LC-MS/MS同时分析血液中五种巴比妥类药物

目的建立血液中巴比妥类药物液相色谱-串联质谱(LC-MS/MS)检测方法。方法血液中的巴比妥类药物用有机溶剂液-液萃取,以乙酰水杨酸为内标,LC-MS/MS测定。结果检测血液中五种巴比妥类药物的最小检出限(LOD)均为10ng/mL,线性范围在0.02￣10μg/mL内良好,方法的回收率70%￣87%。结论所建方法快速、灵敏、准确,可以满足临床毒物和法庭毒物分析的需要。     

五氟苄基衍生化GC-MS法检测血液中叠氮离子

目的建立血液中叠氮离子的五氟苄基衍生化气相色谱-质谱(gas chromatography-mass spec-trometry,GC-MS)法。方法取血液检材0.2 mL置于10 mL玻璃试管中,依次加入内标物氰化钠、衍生化试剂五氟苄基溴和催化剂十四烷基二甲基苄基氯化铵,涡旋混合后,微波炉低火档加热3 min,离心后取有机相进行GC-MS分析。结果血液中叠氮离子在0.5～20μg/mL质量浓度范围内的线性关系良好,最低检测限为0.25μg/mL,相对回收率为91.36%～94.58%,并成功应用于1例叠氮化钠中毒死亡案件,死者血液中叠氮离子质量浓度为11.11μg/mL。结论本研究建立的方法专属性强,操作简便,适用于血液中叠氮离子的快速检测。     

硫化氢中毒案件中血液硫离子的测定CSCD

目的建立血液中硫离子的气相色谱-质谱(GC-MS)测定方法,并将其应用于实际案例。方法取血液0.2 mL,以1,3,5-三溴苯为内标,经五氟苄基溴衍生化后采用GC-MS分析。结果血液中的硫离子在0.2~40μg/mL质量浓度范围内线性良好,最低检出限为0.05μg/mL。健康人群、死后等不同来源的空白血液中硫离子质量浓度不高于0.05μg/mL。3例硫化氢中毒案件中,6名死者血液中均检出硫离子,质量浓度在1.02~3.13μg/mL。结论本研究建立了血液中硫离子测定方法,并成功应用于硫化氢中毒死亡案件。     

硫化氢中毒案件中血液硫离子的测定

目的建立血液中硫离子的气相色谱-质谱(GC-MS)测定方法,并将其应用于实际案例。方法取血液0.2 mL,以1,3,5-三溴苯为内标,经五氟苄基溴衍生化后采用GC-MS分析。结果血液中的硫离子在0.2~40μg/mL质量浓度范围内线性良好,最低检出限为0.05μg/mL。健康人群、死后等不同来源的空白血液中硫离子质量浓度不高于0.05μg/mL。3例硫化氢中毒案件中,6名死者血液中均检出硫离子,质量浓度在1.02~3.13μg/mL。结论本研究建立了血液中硫离子测定方法,并成功应用于硫化氢中毒死亡案件。     

GC-MS/MS法检测生物样品中硫丹含量

目的建立生物样品中硫丹(α硫丹和β硫丹)的气相色谱-串联质谱(GC-MS/MS)检测方法,观察硫丹在水生动物体内的分布,为相关案件的法医学鉴定提供实验依据。方法血液和肌肉样品采用乙腈沉淀蛋白,GC-MS/MS法检测,多反应监测模式扫描,以保留时间和离子比例定性,外标工作曲线法定量。结果血液样品中α硫丹和β硫丹在0.062 5~10μg/mL范围内线性关系良好,相关系数(r)均大于0.99,检出限分别为1 ng/mL和2 ng/mL,定量限分别为4 ng/mL和8 ng/mL。肌肉样品中α硫丹和β硫丹在0.062 5~10μg/g范围内线性关系良好,相关系数(r)均大于0.98,检出限分别为1 ng/g和4 ng/g,定量限分别为4 ng/g和16 ng/g。血液和肌肉样品中α硫丹和β硫丹的准确度为90.76%~108.91%,日内精密度(RSD)为2.35%~8.71%,日间精密度(RSD)为5.44%~10.29%。中毒案件中,在鱼和螃蟹体内各部位均检出硫丹,且不同部位间含量差异均具有统计学意义。结论本研究建立的硫丹GC-MS/MS检测方法快捷、准确、灵敏,适用于微量生物检材中硫丹的检测。硫丹在鱼和螃蟹体内分布不均匀,为硫丹相关法医学鉴定案件中毒物分析检材的采集和分析提供了依据。     

