外伤性迟发性脾破裂伤者的临床法医鉴定分析  

Clinical Forensic Identification of Traumatic Delayed Splenic Rupture

作　　者：季宇龙 JI Yulong(Institute of Legal Identification,Zhangjiagang City Hospital of Traditional Chinese Medicine,Zhangjiagang Jiangsu 215600,China)

机构地区：[1]张家港市中医医院司法鉴定所,江苏张家港215600

出　　处：《中国继续医学教育》2018年第19期80-81,共2页China Continuing Medical Education

摘　　要：目的对外伤性迟发性脾破裂伤患者的临床法医鉴定情况进行观察分析。方法选取外伤性迟发性脾破裂伤患者50例,时间为2016年1月—2017年10月,其均接受临床法医鉴定,对法医鉴定结果进行分析。结果患者均存在腹部外伤史,表现为腹部疼痛,与影像学结果确诊为脾破裂。未达伤残6例,脾脏修补十级伤残13例,脾脏部分切除九级伤残8例,脾脏全部切除八级伤残23例。结论外伤性迟发性脾破裂伤患者接受临床法医鉴定时,应与外伤史、影像学检验结果以及症状及治疗进行结合,从而对法医鉴定的科学性和有效性进行保证。Objective To observe the clinical forensic identification of patients with traumatic delayed splenic rupture. Methods Fifty patients with traumatic delayed splenic injury were selected from January 2016 to October 2017. They all were given clinical forensic analysis and forensic identification results were analyzed. Results All patients had a history of abdominal trauma, manifested as abdominal pain, and imaging findings confirmed splenic rupture. There were 6 cases of disability, 13 cases of splenic repair,10 cases of disability,8 cases of partial spleen disability,8 cases of disability, and 23 cases of total spleen disability. Conclusion When patients with traumatic delayed splenic injury undergo clinical forensic identification,they should be combined with the history of trauma, imaging findings, symptoms and treatment, so as to ensure the scientificity and effectiveness of forensic identification.

关 键 词：外伤性迟发性脾破裂伤 法医临床鉴定 鉴定分析 脾破裂 法医 伤残 

分 类 号：D919[医药卫生—法医学]