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目的研究头部创伤和精神障碍的关系及其伤情评定等相关问题。方法34例头部创伤1年后出现精神障碍的鉴定案例，分为车祸组与殴伤组，对两组有关数据进行卡方检验。结果车祸组出现明显昏迷者及具有明确神经系统体征者显著多于殴伤组，殴伤者出现痴呆样表现者多于车祸组，两组出现精神病性症状、社会功能严重缺陷或丧失的例数没有显著差异。结论头部创伤严重程度和精神障碍的严重程度及后果不成比例，在伤情评定时对精神功能缺陷及丧失这一重要因素应充分加以考虑。
Objective To study the relationship between head trauma and mental disorders as well as related problems such as injury evaluation. Methods 34 cases of head trauma 1 year after the identification of mental disorders, divided into car accident group and assault group, the two groups of data related to chi-square test. Results In the car accident group, there were more coma and obvious neurological signs than those in the group of beatings. There were more deformity-like appearances in the car accident group than those in the car accident group. There were two cases of psychotic symptoms, serious defects or loss of social function No significant difference. Conclusions The severity of head trauma and the severity and consequences of mental disorders are disproportionate. Consideration should be given to the important factor of mental function defects and loss in the assessment of injuries.