胰岛素中毒法医学研究进展

胰岛素作为一种临床上常见的降血糖药物,可以有效控制糖尿病患者血糖,使之维持在正常范围。但过量胰岛素可导致死亡,其中以意外中毒最多见,其次为自杀,胰岛素他杀虽极为罕见,但值得高度重视。胰岛素中毒致死的法医学鉴定极为困难,虽然相关研究已取得一定的进展,但在法医学实践中,这类案件仍然是一大难题。本文从法医病理学的角度,对胰岛素中毒的死亡机制、病理学改变、检测手段、注意要点及诊断要点进行综述,为法医学实践提供帮助。

Advance of Forensic Research in Insulin Poisoning

Insulin as a com m on clinical hypoglycem ic agent can effectively control serves to low er the concentration of blood glucose. H ow ever, insulin overdose can lead to death. In the w hole fatal cases of insulin overdose, m edical accident is the m ost com m on, follow ed by suicide. T hough insulin hom icide is extrem ely rare, it deserves great attention. T hough there are som e researches about insulin poisoning on forensic toxicology and pathology, it is still a difficult task in forensic practice. In this paper, the m ech-anism of death, pathological changes, detection m ethods and diagnose criteria of insulin overdose w ill be discussed in the view of forensic toxicology and pathology. W e hope that this paper could enhance rela-tive know ledges of insulin poisoning for m edical exam iners.