过敏性休克的生化指标及其法医学意义  

Biochemical Indicators of Anaphylactic Shock and the Application in Forensic Medicine

作　　者：米丽[1] 陈杰[1] 高卫民[1] 杜中波[1] 曹志鹏[1] 张圆[1] 朱宝利[1] 

机构地区：[1]中国医科大学法医学院,辽宁沈阳110001

出　　处：《法医学杂志》2014年第2期117-121,共5页Journal of Forensic Medicine

基　　金：国家自然科学基金资助项目(81273343)

摘　　要：过敏性休克死亡在法医学实践中较为常见,然而在法医尸检时因缺少特异的病理形态学改变,成为法医鉴定中一大难题,因此借助生化指标进行辅助诊断具有重要意义。本文对过敏性休克中生化指标的生物学特性、检测方法进行详细综述,同时介绍了其在法医学中的应用、面临的问题,并展望了应用前景。稳定性较高的IgE、类胰蛋白酶、类糜蛋白酶在过敏性休克死亡的法医学鉴定中具有潜在的可用性和优势。Fatal anaphylactic shock is common in forensic practice. However, it is difficult to diagnose for lacking specific pathological and morphologic changes in forensic autopsy. The application of some biochemical indicators is of great significance. This paper reviews the biological characteristics of some biochemical indicators and detection methods. The forensic application, problems and prospects of these indicators are also introduced in details. The stable biochemical indicators, IgE, tryptase and chymase, show great potential and advantages in the identification of fatal anaphylactic shock in forensic medicine.

关 键 词：法医病理学 过敏反应 综述文献类型 生物化学指标 review [publication type] 

分 类 号：DF795.1[医药卫生—法医学]