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血气胸是胸部损伤中常遇见的损伤并发症。根据现行的损伤鉴定标准,引起血胸和气胸的损伤可能达到轻伤或重伤,介定轻伤还是重伤的分界线是损伤是否并发呼吸困难。伴有呼吸困难的血胸和气胸,属重伤;否则属轻伤。由于该类损伤的鉴定侧重于损伤的并发症,且在损伤鉴定时法医的介入往往是在伤者病情稳定后才进行,血气胸有无并发呼吸困难需要详细查阅伤者的住院病历才能确定,导致有些损伤的鉴定会有一定的困难。本文作者就3例血气胸在鉴定过程中所遇到的问题作一个粗略的探讨。
Blood pneumothorax is a traumatic complication often seen in chest injuries. According to the current standard of injury identification, the injury of hemothorax and pneumothorax may cause slight or serious injury. The boundary between light and severe injuries is whether the injury is complicated by dyspnea. Blood chest and pneumothorax with respiratory difficulties, is a serious injury; otherwise it is a minor injury. As the identification of such injuries focuses on the complication of injury, and in the injury identification forensic intervention is often carried out after the wounded in stable condition, with or without hemopneumothorax complicated by breathing need detailed examination of the wounded inpatient records can be determined, There may be some difficulties in the identification of some injuries. The author of this article on three cases of blood pneumothorax during the identification of the problems encountered in a rough discussion.