死后生物化学在糖尿病酮症酸中毒法医学诊断中的应用  

Application of Postmortem Biochemistry in Forensic Diagnosis of Diabetic Ketoacidosis

作　　者：丁杨[1] 鲁琴[1] 胡寅[1] 

机构地区：[1]上海市公安局浦东分局刑事科学技术研究所,上海220135

出　　处：《法医学杂志》2016年第4期273-276,共4页Journal of Forensic Medicine

摘　　要：糖尿病酮症酸中毒是糖尿病患者一种处于高糖、高酮状态并且导致代谢失代偿的危险并发症。这类死者常规法医学检查无特异性表现,需要进行死后生物化学指标分析。死后生物化学是一种采集死者体液进行生物化学检测,从而判断死者生前的代谢状态进而明确死因的检查方法。本文综述了糖尿病酮症酸中毒死亡的基本情况、法医学检查表现,并着重阐述运用于诊断糖尿病酮症酸中毒的死后生化指标,从而总结糖尿病酮症酸中毒死亡的法医学诊断思路。Diabetic ketoacidosis is a serious complication results from the high blood levels of glucose and ketone in diabetes mellitus patients that cause metabolic overbalance. An analysis of postmortem biochemical indexes is needed in such cases without specific signs of the routine forensic medicine ex- amination. Postmortem biochemistry is a kind of examinations that collecting the body fluids of the corpses to determine the metabolic state of their life time to estimate the cause of death. This paper reviews the basic features and signs of the forensic medicine examination in the dead cases of diabetic ketoacidosis, and emphatically analyzes the postmortem biochemical indexes of diabetic ketoacidosis, and summarizes new ideas of forensic medicine diagnosis in diabetic ketoacidosis death.

关 键 词：法医病理学 糖尿病酮症酸中毒 综述[文献类型] 死后生物化学 

分 类 号：R587.2[医药卫生—内分泌]