法医学杂志 ›› 2010, Vol. 0 ›› Issue (3): 202-205.

• 论文 • 上一篇    下一篇

心包液检测在法医学鉴定中的应用

毛瑞明;郑娉娉;朱承睿;朱宝利;   

  1. 中国医科大学法医学院;大阪市立大学医学部法医学教室;
  • 发布日期:2010-06-25 出版日期:2010-06-28

The Analysis of Pericardial Fluid in Forensic Practice

MAO RUI-MING1,ZHENG PING-PING1,ZHU CHENG-RUI1,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:2010-06-25 Published:2010-06-28

摘要: 心包液是存在于心包腔内的一种浆液。相对于血液易受自溶和腐败等死后变化的影响、玻璃体液含量少、脑脊液易受血液污染等缺陷,心包液存在于封闭的浆膜腔内,不易受尸体死后变化的污染和影响,且容易获取,不仅是临床上重要的检测样品,在法医鉴定中也有广泛的应用前景。本文阐述了心包液的理化性质及临床应用,重点综述了心肌病变、溺死或窒息时心包液中不同生物化学检测指标的变化及其在法医病理学鉴定中的意义,并介绍了心包液在法医物证学、法医毒物分析等相关领域的应用情况。随着研究的深入,心包液在法医学领域中将发挥越来越广泛的作用。

关键词: 法医病理学, 心包液, 综述[文献类型]

Abstract: Pericardial fluid is a kind of serous fluid in pericardial cavity.Because blood undergoes postmortem changes such as autolysis and putrefaction,vitreous humor is limited,cerebrospinal fluid is easily mixed with blood,pericardial fluid,on the other hand,exists in a closed cavity and can be hardly contaminated by postmortem changes,and also is easily obtained.Pericardial fluid not only plays an important role in clinic practice,but also is widely applicable in forensic practice.This paper briefly presented the properties of pericardial fluid and its clinical significance.It reviewed biochemical changes in decedents died of heart diseases,drowning and asphyxia,and explored the significance in medico-legal investigation.Moreover,application of pericardial fluid in forensic serology,forensic toxicological analysis and other fields were also discussed.Pericardial fluid analysis may provide important information for determination of the cause of death with further investigation concerning forensic applicability of pericardial fluid.

Key words: forensic pathology, pericardial fluid, review[publication type]