脊柱脊髓伤与病鉴定的法医学研究  

作　　者：常林[1] 王宁敏[2] 刘军[3] 

机构地区：[1]北京市高级人民法院法医技术室,1000512 [2]最高人民检察院检察技术研究所,1007263 [3]北京市公安局朝阳分局,100020

出　　处：《法律与医学杂志》1999年第2期52-55,共4页Journal of Law & Medicine

摘　　要：目的　研究脊柱脊髓涉及外伤鉴定的法医学特点。方法　选择活体损伤鉴定１ ０００ 例， 涉及外伤后脊柱脊髓鉴定的分成四组。Ⅰ组： 无伤无病的情况。Ⅱ组： 脊柱脊髓原有病变， 结果与外伤无关。Ⅲ组： 脊柱脊髓原有病变与此次外伤共存， 依据《损伤参与度评定标准》进行评定。Ⅳ组： 外伤导致脊柱脊髓损伤。结果　涉及脊柱脊髓鉴定的８６ 例， Ⅰ组２２ 例， Ⅱ组１３ 例， Ⅲ组１８ 例， Ⅳ组３３ 例。Ⅱ、Ⅲ组以中老年为多， 原有自身疾病共有８ 种， Ⅲ组损伤参与度１ 级（２５ ％ ） 的１０ 例， ２ 级（５０ ％ ） 的６ 例， ３级（７５ ％ ） 的２ 例。Ⅳ组２４ 例胸腰椎损伤， 颈椎／ 脊髓损伤９ 例。结论　资料表明， 法医学鉴定与临床医学有许多不同的特点， 依据临床医学的理论和经验，The forensicstudy on contributory ofspineand spinalcord injury Changlin , Wang Ningmin . 1 .Beijing HigherPeople′s Court, Beijing 100051 2 .The Highest people′s Procuratorate of China , Beijing ,100726【Abstract】Objective To explore the forensic characteristic on contributory of spine and spinal cord injury .Methods The casesrelated to spine and spinal cord in forensic clinical diagnosis were screened from 1000 cases ofbodily harm .These cases were dividedinto four groups: Group Ⅰ:Cases whereexisting no disease and exogenousinjury ofspine andspinalcord ;Group Ⅱ:Cases whereexisting originally disease ofspineand spinalcord didn’trelatedto exogenousinjury ortheirsequelae;Group Ⅲ:Cases where coexisting exogenousinjuryand diseasesofspineand spinalcord ,andthe contributory wasassessed according to 《Assessment Standardfor Traumatic Contributory》;Group Ⅳ:Cases where existing pathological disorders ofspine and spinalcord resulted from exogenousinjury .Results 86 casesrelated tospine andspinalcordinforensic diagnosis wasstudies.Inthesecases,22 cases ofgroup Ⅰ,13 cases of group Ⅱ,18 cases of group Ⅲand 33 cases of group Ⅳ. The middle aged persons and elders weremainly seenin Ⅱand Ⅲgroups,the previousdiseasesofspineand spinalcordinthese patientsincluded 8 kinds.Ingroup Ⅲ,10 cases wasclassified to stage 1 ofcontributory (degree ofcontributory 25 % ) ,6 cases wasclassified tostage 2 of contributory (degree ofcontributory 50 % ) ,2 cases was classified to stage 3 of contributory (degree ofcontributory 75 % ) .There were 24 cases ofthoracic vertebra oflumbar vertebra damage,9 cases ofcervicalvertebra ofspinalcord damagein group Ⅳ.Conclusion There are many distinguishingfeaturesbetween forensic medicineexpertise and clinical medicine diagnosis.In studing offorensic medicine,thetheory and practice ofclinical medicinehaveimportantsignificance.【Key Words】Spine and spinalcordinjury　traumatic contributory

关 键 词：脊柱脊髓损伤 损伤参与度 法医学鉴定 

分 类 号：D919.4[医药卫生—法医学]