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目的分析外伤后流产案例法医学临床鉴定的特点,探究外伤与流产之间的因果关系。方法收集近年中国医科大学法医学院临床法医学教研室外伤后流产法医学鉴定共23例,总结和分析外伤后流产案例的特点。结果23例外伤后流产法医学鉴定例均为早期流产,体表损伤轻微,伤后短时间内出现阴道流血,并在较短时间内流产。高龄孕妇、农村人口和无业人员所占比例大。结论流产原因较多,对于外伤后流产的法医学鉴定案例,只有排除非外伤性因素后,才能认定为外伤性流产;对于不能排除非外伤性流产因素的案例,可根据具体情况分析损伤为流产的主要原因、次要原因或诱因。
Objective To analyze the clinical characteristics of forensic abortion cases and to explore the causal relationship between trauma and abortion. Methods A total of 23 cases of forensic abortion after trauma were collected from clinical forensic teaching and research department of China Medical University and the characteristics of abortion cases were summarized and analyzed. Results Twenty-three cases of post-traumatic abortion forensic identification cases were early abortion, minor body surface injury, vaginal bleeding within a short time after injury, and abortion in a relatively short period of time. Elderly pregnant women, rural population and unemployed people accounted for a large proportion. Conclusions There are many reasons for abortion. For forensic identification cases of traumatic abortion, only absent non-traumatic factors can be identified as traumatic abortion. For cases that can not rule out non-traumatic abortion factors, we can analyze the cases of abortion Main reason, secondary reason or incentive.