一起甲醇中毒事件的实验室检验与分析
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佛山市南海区疾病预防控制中心

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佛山市医学类科技攻关项目(2320001007330,2320001007334)


Laboratory detection and analysis of a methanol poisoning event
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    摘要:

    目的 建立顶空-气相色谱及气相色谱质谱测定应急事件中尿液、血液及酒中甲醇的检测方法。并使用建立的方法对本次中毒事件的样品进行实验室检测与分析,明确中毒原因,为预防此类中毒事件的实验室检测重点提供方法和借鉴。方法 吸取适量样品样品加入至20mL顶空瓶中,经70 °C平衡15 min,毛细管柱DB-FFAP分离,采用气相色谱法(氢火焰离子检测器)进行定量检测;毛细管柱DB-5MS分离,气相色谱-质谱联用法(全扫描模式)进行定性检测。结果 甲醇在1.58~506.88 μg/mL范围内线性良好,相关系数r为0.999 6,以S/N为3计算检出限,以S/N为10计算定量限,尿液和酒中甲醇检出限和定量限分别为0.53 μg/mL、1.58 μg/mL,血液中甲醇检出限和定量限分别为2.64 μg/mL、7.92 μg/mL,尿液和酒中甲醇相对标准偏差(RSD)分别为6.6~2.3 %(n=7)和3.7~6.7 %(n=7),血液中甲醇RSD为2.8~3.0 %(n=7)。尿液、酒和血液中三水平加标回收率分别为98.4~111.0 % 、83.1~86.0 %和91.9~98.9 %(n=7)。病例血样中甲醇浓度为788.0 μg/mL,尿液中甲醇浓度为66.4 μg/mL,住所不明液体中甲醇浓度为542000.0 μg/mL,剩余自制酒中甲醇浓度为71225.0 μg/mL,病例血液中甲醇含量高于尿液,周边商店散装酒中甲醇浓度均低于国标限值。结论 本实验室建立的甲醇检测方法具有快速、高灵敏等特点,能够迅速对甲醇中毒事件各类样品中的甲醇进行定性定量测定,本起中毒事件由甲醇引起。

    Abstract:

    Objective To establish a method for determining methanol in urine, blood and wine during emergency scenarios using headspace gas chromatography (HS-GC) and gas chromatography-mass spectrometry (GC-MS). This method was applied to samples obtained from a poisoning incident to identify the source of intoxication; thereby providing a validated analytical approach for laboratory detection to support the prevention of similar incidents. Methods The appropriate amount of samples was added into a 20 mL headspace vial, equilibrated at 70 °C for 15 min, separated by capillary column DB-FFAP,quantitatively detected by gas chromatography(hydrogen flame ionization detector; and separated by capillary column DB-5MS, qualitatively detected by gas chromatography-mass spectrometry(SCAN).Results The methanol showed good linearity in the range of 1.58~506.88 μg/mL, the correlation coefficient r was 0.999 6, the detection limit was calculated with S/N as 3, and the quantitative limit was calculated with S/N as 10. The detection limit and quantitative limit of methanol in urine and wine were 0.53 μg/mL and 1.58 μg/mL, the detection limit and quantitative limit of methanol in the blood were 2.64 μg/mL and 7.92 μg/mL, and the relative standard deviation (RSD) of methanol in urine and wine were 6.6~2.3 % (n=7) and 3.7~6.7 % (n=7), the RSD of methanol in the blood is 2.8~3.0 % (n=7).The recoveries of three levels of spiking in urine, alcohol and blood were 98.4~ 111.0 %, 83.1~ 86.0 % and 91.9~ 98.9 %(n=7).The concentration of methanol in the blood was 788.0 μg/mL, the concentration of methanol in the urine was 66.4 μg/mL, the concentration of methanol in the liquid of unknown residence was 542000.0 μg/mL, and the concentration of methanol in the remaining self-made wine was 71225.0 μg/mL.The blood methanol content of the patient was higher than the urine. The concentration of methanol in bulk wine in surrounding shops was lower than the national standard limit. Conclusion The methanol detection method established in our laboratory has the characteristics of rapid and high sensitivity, and can be used for the qualitatively and quantitatively determination of methanol in various samples of methanol poisoning event, this poisoning event was caused by methanol.

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  • 收稿日期:2025-02-24
  • 最后修改日期:2025-06-12
  • 录用日期:2025-08-07
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