352例交通事故所致头部外伤的临床法医学鉴定分析  

Analysis of Head Injury Caused by Traffic Accident:an Retrospective Study of 352 Cases

作　　者：赵丽萍[1] 洪仕君[1] 白燕[2] 张冬先[1] 李利华[1] 闫文 

机构地区：[1]昆明医学院法医学院,云南昆明650031 [2]昆明医学院第一附属医院精神科,云南昆明650032 [3]昆明市公安局交通警察支队事故处,云南昆明650011

出　　处：《昆明医学院学报》2009年第1期132-135,共4页Journal of Kunming Medical College

基　　金：云南省教育厅科研基金资助项目(5Z0397C)

摘　　要：目的探讨交通事故后颅脑损伤的流行病学分布特点以及伤残评定的相关因素.方法收集352例头部外伤后司法鉴定案例的资料,进行回顾性分析.结果本组病例中交通方式最多见的是行人155例(44.0%),其次为非机动车驾驶员111例(31.5%);鉴定时间最多的是3～6个月;最多见的是损伤类型是颅内血肿、颅内血肿伴脑挫裂伤、脑挫裂伤;颅内血肿的发生左右侧没有差异;伴有并发症者伤残等级较高;伤残等级分布以10级伤残最为多见.结论颅脑损伤的伤残评定需要把握适当的鉴定时机并考虑相关的影响因素.Objective To explore the epidemiologic characteristics of cranio cerebral injury caused by traffic accident and analyze correlated factovs of assessment of impirment.Method We collected 352 cases with dysphrenia after craniocerebral injury,a retrospective analysis was applied to the data.Results Among these cases,the most common traffic manner was pedestrian,115 cases （44.0%）;the second was driver of bicycle and other tricycles,111 cases （31.5%）.The most common time term which was done assessment of impairment was three months to six months after injury.As to the types of injury, intracranial hematoma was 76 cases （21.6%）;intracranial hematoma and laceration of brain also was 76 cases （21.6%）;contusion and laceration of brain was 63 cases （17.9%）.There was no significant difference about the occurrence of intracranial hematoma between left and right side of head.Conclusions The assessment of impairment of head injury should considerthe adequate time term before the judicial expertise w as done and these correlated factors should be considered.

关 键 词：头部外伤 临床法医学 司法鉴定 

分 类 号：R896.2[医药卫生—法医学]