在儿童中死后的二胺血度
H Rachelle Wallage1, Marie Elliot1
1The Centre of Forensic Sciences, 25 Morton Shulman Ave, Toronto, ON M3M 0B1, Canada.
Journal of analytical toxicology
|October 25, 2024
概括
尸检后的血液分析显示,七名儿童服用了双胺 (一种抗组胺药物). 两起死亡与二胺毒性有关,而五起病例显示意外检测.
科学领域:
- 法医毒理学 法医毒理学
- 临床化学 临床化学
- 儿科药理学 儿科药理学
背景情况:
- 第一代抗组胺剂二胺广泛用于过敏,失眠和感冒症状.
- 虽然新兴抗组胺剂的副作用较少,但第一代抗组胺剂在儿科患者中仍然具有治疗意义.
- 丁氨酸是二氨酸的前体,用于恶心和吐.
研究的目的:
- 在儿科病例中确定死后血中二胺度.
- 调查二胺在儿童死亡率中的潜在作用.
主要方法:
- 液体染色学-双重质谱法 (LC-MS/MS) 用于定量分析.
- 从七名儿童的尸体血液样本中分析了二胺的含量.
主要成果:
- 在研究的儿科病例中,二胺度在0.051至2.6毫克/升之间.
- 鉴定出二胺毒性是导致两名儿童死亡的因素之一.
- 在剩余的五个病例中,二胺被偶然检测到,与死亡原因无关.
结论:
- 迪芬胺在儿童中可能存在有毒水平,可能导致死亡.
- 法医分析对于在儿科死后调查中区分有毒和偶然的二胺检测至关重要.
- 这项研究强调了在儿科死亡中考虑二胺毒性的重要性,即使其他原因明显.
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