在美国工伤赔偿体系中,美国医学会的《永久性评定指南》是强制性使用标准,全美各州均在使用第3版、第4版、第5版和第6版的《永久性评定指南》。但由于《永久性评定指南》相对复杂、难于理解,而且有很多可以引起法律争议内容。因此本文通过介绍《永久性评定指南》在美国工伤赔偿体系中的适用情况,期为我国法医临床学研究、借鉴《永久性残损评定指南》进行残损评定提供依据。 In the U.S. work injury compensation system, the American Medical Association’s “Guidance on Permanent Evaluation” is a compulsory standard of use. All states in the United States are using the “Guidance on Permanent Evaluation” of the 3rd, 4th, 5th and 6th editions. . However, due to the relative complexity of the Guidance for Permanent Assessment, it is difficult to understand and there are many contents that can cause legal disputes. Therefore, by introducing the application of the Guidance on Permanent Assessment in the work-related injury compensation system in the United States, this paper provides the basis for the forensic clinical research in our country and drawing on the Guidance on Evaluation of Permanent Damage Assessment.