BODY-TEMPERATURE IS ELEVATED IN THE EARLY POSTMORTEM PERIOD
BODY-TEMPERATURE IS ELEVATED IN THE EARLY POSTMORTEM PERIOD
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DOI：
10.1016/s0046-8177(85)80104-0
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发表时间：
1985-01-01
期刊：
影响因子：
3.3
通讯作者：
HUTCHINS, GM
中科院分区：
文献类型：
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作者：
HUTCHINS, GM
在尸检时采集标本进行生化分析期间，观察到体温高于预期。为了进一步评价这一观察结果，在死亡后最早可行的时间测定了20例成年患者的直肠温度，这些患者最近的死前直肠温度可用于比较。平均死亡前体温为37.6 ℃。C（范围，34.9 °- 41.1.degree. C），并获得19-240分钟（平均，107分钟）。在死亡之前。平均死后体温为37.6 ℃。C（范围，35.5- 41.3.degree. C），获得116-401分钟（平均202分钟）死后在11例死亡时间少于3小时（平均155分钟）的患者中，平均死后体温升高0.5 ℃。C（范围，+1.3至-0.7 ℃）。C）。很明显，直肠测量的体温在死后通常会有一个初始的升高，这可能是由于组织和细菌在缺乏通常的散热机制的情况下持续代谢的结果。当使用死后材料进行分析或通过体温确定死后间隔时，应考虑这种现象。
During the collection of specimens at autopsy for biochemical analysis, it was observed that body temperatures were higher than expected. To evaluate this observation further, rectal temperatures were determined at the earliest feasible time after death in 20 adult patients for whom recent premortem rectal temperatures were available for comparison. The average premortem temperature was 37.6.degree. C (range, 34.9.degree.-41.1.degree. C) and were obtained 19-240 min. (average, 107 min.) before death. The average postmortem temperature, also 37.6.degree. C (range, 35.5.degree.-41.3.degree. C), was obtained 116-401 min. (average, 202 min.) after death. In the 11 patients in whom the postmortem interval was less than 3 h (average, 155 min.), there was an average postmortem temperature increase of 0.5.degree. C (range, +1.3 to -0.7.degree. C). Evidently there is usually an initial postmortem elevation in body temperature as measured rectally, probably as a result of continuing tissue and bacterial metabolism in the absence of the usual heat-dispersal mechanisms. This phenomenon should be considered when postmortem materials are used for analysis or when postmortem interval is determined by body temperature.