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紫色肠道误诊为肠道出血
Hasan A Abderrahman1, Imad M Al-Abdallat1, Lamia K Alsenaidi1
1Pathology and Microbiology and Forensic Medicine Department, School of Medicine, University of Jordan. Amman - Jordan, Jordan.
法医病理学家经常把甜菜引起的肠道变色误认为是创伤. 这种死后现象是由于颜料通过肠壁扩散而发生的,很少有人报道.
科学领域:
- 法医病理学 法医病理学
- 胃肠病学 胃肠病学
- 毒理学 毒理学 毒理学
背景情况:
- 尸体解剖可能会显示类似血液的变色,通常表明创伤.
- 在法医病理学中,将自然原因与创伤起源区分开来至关重要.
研究的目的:
- 为了呈现一种因自然原因导致的类似血液的肠道变色的情况:甜菜的消费.
- 为了阐明甜菜引起的肠道变色的机制.
- 突出在死后评估中考虑饮食因素的重要性.
主要方法:
- 一个死后发现的案例介绍.
- 描述通过自解肠道粘膜扩散色素的现象.
- 在固定和组织学检查期间观察颜色变化.
主要成果:
- 甜菜色素可以导致死后,肠道的类似血液的变色.
- 这种变色是由于被动色素扩散而产生的,并且是暂时的.
- 颜色在甲胺固定过程中消失,并且不能在组织学上检测到.
结论:
- 由于甜菜而引起的紫色肠道很少报告,由于禁食而在活着的患者中经常错过.
- 这种现象需要足够的死后间隔才能发生色素扩散.
- 如果不适当识别,它可能被误诊为肠道出血.
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