Trela F M
Z Rechtsmed. 1975 Dec 30;77(1):17-23. doi: 10.1007/BF02114606.
An original method for collecting the perilymph in the inner ear by chiselling the pyramid of the temporal bone is presented; From 300 to 350 mul of fluid may be obtained each time. Various types of determination were performed on 399 human cadavers. The alcohol level was tested in 140 cases, the ABO(H) group antigens were determined in 89 cases, the phenotypes of the gamma-globulin (1) group system in 152 cases, and the alpha1-antitrypsin (Pi) system in 18 cases. Determinations of the alcohol level in the perilymph has been confirmed to be useful, as they allow not only determination of the degree of intoxication in cadavers in an advanced state of decomposition, but also by comparing the alcohol concentration in the cerebrospinal fluid, the vitreous humour, and the blood, the phases of elimination and absorption of alcohol may be more precisely determined. It was also found that the perilymph is a good medium for the determination of the group antigens of the red blood-cells and the gamma-globulin system, the serum and the alpha1-antitrypsin enzyme. These data suggest that the method may be more widely used in various forensic medical tests.
本文介绍了一种通过凿开颞骨锥体来收集内耳外淋巴液的原始方法；每次可获取300至350微升液体。对399具人体尸体进行了各种类型的检测。对140例尸体检测了酒精含量，对89例尸体测定了ABO(H)血型抗原，对152例尸体测定了γ-球蛋白(1)组系统的表型，对18例尸体测定了α1-抗胰蛋白酶(Pi)系统。已证实检测外淋巴液中的酒精含量是有用的，因为这不仅能确定处于高度腐败状态尸体的中毒程度，而且通过比较脑脊液、玻璃体液和血液中的酒精浓度，可更精确地确定酒精的消除和吸收阶段。还发现外淋巴液是检测红细胞血型抗原、γ-球蛋白系统、血清和α1-抗胰蛋白酶酶的良好介质。这些数据表明该方法可能在各种法医检验中得到更广泛的应用。