表面增强拉曼光谱快速检测食品基质中毒物

目的建立常见食品基质中氰化物等五种毒物的拉曼光谱快速分析方法。方法采用水、乙腈及乙酸乙酯作为提取剂对饮用水、苹果以及烤鸭三种常见食品基质中氰化物、百草枯、毒死蜱、甲拌磷以及敌鼠钠五种毒物进行提取,并使用表面增强拉曼光谱法检测。结果实验表明,每种毒物均有其独特的拉曼信号,这些特征信号可作为其定性的判别依据,氰化物在饮用水、苹果以及烤鸭这三种基质中的检出限均不大于1μg/mL(g);百草枯的检出限在0.05~0.1μg/mL(g)之间;毒死蜱、甲拌磷的检出限在0.05~1μg/mL(g)之间;敌鼠钠检出限在0.1~1μg/mL(g)之间,均满足现场检测需求。结论该方法操作简单且分析速度快,为毒物的快速筛查提供了较好的解决方案。     

反相高效液相法测定异烟肼

目的建立反相高效液相色谱方法定量分析血液、肝脏、及胃内容中异烟肼含量的方法。方法采用液液萃取方法,液相色谱条件为symmetryRC185μm,(4.6mm×250mm);乙腈:10mmol/LK2PO4(97∶3);1.0ml/min;检测波长为265nm。结果该方法的线性范围是0.4μg～40μg,γ=0.9999,最小检出波度为0.1μg/ml。结论该方法准确、快速,适用于毒物分析鉴定。     

曲马多在急性中毒大鼠体内的分布

目的建立一种快速、准确的气相色谱分析方法,研究曲马多在急性中毒大鼠体内的分布,为曲马多中毒案的法医学鉴定取材和结果评价提供参考。方法以1140mg/kg(5×LD50)剂量曲马多对大鼠灌胃染毒,运用气相色谱法检测其体液和组织中曲马多的浓度。结果血液、尿液中曲马多的检出限为0.1μg/mL,肝中的检出限为0.1μg/g。方法的日内及日间精密度分别在3.1%和5.5%以内,血液中曲马多的回收率在98%以上。曲马多在急性中毒大鼠体液和组织中的含量从高到低依此为心血、肝、外周血、尿液、玻璃体液、肾、肺、脾、心、大脑。结论所建方法能够满足体内毒物分析的要求,血液、尿液、肝、肺和肾均可作为体内曲马多分析的良好检材。     

液相色谱-串联质谱法检测血液中的美西律

目的建立测定血液中美西律(mexiletine)的液相色谱-串联质谱联用法(LC-MS/MS)。方法采用简便的乙腈蛋白沉淀法对血液进行预处理,应用Allure PFP Propyl液相柱分离,用电喷雾正离子模式离子化,多反应监测模式对美西律进行分析。结果美西律与内标纳洛酮分离良好,在0.02～10.00μg/mL内线性关系良好,相关系数为0.9999,回归方程为y=0.0283x-0.0151,日内与日间精密度的RSD均小于15%,最低检测限为0.01μg/mL。结论建立的LC-MS/MS方法简单、灵敏、可靠,可同时适用于美西律临床药物监测和法医毒物分析的需要。     

气相色谱-串联质谱法测定血液中乙基葡萄糖醛酸苷

目的建立血液中乙基葡萄糖醛酸苷（ethyl glucuronide,EtG）的气相色谱-串联质谱（GC-MS/MS）测定方法。方法血液用乙腈沉淀蛋白,离心后,将上清液转移吹干,残留物经N,O-双（三甲基硅烷基）三氟乙酰胺衍生化,用GC-MS/MS进行检测。结果血液中EtG的检出限为0.05μg/mL,线性范围为0.1～10μg/mL（r=0.9999）。对送检案例血液检材进行EtG检测,效果良好。结论本方法适用于血液中EtG的检测。     

GC-MC法测定血液中丙泊酚

目的 建立血液中丙泊酚的气相色谱-质谱联用(GC-MS)分析方法.方法 血液以2,4-二甲基-6-叔丁基苯酚为内标,用乙醚进行液液萃取,离心后取有机层,水浴下挥干,GC-MS检测.结果 血液中丙泊酚与内标分离良好,在0.02～10 μg/mL范围内线性良好,线性方程为y=0.3136 x-0.0068,相关系数为0.9...     

