Smialek J E, Levine B
Office of the Chief Medical Examiner, State of Maryland, Baltimore 21201, USA.
Am J Forensic Med Pathol. 1998 Mar;19(1):98-101. doi: 10.1097/00000433-199803000-00019.
The case is presented of a 34-year-old man, an insulin-dependent diabetic, who was found decomposed in his apartment. The victim had been recently discharged from a mental hospital and was to be monitored by the community's mental health personnel. While the autopsy revealed little in the way of disease, toxicological studies yielded a blood acetone level of 0.070 g/dl and a urine acetone level of 0.086 g/dl. The medical examiner ruled the cause of death diabetic ketoacidosis. To support this conclusion in the absence of a vitreous humor glucose concentration, 18 well-documented cases of diabetic ketoacidosis were reviewed, and acetone concentrations were compared with the acetone concentrations found in the presented case.
本文介绍了一名34岁的胰岛素依赖型糖尿病男性病例，该患者被发现死于其公寓内，尸体已腐烂。受害者最近刚从精神病院出院，本应由社区心理健康人员进行监测。尸检未发现明显疾病迹象，但毒理学研究显示，其血液丙酮水平为0.070克/分升，尿液丙酮水平为0.086克/分升。法医判定死因是糖尿病酮症酸中毒。由于缺乏玻璃体液葡萄糖浓度数据，为支持这一结论，回顾了18例有充分记录的糖尿病酮症酸中毒病例，并将丙酮浓度与本病例中的丙酮浓度进行了比较。
