道路交通事故致儿童颅脑损伤伤残评定204例分析  

Disability Evaluation of 204 Cases of Children with Brain Injury in Road Traffic Accidents

作　　者：刘宽林[1] 张先国[1] 孔斌[1] 黄思兴[1] 

机构地区：[1]成都市公安局交通管理局,四川成都610036

出　　处：《法医学杂志》2010年第4期273-275,共3页Journal of Forensic Medicine

摘　　要：目的研究道路交通事故致儿童颅脑损伤的类型、特点、主要并发症及其受伤人员伤残评定的特点。方法对204例车祸致儿童颅脑损伤的伤残评定资料按伤者受伤的不同部位、有无并发症、并发症的类型及伤残程度进行统计分析。结果单纯弥散性原发性脑损伤64例,单纯局灶性原发性脑损伤80例,全面性继发性脑损伤24例,局部性继发性脑损伤36例。主要并发症为外伤性癫疒间14例(6.9%)、外伤性脑梗死9例(4.4%)、外伤性脑积水7例(3.4%)、外伤性精神障碍5例(2.5%)。结论道路交通事故致儿童颅脑损伤,以单纯原发性颅脑损伤多见,容易并发外伤性癫疒间及外伤性脑梗死。对涉及儿童颅脑损伤的伤残评定应适当放宽标准,伤残评定标准应增加专门针对儿童的条款。Objective To study the types,characteristics and common complications as well as disability assessment for the children with craniocerebral injury in the road traffic accidents.Methods Data from 204 cases of children with cranio-injury in road traffic accidents were collected and were statistically ana-lyzed according to the location injured,complication,the type of complication and the severity of disabili-ty.Results There were 64 cases of simple diffuse primary craniocerebral injury,80 cases of simple local primary cranio-injury,24 cases of diffuse secondary craniocerebral injury and 36 cases of local secondary cranio-injury.The main complications included traumatic epilepsy（14,6.9%）,traumatic cerebral infarction（9,4.4%）,traumatic hydrocephalus（7,3.4%） and traumatic mental disorder（5,2.5%）.Conclusion Among the children with cranio-injury due to road traffic accidents,simple primary cranio-injury was the most common result,whereas the traumatic epilepsy and traumatic cerebral infarction were the major types of complications.The assessment criteria for body impairment of the children with craniocerebral injury in the road traffic accidents should be broadened accordingly,with addition of certain specific items for children.

关 键 词：法医学 事故 交通 颅脑损伤 儿童 伤残评定 

分 类 号：R651.15[医药卫生—外科学]