사후검체에서의 생화학 측정치 분석 = Biochemical Analysis on Postmortem Specimens

다국어 초록 (Multilingual Abstract)

Because the postmortem changes rapidly distort values of many constituents in the body fluids, the determination of postmortem chemical changes and relation among body fluids is very important in medicolegal community. A laboratory result is not useful if appropriate data for comparison are lacking. The aim of this paper is to determine the reference ranges and the postmortem changes for chemical constituents in postmortem specimen, We examined 17 clinical laboratory parameters in cadaveric blood and vitreous humor obtained from 51 autopsy cases. The mean, standard error, standard deviation and confidence interval of all measured constituents were shown in Table 2 & Figure 1. The postmortem blood level of amylase, phosporus, LDH, ALT, AST and CPK are very higher than those of antemortem blood. The postmortem vitreous level of total bilirubin, trglyceride, GGT, alkaline phosphatase, albumin total protein and cholesterol are very low and is not reliable. The ratio of vitreous/blood in calcium, BUN, creatine and uric acid are 0.74, 0.68, 0.29 and 0.23 in decreasing orders(Table 3,4). For the medical examiner or pathologist, routine chemical examinations of the vitreous humor can provide evidence of abnormality not apparent in gross or microscopic examination of the tissue. A more extensive study will be required, using a larger number of subjects, to establish the full range of variability.

목차 (Table of Contents)

• I.서론
• II.대상 및 방법
• 1.대상
• 2.방법
• III.결과
• 1.검사내 정밀도(Within-run Precision)
• 2.혈액 및 초자체액의 각종 항목의 평균치, 표준오차, 표준편차, 95% 신뢰구간 및 분포 등은 Table 2 및 Figure 1과 같다.
• IV.고찰
• V.요약
• 참고문헌