腹部穿透伤剖腹探查57例法医学鉴定分析  

Analysis of 57 Abdominal Penetrating Injury Cases with Exploratory Laparotomy

作　　者：余延和 彭辉 陈燕青 张玲芬 彭斌 

机构地区：[1]古田县公安局刑侦大队,福建古田352200 [2]古田县医院,福建古田352200

出　　处：《法医学杂志》2011年第5期358-360,364,共4页Journal of Forensic Medicine

摘　　要：目的探讨经临床行剖腹探查术的腹部穿透伤的损伤特征,归纳其损伤程度的鉴定要点,为法医临床学鉴定实践及修改相关鉴定标准提供科学、合理的参考依据。方法对笔者于1990年7月—2011年2月受理的57例腹部穿透伤后行剖腹探查术的损伤案例,根据致伤物、腹腔积血、器官损伤、鉴定结论等方面进行分析总结。结果对于腹部穿透伤行剖腹探查术者,腹腔器官损伤类型和腹腔积血量与人体损伤程度之间有一定的相关性。结论腹部穿透伤者剖腹探查所见的腹腔内损伤情况对轻重伤鉴定结果有重要影响,在此类损伤的鉴定实践和标准修订时应予以考虑。Objective To explore the characteristics of abdominal penetrating injuries with exploratory laparotomy,as well as to summarize the key points of injury degree,and to supply reasonable reference for the practice and criterion modification in forensic clinical medicine identification.Methods Fifty-seven cases which were all abdominal penetrating injuries with exploratory laparotomy from July 1990 to February 2011 were retrospectively analyzed including the instrument causing trauma,amount of the hemoperitoneum,the organs of the injury,conclusion of the forensic indentification,and so on.Results There was some correlation between the organ injury patterns,volume of hemoperitoneum and identification conclusion for the abdominal penetrating injury cases with exploratory laparotomy.Conclusion The intra-abdominal injury has important effect for the injury degree of the abdominal penetrating injury cases with exploratory laparotomy and should be considered in the practice and criterion modification of these kinds of cases.

关 键 词：法医学 腹部损伤 穿透性 案例分析 

分 类 号：DF795.1[医药卫生—法医学]