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DIC 是威胁生命的并发症,若在损伤过程中出现 DIC 状态,应鉴定为重伤。本文通过一起爆炸损伤继发凝血障碍的临床法医学鉴定,对 DIC 的诊断标准及其与临床诊断、临床法医学鉴定之间的关系进行了讨论。认为:由于对专业知识的理解不同和临床经验的差异,医生对某些疾病的诊断标准存在分歧在所难免;而且医生在作出医学诊断时可能会把病情的发展和结局考虑得严重些,而法医学鉴定人则必须正确理解轻重伤的标准,尽量采用客观、统一、量化的临床诊断标准,实事求是地作出鉴定,才能避免法医鉴定结论的随意性。
DIC is a life-threatening complication. If DIC is present during an injury, it should be identified as a serious injury. This article discusses the diagnostic criteria of DIC and its relationship with clinical diagnosis and clinical forensic identification through clinical forensic identification of a clotting disorder associated with an explosive injury. It is considered that due to differences in understanding of professional knowledge and differences in clinical experience, it is inevitable for doctors to disagree on the diagnostic criteria of certain diseases, and doctors may consider the development and outcome of the disease seriously when making medical diagnosis Forensic appraisers must correctly understand the criteria of minor injuries, try to use objective, uniform, quantitative clinical diagnostic criteria, to make real identification, in order to avoid arbitrariness forensic conclusions.