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目的探讨法医鉴定外伤后颅内出血案例的临床情况;方法选取2013年1月至2014年12月外伤后颅内出血的54例患者作为研究对象,对其进行法医鉴定,分析其鉴定结果;结果本组54例外伤后颅内出血患者,其中48例(88.89%)由于外伤引发颅内出血,其余6例(11.11%)患者的颅内出血不是因外伤直接引发的,而是因自身疾病所引发的。法医鉴定结果显示,34例(70.83%)重伤,12例(25.00%)轻伤,2例(4.17%)死亡。自身疾病有海绵状血管瘤1例,陈旧性颅内出血1例,高血压4例;结论对外伤颅脑出血症状进行鉴定时应当先对案情进行了解并对外力作用强度进行正确的判断,然后对患者的基础信息进行详细的了解,再对患者进行全身检验,根据相关的医学资料进行专业性和准确性的判断和评估。
Objective To explore the clinical situation of forensic traumatic intracranial hemorrhage cases; Methods 54 patients with intracranial hemorrhage after traumatic injury from January 2013 to December 2014 were selected as forensic experts to analyze their identification results. Results In this group Among the 54 patients with intracranial hemorrhage after trauma, 48 (88.89%) had intracranial hemorrhage due to trauma. The other 6 patients (11.11%) had intracranial hemorrhage not caused by trauma directly but caused by their own disease. Forensic examination results showed that 34 cases (70.83%) were seriously injured, 12 cases (25.00%) were slightly injured and 2 cases (4.17%) died. 1 case of cavernous hemangioma, 1 case of old intracranial hemorrhage and 4 cases of hypertension. Conclusion The identification of traumatic intracerebral hemorrhage should be carried out first and the judgment of the strength of external force should be made. The patient’s basic information for a detailed understanding of the patient and then the whole body test, according to the relevant medical information for professional and accuracy of judgment and assessment.