A fatal case of cocaine poisoning in a body packer

A 27-year-old man was carrying in his digestive tract 99 packages each containing about 10 g of a 86% cocaine powder. The courier died by acute cocaine intoxication due to inflation and rupture of four packages during a flight from Bogotá to Rome. At the autopsy, the external examination was unremarkable. The internal examination showed edema and generalized congestion of the organs. Toxicological analyses were performed by gas chromatography-mass spectrometry after solid phase extraction using Bond Elut Certify columns and derivatization with BSTFA/TMCS. High levels of cocaine and benzoylecgonine were found in blood (4.0 microg/mL and 17.0 microg/mL), urine (152.0 microg/mL and 512.0 microg/mL), bile (99.8 microg/mL and 54.0 microg/mL), vitreous humor (7.1 microg/mL and 5.8 microg/mL), brain (7.5 microg/mL and 3.5 microg/mL), and hair (55.5 ng/mg and 27.7 ng/mg). The presence of the cocaine and its metabolite in the hair suggested that the man was a cocaine user.     

Intoxication due to 1,4-butanediol

We report a case of intoxication resulting from the ingestion of a liquid, sold in the illicit market as "liquid ecstasy," which was found to contain 1,4-butanediol, a metabolic precursor of gamma-hydroxybutiric acid (GHB). Identification of the substance in the liquid was performed by gas chromatography-mass spectrometry (GC-MS).The toxicological analysis of blood, urine and gastric content of the victim was performed by immunoassay and gas chromatography with nitrogen-phosphorus detection as screening techniques and by means of GC-MS for confirmation and quantitation of 1,4-butanediol and GHB. The following drug concentrations were found: 82 microg/ml (blood), 401 microg/ml (urine) and 7.4 microg/ml (gastric content) for 1,4-butanediol and 103 microg/ml (blood), 430.0 microg/ml (urine) for GHB. In addition to these, other drugs detected and their blood concentration found in this case were methylenedioxymethylamphetamine (MDMA) 0.23 microg/ml and its metabolite methylenedioxyphenylamphetamine (MDA) 0.10 microg/ml. In the urine, a concentration of 0.10 microg/ml of benzoylecgonine was also found.     

血液和脑脊液中利多卡因的气相色谱-质谱检测研究

目的建立血液和脑脊液中利多卡因的气相色谱-质谱联用定性、定量检测方法。方法血液或脑脊液盐酸酸化后,氢氧化钠碱化(pH=9),乙醚提取,氮气流下挥干,乙醇定容,气相色谱-质谱联用仪分析,选择离子监测模式检测(86,58,72,87),定性、定量检测血液和脑脊液中利多卡因。结果血液和脑脊液中利多卡因的线性范围为1.0～60.0μg·mL-1(r=0.9999),检出限为0.02μg·mL-1(S/N=3),加样回收率为85%～103%,麻醉致死犬血液和脑脊液中检出利多卡因,结果满意。结论该法选择性好,干扰少,灵敏,准确,可用于生物体液中利多卡因的定性和定量检测。     

Suicide due to oral ingestion of lidocaine: a case report and review of the literature

The Authors describe a rare case of suicide in a 31-year-old woman, due to oral ingestion of lidocaine; the histological and toxicological findings are discussed to provide useful information to the present experience with this particular modality of death. Histological examination revealed generalized stasis. In the myocardium we observed segmentation of the myocardial cells and/or widening of intercalated discs and associated group of hypercontracted myocardial cells with "square" nuclei in line with hyperdistended ones. Non-eosinophilic bands of hypercontracted sarcomeres alternating with stretched, often apparently separated sarcomeres, small foci of paradiscal contraction band necrosis, and perivascular fibrosis were observed too. Lidocaine was detected in the subject's urine through immunoenzymatic screening. Toxicological analysis by solid-liquid extraction and gas chromatography-mass spectrometry (GC-MS) analysis, was carried out to identify and quantify the individual substances present in the biological fluids and organs. Lidocaine concentrations were as follows: blood 31 microg/mL, gastric content 2.5 g, liver 10 microg/g, kidney 12 microg/g, brain 9 microg/g, spleen 24 microg/g, lung 84 microg/g, heart 9 microg/g, urine 9 microg/mL, and bile 6 microg/mL. No other drugs or alcohol were detected. When blood lidocaine reaches toxic levels, serious toxic symptoms associated with the central nervous system and cardiac system are noted. The overdose of lidocaine produces death from ventricular fibrillation or cardiac arrest. In this case, according to macroscopic and microscopic findings, the cause of death was most likely cardiac and possibly related to ventricular fibrillation.     

