240例颅脑损伤死亡案例的回顾性研究  

Retrospective Study on 240 Cases of Death due to Traumatic Brain Injury

作　　者：穆娇[1] 徐伦武[2] 刘龙清 张吉[4] 林威[4] 董红梅[4] 

机构地区：[1]河北北方学院病理教研室,河北张家口075000 [2]福建省南平市公安局延平分局,福建南平353000 [3]福建省漳州市人民检察院检察技术处,福建漳州363000 [4]华中科技大学同济医学院法医系,湖北武汉430030

出　　处：《中国司法鉴定》2015年第4期67-70,共4页Chinese Journal of Forensic Sciences

基　　金：国家自然科学基金(81102298);华中科技大学自主创新研究基金(2012TS002)

摘　　要：目的探讨脑损伤死亡的发生规律及法医病理学特点。方法对同济医学院法医学鉴定中心2002—2011年240例颅脑损伤死亡案例进行回顾性统计分析。结果 240例颅脑损伤死者,男性比例明显高于女性,40~50岁年龄段死亡率最高,致伤方式以钝器打击、交通事故、高坠最常见;农民和工人是高发人群;秋季死亡率最高;出血类型以蛛网膜下腔出血最为常见;原发性颅脑损伤168例（70%）,继发性脑干损伤死亡23例（9.58%）,并发症49例（20.42%）。结论颅脑损伤的发生,在年龄、性别、职业及法医病理学特点等方面存在内在规律,法医工作者应根据全面系统的病理学检验、临床资料及内在规律对死亡原因做出客观、全面、准确的结论。Objective To explore the incidence and forensic pathology characteristics of traumatic brain injury. Method 240 cases were reviewed from January 2002 to December 2011. Results In the 240 cases, the morbidity in male is significantly higher than in female. The incidence among the age group of 40-50 was the highest. The major cause of the brain injury was violence, followed by traffic accident and falling. The farmers and workers are high-risk groups. The mortality rate is highest in autumn. Subarachnoid hemorrhage was the most common type of brain hemorrhage. The main direct cause of death was severe primary brain injury, followed by complications and secondary brainstem damage. Conclusion The incidence of traumatic brain injury is related to age, sex, occupation and forensic pathology characteristics, and forensic experts should make an objective, comprehensive and accurate diagnosis based on the pathological examination, clinical data and inherent law.

关 键 词：法医学 颅脑损伤 死亡原因 

分 类 号：DF795.4[医药卫生—法医学]