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Application of electrolyte analysis of pleural effusion to diagnosis of drowning

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タイトル: Application of electrolyte analysis of pleural effusion to diagnosis of drowning
著者: Matoba, Kotaro 著作を一覧する
Murakami, Manabu 著作を一覧する
Hayakawa, Akira 著作を一覧する
Terazawa, Koichi 著作を一覧する
キーワード: Drowning
Pleural effusion
Electrolytes
Seawater
Freshwater
発行日: 2012年 5月
出版者: Elsevier Ireland
誌名: Legal Medicine
巻: 14
号: 3
開始ページ: 134
終了ページ: 139
出版社 DOI: 10.1016/j.legalmed.2012.01.008
抄録: We measured concentrations of sodium (Na), chloride (Cl), calcium (Ca), and magnesium (Mg) in pleural effusion from forensic autopsy cases to examine whether they were useful for a diagnosis of drowning. We analyzed a total of 51 cases (15 seawater drowning, 10 freshwater drowning, and 26 non-drowning), and determined the following reference values. If the concentration of Na or Cl is under 65 mEq/l, a diagnosis of freshwater drowning can be made. If the concentration of Na is higher than 175 mEq/l, or that of Cl is higher than 155 mEq/l, or that of Ca is higher than 16 mg/dl, or that of Mg is higher than 15 mg/dl, a diagnosis of seawater drowning can be made. We recommend that pleural effusion from the left and the right thoracic cavities should be collected and analyzed separately because large differences may be observed between each side in the case of drowning. If one side corresponds to the reference value for seawater or freshwater drowning and the other side does not, a diagnosis of drowning can still be made according to the obtained value.
資料タイプ: article (author version)
URI: http://hdl.handle.net/2115/49184
出現コレクション:雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

提供者: 的場 光太郎

 

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