交通事故致颅脑损伤引起死亡的法医病理学分析  

Forensic pathological analysis of deaths due to craniocerebral injury in traffic accidents

作　　者：于海胜 蔡灵卿 陈燕枝 李萱 张可丽 方义湖 Yu Haisheng;Cai Lingqing;Chen Yanzhi;Li Xuan;Zhang Keli;Fang Yihu(Jiangxi Medical College,Shangrao 334000,China)

机构地区：[1]江西医学高等专科学校,上饶334000

出　　处：《临床与实验病理学杂志》2025年第3期365-368,共4页Chinese Journal of Clinical and Experimental Pathology

基　　金：江西省教育厅科学技术研究项目(GJJ2205808)。

摘　　要：目的探讨交通事故致颅脑损伤引起死亡的法医病理学特征,以期为法医工作者提供更严谨的鉴定思路。方法回顾性分析交通事故致颅脑损伤引起死亡的225例尸检报告,并对其死亡原因进行分类、统计和分析。结果225例尸检报告中,死因主要包括原发性脑损伤、继发性脑干损伤及并发症致死。颅脑损伤主要有颅骨骨折、脑出血、脑组织挫伤和脑水肿等。结论颅脑损伤的发生与年龄、交通工具、碰撞速度以及道路状况等有关,且其内在存在一定的规律性,法医工作者应结合全面系统的病理学检查、临床资料及相关因素的内在规律,对交通事故致颅脑损伤引起死亡的原因做出客观、全面和准确的鉴定。Purpose To explore the forensic pathological features of deaths caused by craniocerebral injury in traffic accidents,in order to provide forensic practitioners with a more rigorous approach to identification.Methods A retrospective analysis was performed on 225 autopsy reports of traffic accident fatalities resulting from craniocerebral injury.The causes of death were classified,tabulated,and analyzed.Results Among the 225 autopsy reports,the main causes of death included primary brain injury,secondary brainstem injury,and complications.The main types of injuries craniocerebral injuries observed were skull fractures,cerebral hemorrhage,cerebral contusion,cerebral edema and so on.Conclusion The occurrence of craniocerebral injury is related to factors such as age,vehicle,collision speed,and road conditions,and there is an inherent regularity to these factors.Forensic practitioners should combine comprehesive and systematic pathological examinations,clinical data,and the inherent regularities of related factors to make objective,comprehensive,and accurate determinations of the cause of death in traffic accident-related craniocerebral injuries.

关 键 词：交通事故 颅脑损伤 死亡案例 法医病理学 

分 类 号：R602[医药卫生—外科学]