王磊,王杰,黄映康
WANG Lei, WANG Jie, HUANG Ying-kang(Department of Forensic Medicine, Guiyang Medical College, Guiyang 550004, China)

• 1:贵阳医学院法医学教研室
• 2:贵阳医学院法医学教研室
• 3:贵阳医学院法医学教研室 贵州贵阳550004
• 4:贵州贵阳550004

摘要(Abstract)：

目的:测定人体生前硅藻空气源性吸入肺脏之最大值,并探讨其在溺死鉴定中的应用。方法:收集100例非水中尸体案例,分别在尸检时,取肺脏边缘组织测定硅藻含量,在排出检验过程污染的条件下,其最大值即为人体生前硅藻空气源性吸入肺脏之最大值。借助8例鉴定结论为溺死之案例,以检验上述最大值在溺死鉴定中的应用价值。结果:测得空气源性吸入肺脏之最大值为2个/5 g,仅就硅藻检验而言,该值可作为溺死鉴定的界定参考值,即:(1)如水中尸体肺脏硅藻检验结果明显大于2个/5 g(本文溺死组7例9³11个/5 g),可鉴定为溺死;若稍大于2个/5 g,尚需考虑抛尸入水或干性溺死;(2)如2个/5 g,提示溺液中无硅藻或干性溺死或抛尸入水,需结合尸检发现及案情鉴别,作出最终鉴定。结论:人体生前硅藻空气源性吸入肺脏之最大值在溺死鉴定中有一定应用价值。
Objective: To determine the maximum value (MV) of aspirated diatom into the lung through air, and explore its practical application in diagnosis of drowning cases. Methods: The lung tissues of 100 non-drowning cadavers were collected separately in the course of autopsy for diatom analysis. Under the condition that the laboratory pollution was eliminated, the maximum value of the non-drowning group might be considered as the MV that was actually aspirated into the lung through air. Eight drowning cases were collected and used to check the practical application of the MV in the diagnosis of these cases. Results: The MV of aspirated diatom was 2/5g for the non-drowning cases. The range of diatom values of 7 drowning cases (except case No8 ) were between 9311个/5 g),可鉴定为溺死;若稍大于2个/5 g,尚需考虑抛尸入水或干性溺死;(2)如2个/5 g,提示溺液中无硅藻或干性溺死或抛尸入水,需结合尸检发现及案情鉴别,作出最终鉴定。结论:人体生前硅藻空气源性吸入肺脏之最大值在溺死鉴定中有一定应用价值。
Objective: To determine the maximum value (MV) of aspirated diatom into the lung through air, and explore its practical application in diagnosis of drowning cases. Methods: The lung tissues of 100 non-drowning cadavers were collected separately in the course of autopsy for diatom analysis. Under the condition that the laboratory pollution was eliminated, the maximum value of the non-drowning group might be considered as the MV that was actually aspirated into the lung through air. Eight drowning cases were collected and used to check the practical application of the MV in the diagnosis of these cases. Results: The MV of aspirated diatom was 2/5g for the non-drowning cases. The range of diatom values of 7 drowning cases (except case No8 ) were between 9³11/g. (1)If the diatom value of submersed cadaver should be>2/5g distinctly, definite diagnosis of drowning could be made; if it be>2/5g slightly (<7/5g), the death by postmortem submersion or dry drowning should be also suspected. (2)If the diatom value should be <2/5g (as case No 8 in this study), it showed that there might be probably no diatom in the drowning water. Therefore, drowning, dry drowning, or postmortem submersion should be all considered. The final diagnosis needs to be made with conferences of other findings of autopsy and case study. Conclusions: The MV of diatom aspirated into the lung through air might be useful in the diagnosis of drowning.

关键词(KeyWords)： 尸体解剖;溺水;硅藻类;肺;最大值
autopsy; drowning; diatoms; lung; maximum value

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 王磊,王杰,黄映康
WANG Lei, WANG Jie, HUANG Ying-kang(Department of Forensic Medicine, Guiyang Medical College, Guiyang 550004, China)

DOI: 10.19367/j.cnki.1000-2707.2005.04.010

参考文献(References)：

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