脑外伤所致精神障碍与道路交通事故伤残评定  

Research on mental disorders with brain damage and impairment assessment in road traffic accident

作　　者：张钦廷[1] 黄富银[1] 汤涛[1] 管唯[1] 蔡伟雄[1] 吴家声[1] 汪建君[1] 

机构地区：[1]司法部司法鉴定科学技术研究所,上海200063

出　　处：《法律与医学杂志》2004年第2期149-151,共3页Journal of Law & Medicine

摘　　要：目的　探索道路交通事故伤残评定中脑外伤所致精神障碍的临床症状特点、影响因素及鉴定中应注意的问题。　方法　回溯即往一年半的鉴定资料 ,根据CCMD -3器质性精神障碍的症状分类对被鉴定人临床表现进行整理归纳 ,整理被鉴定人颅脑受伤的类型 ,统计分析评定时机及评定结论。　结果　 65例样本纳入本研究 ,平均评定时机10 .2 3± 7.2个月 ,临床主要表现为智能和记忆损害 ,人格改变和神经症样综合征占有较大的比例 ,精神病性障碍和情感障碍较少 ,未见意识障碍和癔症样障碍 ,Logistic回归分析显示智能损害的严重程度及精神病性障碍与伤残等级负相关。　结论　智能和记忆障碍在脑外伤所致精神障碍的道路交通事故伤残评定中具有重要的地位 ,一般应在伤后六个月才宜进行伤残评定。Objective To explore the clinical character, affect factor and some attention about mental disorders with brain damage in impairment assessment in road traffic accident. Method 65 cases were collected from assessed data during 2002/1-2003/6, the clinical symptoms was classified by CCMD-3, the type of cerebral injury, assessment time and conclusion were retrospectively and statistically analyzed. Results Mean assessment time is 10.23±7.2 months, the major clinical symptoms in mental disorders with brain damage by traffic accident were intellectual and memory deficiency. Personality change and neurosis-like syndrome were found in considerable proportion, however, psychosis symptom and mood disorder is rare, the consciousness disorders and hysteria-like syndrome was unseen. The regression analysis by Logistic indicated that there are negative-dependence between impairment degree and both severity of intellectual deficiency and psychosis. Conclusion Intellectual and memory deficiency have important role in the impairment assessment in road traffic accident. In generally, the assessment should be held 6 months after the accident.

关 键 词：道路交通事故 脑外伤性精神障碍 伤残评定 临床症状 影响因素 评定时机 

分 类 号：D919.3[医药卫生—法医学] R749.12[政治法律—法学]