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論生化酵素法檢驗體內酒精含量之偽陽性判讀認定

The Resolve of the False Positive Blood Alcohol Concentration of Ethanol Assay

摘要


雖然生化酵素法檢測血液酒精濃度速度較快也較簡便,但因有偽陽性的可能以致所測得之檢測值屢受各界質疑且導致法院判決不盡相同。應使用國際標準認證之頂空氣相層析法進行檢驗,以提供準確的法庭證據。

並列摘要


Although the ethanol assay is faster and easier to detect the blood alcohol concentration, the false positive alcohol values are often questioned by all walks of life and lead to different judgments by courts. Headspace gas chromatography flame ionization detector or headspace gas chromatography mass spectrometry certified by international standards should be used for inspection to provide more accurate evidence in court.

參考文獻


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Gharapetian A, Holmes DT, Urquhart N, Rosenberg F: Dehydrogenase interference with enzymatic ethanol assays: forgotten but not gone. Clin Chem 2008;54:1251-2. doi:10.1373/clinchem.2008.103853。
Nine JS, Moraca M, Virji MA, Rao KN: Serum-ethanol determination: comparison of lactate and lactate dehydrogenase interference in three enzymatic assays. J Anal Toxicol 1995;19:192-6. doi:10.1093/jat/19.3.192。
Bishop-Freeman SC, Bertholf RL, Powers RH, Mayhew LC, Winecker RE: False-positive enzymatic alcohol results in perimortem specimens. Lab Med 2020;51:394-401. doi:10.1093/labmed/lmz082。
陳耀南、張秋玫、林歷彥:淺談生化酵素法中因休克致乳酸增加之偽陽性影響―以兩則經最高法院作成裁判之案例為中心。壽險同業交流 2019;10:1-5.

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