量分析在溺死诊断中的价值。

方法

共收集 490 例与水有关的死亡案例。根据死因将其分为溺水组和死后入水组。采用微波消解-真空过滤-自动扫描电镜法(MD-VF-Auto SEM)对肺、肝、肾组织和水样中的硅藻进行定量分析,计算肺组织和水样中硅藻含量的比值(/)。

结果

400 例(85.5%)三器官(肺、肝、肾)硅藻检验结果均为阳性;溺水组肺、肝、肾组织和水样中的硅藻含量分别为(113 235.9±317 868.1)、(26.7±75.6)、(23.3±52.2)和(12 113.3±21 760.0)细胞/10 g;硅藻种类分别为(7.5±2.8)、(2.6±1.9)、(2.9±2.1)和(8.9±3.0)种;溺水组和死后入水组的/分别为(100.6±830.7)和(0.3±0.4)。

结论

硅藻定量分析可为溺死诊断提供支持性证据,参数/可引入分析以更准确地诊断溺死。

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