外伤后流产的法医学鉴定  

Forensic investigation of the post-traumatic abortion

作　　者：崔际论[1] 刘桂文[1] 

机构地区：[1]北京市公安局平谷分局,北京101200

出　　处：《发育医学电子杂志》2013年第4期210-212,共3页Journal of Developmental Medicine (Electronic Version)

摘　　要：目的探讨外伤后流产与外伤之间的关系以及法医学鉴定要点。方法对2005年1月至2012年12月受理的29例外伤后流产的案例进行回顾性分析,所有伤者均进行体表检查、阴道及子宫颈检查、妇科B超检查及血中β-HCG检测,部分收集到阴道排出物的进行病理组织学检查。结果流产由外伤直接引起15例(51%);流产由较轻外伤引起7例(24%);关系无法确定7例(24%);法医学鉴定结果 :轻伤22例(76%);轻微伤3例(10%);体表未见外伤4例(14%)。结论外伤后流产除腹部、背臀部或其他部位遭受暴力作用外,大部分流产均存在心理因素影响,在排除非外伤性原因后,外伤性流产的原因多为复合性原因,主要为外伤和心理因素。Objectives To explore the relationship between post-traumatic abortion and the trauma and forensic investigation point.Methods Twenty-nine cases of post-traumatic abortion collected from January 2005 to December 2012 were retrospectively analyzed. All the injured were carried out for exterior examination and medical examination, including vagina, cercix, ultrasound,β-HCG and pathological finding of vaginal discharge.Results Fifteen cases of discharge were caused of trauma;seven cases of discharge were caused of minor trauma;seven cases of discharge were not related with trauma. Forensic investigation results included moderate injury of 22 cases (76%), minor injury of 3 cases (10%), and non-trauma of 4 cases (14%). Conclusion The most of post-traumatic abortion were affected by psychological stress, except for receiving violence of abdomen, back and other parts of body. The causes of traumatic abortion were complex, the most were trauma and psychological factors.

关 键 词：外伤 流产 法医学鉴定 

分 类 号：D919.4[医药卫生—法医学]