136例工伤伤残案例的精神医学鉴定  

Clinical analysis of mental disability of 136 cases with injuries

作　　者：丁树明[1] 高北陵[1] 梁伟德[1] 刘仁刚[2] 李映平[2] 盛璐[2] 

机构地区：[1]深圳市精神卫生研究所医学鉴定科,518020 [2]深圳市精神卫生研究所临床心理科,518020

出　　处：《上海精神医学》2003年第5期284-287,共4页Shanghai Archives of Psychiatry

基　　金：广东省医学科研基金立项课题(A20011632);广东省自然科学基金(021972)

摘　　要：目的 分析工伤鉴定案例精神伤残评定及其相关因素。方法 对136例工伤鉴定案例的损伤因素、伤残类型、伤残等级、精神医学鉴定诊断等问题进行总结分析,并对工伤精神伤残中的伪装进行了对比分析。结果 有精神伤残94例,占69.0％,其中,智力伤残合并精神障碍伤残17例(12.5％),单一智力伤残者64例(47.1％),单一精神障碍伤残2例(1.5％),性功能伤残10例(7.4％)。未达到伤残程度者42例,占31.0％,包括17例脑挫裂伤后综合征及6例与创伤因素有直接或间接关系的功能性精神障碍。在既有临床评估又有测验评估的71例案例中,临床判断伪装智力低下25例(35.2％),测验判断有伪装智力低下58例(81.7％),临床评估与测验评估之间存在显著差异(P<0.01)。结论 (1)现有的工伤伤残标准有待于完善;(2)工伤伤残鉴定中伪装智力低下的比例较高,值得重视。Objective: To analysis the appraising results and related factors of mental disability of 136 cases with injuries suffered on job. Methods: To retrospectively study the injury factors, the type and degree of mental disability and the relationship of each other. There was an analysis of malingering test for 71 cases. Results: 94 cases (69.1%) had mental disability, within 17 with disabilities in both of intellect and mental, 64 only in intellect disabilities, 2 only in mental disorders and 10 only in sexual disabilities. 42 cases (31. 0% ) had no any disabilities, but in which there were 17 with organic neurotic-form syndromes and 6 with functional disorders related injuries. 25 cases were diagnosed as malingering by experiential evaluation and 58 cases diagnosed by malingering test within 71 cases. There was significant difference between experiential evaluation and malingering test. Conclusion: (1) The appraisal standard for injuries suffered on job should be perfected. (2) Malingering intellect disabilities are common.

关 键 词：工伤 鉴定 精神伤残 伪装测验 

分 类 号：D919.3[医药卫生—法医学]