法医学杂志 ›› 2017, Vol. 33 ›› Issue (1): 48-51.DOI: 10.3969/j.issn.1004-5619.2017.01.012

• 综述 • 上一篇    下一篇

胰岛素中毒法医学研究进展

童  昉,梁  悦,石  青,张  琳,李文鹤,周亦武   

  1. (华中科技大学同济医学院,湖北 武汉 430030)
  • 发布日期:2017-02-25 出版日期:2017-02-28
  • 通讯作者: 周亦武,男,教授,博士研究生导师,主要从事法医病理学研究、鉴定及教学工作;E-mail:450654925@qq.com
  • 作者简介:童昉(1989—),男,博士研究生,主要从事法医病理学研究;E-mail:drtongfang@163.com
  • 基金资助:

    国家重点实验室开放基金资助项目(2016T151609);中央直属院校交叉重点资助项目(2016JCTD117);国家重点研发计划(2016YFC0800701,441626842)

Advance of Forensic Research in Insulin Poisoning

TONG FANG, LIANG YUE, SHI QING, ZHANG LIN, LI WEN-HE, ZHOU YI-WU   

  1. (Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China)
  • Online:2017-02-25 Published:2017-02-28

摘要: 胰岛素作为一种临床上常见的降血糖药物,可以有效控制糖尿病患者血糖,使之维持在正常范围。但过量胰岛素可导致死亡,其中以意外中毒最多见,其次为自杀,胰岛素他杀虽极为罕见,但值得高度重视。胰岛素中毒致死的法医学鉴定极为困难,虽然相关研究已取得一定的进展,但在法医学实践中,这类案件仍然是一大难题。本文从法医病理学的角度,对胰岛素中毒的死亡机制、病理学改变、检测手段、注意要点及诊断要点进行综述,为法医学实践提供帮助。

关键词: 法医病理学, 胰岛素, 综述, 中毒

Abstract: Insulin as a common clinical hypoglycemic agent can effectively control serves to lower the concentration of blood glucose. However, insulin overdose can lead to death. In the whole fatal cases of insulin overdose, medical accident is the most common, followed by suicide. Though insulin homicide is extremely rare, it deserves great attention. Though there are some researches about insulin poisoning on forensic toxicology and pathology, it is still a difficult task in forensic practice. In this paper, the mechanism of death, pathological changes, detection methods and diagnose criteria of insulin overdose will be discussed in the view of forensic toxicology and pathology. We hope that this paper could enhance relative knowledges of insulin poisoning for medical examiners.

Key words: forensic pathology, insulin, review, poisoning

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