法医学杂志 ›› 2009, Vol. 0 ›› Issue (6): 451-454.

• 论文 • 上一篇    下一篇

生物化学指标检测在心源性猝死法医鉴定中的应用

毛瑞明;郑倩倩;李晓琳;熊昌艳;朱宝利;   

  1. 中国医科大学法医学院;日本大阪市立大学医学部;
  • 发布日期:2009-12-25 出版日期:2009-12-28

The Application of Biochemical Indexes Detecting in Sudden Cardiac Death in Forensic Autopsy

MAO RUI-MING1, ZHENG QIAN-QIAN1, LI XIAO-LIN1, XIONG CHANG-YAN1, ZHU BAO-LI1,2 (1. SCHOOL OF FORENSIC MEDICINE, CHINA MEDICAL UNIVERSITY, SHENYANG 110001, CHINA; 2. DEPARTMENT OF LEGAL MEDICINE, OSAKA CITY UNIVERSITY MEDICAL SCHOOL, OSAKA 545-8585, JAPAN)   

  • Online:2009-12-25 Published:2009-12-28

摘要: 早期缺血性心肌病变引起的心源性猝死(sudden cardiac death,SCD)由于发病突然,常缺乏典型的形态学改变和临床表现,易被怀疑为刑事案件,查明其死亡原因对法医学实践有指导作用。本文对国内外有关无机离子、肌酸激酶、肌钙蛋白、心房利钠尿肽、脑利钠尿肽等生物化学指标检测在诊断SCD方面的研究进展加以综述,以期为SCD的法医学诊断提供参考。

关键词: 法医病理学, 猝死, 心脏, 综述[文献类型], 生物化学指标

Abstract: Sudden cardiac death(SCD) from early myocardial ischemia is often lack of typically morphological findings and clinical manifestation, thus cases of SCD may be suspected as criminal cases. It is necessary to clarify the cause of death, which is significance for medico-legal investigation. This article reviewed the latest advancement in the studies on the application of inorganic ions, CK-MB, cTn, ANP and BNP for certification of death from SCD in order to provide a practical way for diagnosis of SCD in forensic pathology.

Key words: forensic pathology, death, sudden, cardiac, review[publication type], biochemistry index