[Practical research in morbid condition due to exogenous invasions for application in forensic diagnosis and preventive medical treatment].

Yoshiaki Hashimoto
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Abstract

We report research subjects on the morbid conditions due to various exogenous invasions, iatrogenic damages and suicide. The studies of morbid condition by exogenous invasions are as follows : 1) forensic significance of endocardial bleeding to diagnosing the causes of death, 2) forensic implication of intramuscular bleeding of the tongue of the fire victims, 3) stability of cyanide concentration in blood of the fire victims and the evaluation of the toxic potential, 4) histochemical detection of ABO blood type of the muscle of the fire victims by signal amplification method with biotinylated tyramide, 5) alcohol detection of purified brain tissue of the drowned victims and the estimation of the amount of drinking, and 6) investigation into unclosing a mechanism of postmortem production of endogenous gamma-hydroxybutyric acid(GHB). The researches for iatrogenic damages are as follows: 1) iatrogenic ribs fracture due to chest compression during cardiopulmonary resuscitation, 2) bone marrow embolism of the lung caused by iatrogenic ribs fracture, and 3) forensic application of lidocaine of blood and tissues, which is derived from xylocaine jelly, chemicals for surface anesthesia, frequently used with the purpose of lubricating effect when intubation tube is introduced into the trachea. The issues of suicide research aiming forensic and clinical application are as follows: 1) forensic significance of blood nicotine levels of the smokers who committed suicide, 2) forensic availability of muscle nicotine levels of the purified bodies who have suspected suicide, and 3) forensic value of analysis of chromogranin A mRNA in autopsy cases with various cause of death to diagnosing suicide.

[外源侵入致病状态在法医诊断和预防性医疗中的应用的实践研究]。
我们报告了由于各种外源性入侵、医源性损伤和自杀而引起的病态情况的研究对象。外源性入侵对发病状况的研究如下:1)心内膜出血对死因诊断的法医学意义,2)火灾受害者舌部肌肉内出血的法医学意义,3)火灾受害者血液中氰化物浓度稳定性及毒性潜值评价,4)生物素化酪胺信号放大法对火灾受害者肌肉ABO血型的组织化学检测,5)对溺水者纯化脑组织的酒精检测和饮酒量的估计,以及6)对揭示死后内源性γ -羟基丁酸(GHB)产生机制的研究。医源性损伤的研究有:1)心肺复苏过程中胸部压迫导致的医源性肋骨骨折,2)医源性肋骨骨折导致的肺部骨髓栓塞,3)血液和组织中利多卡因的法医应用。利多卡因来源于表面麻醉的化学物质木卡因果冻,常用于气管插管时起到润滑作用。自杀研究在法医和临床应用方面存在以下问题:1)自杀吸烟者血液尼古丁水平的法医意义;2)怀疑自杀的纯化尸体肌肉尼古丁水平的法医可用性;3)不同死因尸检中铬粒蛋白A mRNA分析对自杀诊断的法医价值。
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