胸腔液作为在死后毒理学中测量碳氧血红蛋白的替代样本
Jane Muleya1, Loyiso Vuko2, Jade Mader2
1Division of Forensic Medicine and Toxicology, Department of Pathology, Faculty of Health Sciences, University of Cape Town, Anzio Road, Observatory, Cape Town, South Africa.
胸腔液 (TCF) 是血液的可行替代品,用于在法医病例中测量碳氧血球蛋白 (COHb). 当血液样本无法获取时,这一发现至关重要,有助于一氧化碳 (CO) 毒性调查.
科学领域:
- 法医毒理学 法医毒理学
- 临床化学 临床化学
背景情况:
- 在疑似一氧化碳 (CO) 中毒的死后调查中,碳氧化血球 (COHb) 分析至关重要.
- 在某些死后病例 (例如严重烧伤) 中,血液样本的有限可用性需要使用替代分析方法.
研究的目的:
- 评估胸腔流体 (TCF) 作为COHb测量替代样本的适用性.
- 确定TCF和血液中COHb水平之间的相关性和一致性.
主要方法:
- 从15个潜在的CO毒性病例中收集了TCF和血液样本.
- 用ABL825 FLEX射线计CO-oximeter的验证方法对样品进行了COHb分析.
- 统计分析包括皮尔森的相关性和布兰德-阿尔特曼绘图.
主要成果:
- 在TCF和血液中的COHb度之间观察到强烈的正相关性 (r=0.975).
- 布兰德-阿尔特曼分析显示了统计上的一致性,当使用血液作为参考时,小偏差为1.54%
- 在TCF中,ABL825 FLEX CO-氧度仪证明了可靠的COHb测量.
结论:
- 胸腔液 (TCF) 是在法医毒理学中用于COHb分析的合适替代标本.
- 这一发现为在血液样本受损或无法获取时的COHb测定提供了有价值的选择.
- 使用TCF可以在具有挑战性的死后场景中加强毒理学调查.
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