血液中乙醇检测结果的法医学分析_卓先义

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ChineseJournalofForensicSciences,2010,No.1TotalNo.48,,,,(,200063):。、、、、、。、、、、。,。:;;;:DF795.1:Adoi:10.3969/j.issn.1671-2072.2010.01.005:1671-2072-(2010)01-0022-04ForensicMedicalAnalysisofBloodEthanolDetectionZHUOXian-yi,BUJun,XIANGPing,SHENBao-hua,CHENCong(ShanghaiKeylaboratoryofForensicMedicine,InstituteofForensicScience,MinistryofJustice,Shanghai200063,China)Abstract:ObjectiveTomakeaforensicmedicalanalysisontheresultofbloodethanoldetectionintrafficaccidents.MethodsFactors,suchasthedeterminationmethod,collectionmethod,collectiontime,bloodpreservation,decomposedbodyandrela-tionshipbetweenalcoholintakeandbloodalcoholconcentration,etc.,wereexploredinaforensicmedicalapproach.ResultsManyfactorsincludingthedeterminationmethod,collectionmethod,collectiontime,bloodpreservationandcadaverdecompo-sition,etc.haveeffectsonthedetectionresultofbloodethanol.ConclusionAforensicmedicalanalysisofthedetectionresultofbloodethanolisnecessaryinordertoguaranteetrafficadministrationjustice.Keywords:trafficaccident;bloodethanol;detectionresult;forensicmedicalanalysis。,,。,0.20~0.80mg/mL,≥0.8mg/mL。,,。、、。11.1。,。1922Widmark,。—。1940,,。,。,:2009-12-12:(1957-),,,。:“”、“”,,,。,。,、,,,。SpecialForumonDrunkDrivingandAlcoholDetection22··20101(48),《》(GA/T105-1995),,,0.01mg/mL。,。,,,。1.2,。:、、、、。,,5%,。,,、、、,,[1]。。22.1,,,,,。10.12mg/mL,,4~5mg/mL,。。,,,。2.2。,,。。,,。2.3,,,。,,。。。2003BAC0.10mg/(mL·h)[2]。,。19:35,,19:59,0.35mg/mL。21:09,0.18mg/mL。ρρ、rt,ρ=ρ+r·t,0.18mg/mL、0.10mg/(mL·h)、1.57h:ρ=0.18+0.10×1.57=0.34mg/mL。33.11.35-1.90,,。,,。,。3.2,,,。[3],、、、,4℃,。,,1%,。3.3Winek[4],26.7℃、32.2℃、37.8℃35d,10%~19%。,,,,。23··ChineseJournalofForensicSciences,2010,No.1TotalNo.4844.1,,、、,,。:,、,,,;,。:5℃,;5~20℃,48h;20℃,24h。,20℃,24h。24h,。,,,。4.2,,,。,,。,。Chikasue[5]:46131m,,7.44mg/mL,13.91mg/mL,1.88mg/mL。Chikasue,,,。,,,()。4.3。,。。,,,。,,。20,,。,,。H覬iseth[7-9](EtG),EtG,,EtG。EtG、。H覬isethEtG。EtG,30、40℃,,EtG。EtG。,EtG,,(EtS)。,。2~5min,30~90min,6~13h,。、(1)。、,,,,,。24··20101(48)(:)5Widmark,C=A/(W·r)。C:(mg/mL);W:(kg);A:(g);r:Widmark(,,)。Widmark0.68,0.55;Widmark0.90,;,Widmark0.68,0.59。。:(116kg,),3:00,4:50,1.85mg/mL。,,200mL(41%)。,?41%,A=200×41%×0.789=64.7g,Widmark,:C=64.7/(116×0.6)≈0.93mg/mL)。,200mL,0.93mg/mL,1.85mg/mL。。6,,,,、。:[1],,,.[J].,2004(3):12-15.[2],,,.[J].,2003(1):23-26.[3],,.[J].,23(2):117-119.[4]WinekT,WinekCL,WahbaWW.Theeffectofstorageatvarioustemperaturesonbloodalcoholconcentration[J].Foren-sicScienceInternational,1996,78(3):179-185.[5]ChikasueF,YashikiM,MiyazakiT.Abnormallyhighalcoholconcentrationintheheartblood[J].ForensicSciInt.,1988,39(2):189-95.[6]GrellnerW,IfflandR.Assessmentofpostmortembloodalcoholconcentrationsbyethanollevelsmeasuredinfluidsfromputre-factiveblisters[J].ForensicScienceInternational,1997,90(1-2):57-63.[7]H覬isethG,BernardJP,KarinenR,etal.Apharmacokineticstudyofethylglucuronideinbloodandurine:applicationstoforensictoxicology[J].ForensicSciInt,2007,172(2-3):119-124.[8]H覬isethG,KarinenR,JohnsenL,etal.Disappearanceofethylglucuronideduringheavyputrefaction[J].ForensicSciInt,2008,176(2-3):147-151.[9],,.[J].,2009,25(1):63-67.25··

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