血液、尿液中氯胺酮及其代谢物去甲氯胺酮的HPLC分析

目的 建立血液、尿液中氯胺酮及其代谢物去甲氯胺酮的高效液相色谱(HPLC)分析方法.方法 以非那西丁为内标,检材加入10%的氢氧化钠溶液调节pH值为14,用甲苯提取,离心后取有机层,水浴下吹干,乙腈定容后进HPLC仪分析.结果 检测血液中氯胺酮和去甲氯胺酮的线性范围均是0.05～10μg/mL(r2＞0.999 3),检测尿液中氯胺酮和去甲氯胺酮的线性范围均是0.01～50 μg/mL(r2＞0.999 5).氯胺酮和去甲氯胺酮在血液和尿液中的检测限分别是0.006 μg/mL和0.003 μg/mL.血液和尿液中氯胺酮和去甲氯胺酮的回收率不低于82.4%.检测血液和尿液中氯胺酮和去甲氯胺酮的日内精密度和日间精密度均小于10.0%.将所建的方法应用于给大鼠氯胺酮后的血液和尿液中的氯胺酮和去甲氯胺酮的测定,得到了氯胺酮和去甲氯胺酮在大鼠的药时曲线和尿排药速率曲线. 结论本方法简便、快捷,适用于血液、尿液中氯胺酮及其代谢物去甲氯胺酮的分析.     

Miniaturized sample preparation method for determination of amphetamines in urine

A simple and miniaturized sample preparation method for determination of amphetamines in urine was developed using on-column derivatization and gas chromatography-mass spectrometry (GC-MS). Urine was directly applied to the extraction column that was pre-packed with Extrelut and sodium carbonate. Amphetamine (AP) and methamphetamine (MA) in urine were adsorbed on the surface of Extrelut. AP and MA were then converted to a free base and derivatized to N-propoxycarbonyl derivatives using propylchloroformate on the column. Pentadeuterated MA was used as an internal standard. The recoveries of AP and MA from urine were 100 and 102%, respectively. The calibration curves showed linearity in the range of 0.50-50 microg/mL for AP and MA in urine. When urine samples containing two different concentrations (0.50 and 5.0 microg/mL) of AP and MA were determined, the intra-day and inter-day coefficients of variation were 1.4-7.7%. This method was applied to 14 medico-legal cases of MA intoxication. The results were compared and a good agreement was obtained with a HPLC method.     

固相萃取-气相色谱法提取全血中的外源性褪黑素

目的建立血样中褪黑素的固相萃取方法。方法采用OasisHLB固相萃取柱提取,GC/NPD定量检验,GC/MS定性检验。结果血样中褪黑素平均萃取回收率达80%以上,最低检出限0.02μg/mL,线性良好,相关系数R2=0.9978。结论该方法操作简便快速,提取回收率高,重现性好,提取物干净,可用于实际案件当中。     

HS-SPME-GC/MS联用法测定生物检材中的百草枯

目的建立检测生物检材中百草枯的顶空固相微萃取-气相色谱-质谱联用（HS-SPME-GC/MS）的分析方法。方法尿样中加乙基百草枯作为内标,在氯化镍作催化剂的条件下,用硼氢化钠在碱性条件下进行还原,HS-SPME萃取,提取物经GC/MS分析。全血需先离心,沉淀血细胞提取上清液,再用甲醇沉淀蛋白。最终得到的上清液加内标乙基百草枯,以下操作同尿样。结果尿样和血样中的百草枯的还原产物在1.0μg/mL~100μg/mL范围内线性关系良好,回归方程分别为y=0.0957x-0.0163,r=0.9974（n=6）;y=0.1096x＋0.0871,r=0.9964（n=6）。尿样、血样低、中、高三个质量浓度,RSD值均小于7%。回收率分别为尿样85.49%~100.83%,血样94.72%~99.68%。结论本法操作简便易行、灵敏度高、快速准确。为检测生物检材中的百草枯提供了有效的方法。