远离电击部位电流通路上骨骼肌的病理学研究

Pathological study of the skeletal muscle in electrocution

研究电损伤时骨骼肌中肌红蛋白(Mb)和纤维连接蛋白(Fn)的异常分布情况。采用大鼠模型和人体电击死标本,对电流通路上骨骼肌组织进行肌红蛋白、纤维连接蛋白免疫组化(LSAB)检测。结果显示:电流通路上肌细胞呈现深浅不同竹节样改变,免疫组化法见Mb脱失,Fn呈阳性,呈蟒蛇状纹理。电流通路上骨骼肌竹节样和蟒蛇纹理改变对无典型电流斑法医学鉴定有实用价值。

Demonstration of the abnormal distribution of Mb and Fn in electric injuries of skeletal muscles. The electrocution model of rats was established, and the human autopsy samples of electrocution were collected. Immunohistochemical study of myoglobin(Mb) and fibronectin(Fn) were performed on the skeletal muscles in the electric current pathways. The results showed that the muscle fibers showed the bamboo-like appearance and depletion of the Mb as well as the positive reaction of Fn which was called the python-pattern. This experiment proved that the bamboo-like appearance and python-pattern change of the skeletal muscle fibers have the practical value in the medicolegal diagnosis of electrocution without typical current mark.