外伤后延迟性脾破裂的法医临床鉴定方法及其要点分析
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摘要
目的分析外伤后延迟性脾破裂的法医临床鉴定方法及其要点。方法对64例外伤后延迟性脾破裂患者的发病原因、临床表现等情况进行总结,以及影像学等检查情况,并行法医鉴定。结果 (1)损伤程度分析:将《人体损伤程度鉴定标准》作为依据,重伤二级、轻伤一级、轻伤二级分别50例、3例、11例。(2)伤残程度分析:将《人体损伤致残程度分级》作为依据,8级、9级、10级分别23例、15例、12例;将《劳动能力鉴定职工工伤与职业病致残等级》作为依据,7级、8级、9级、10级分别23例、15例、15例、11例。结论在对外伤后延迟性脾破裂患者进行法医鉴定的过程中,需要同其外伤史、影像学检查结果、临床表现、病理学检查结果等进行综合分析,从而确保鉴定结果的科学性以及准确性。
Objective To analyze the forensic clinical identification methods and its main points of delayed spleen rupture after trauma. Methods The causes and clinical manifestations of 64 patients with delayed splenic rupture after trauma were summarized, and the imaging and other examinations were carried out, and forensic identification was carried out. Results(1) Damage degree analysis: According to the " Standard for identification of human damage degree", there were 50 cases of serious injury two level, 3 cases of minor injury first grade and 11 cases of minor injury two level.(2) Analysis of disability degree: 23 cases, 15 cases and 12 cases of grade 8, 9 and 10 were classified according to "Classification of disability degree caused by human body injury". 23 cases, 15 cases, 15 cases and 11 cases were classified as grade 7, 8, 9 and 10 according to "Labor capacity assessment of the grade of injury and disability caused by occupational diseases of workers". Conclusion In the process of forensic identification of patients with delayed splenic rupture after trauma, it is necessary to make a comprehensive analysis with their trauma history,imaging findings, clinical manifestations and pathological findings, so as to ensure the scientificity and accuracy of the identification results.
Objective To analyze the forensic clinical identification methods and its main points of delayed spleen rupture after trauma. Methods The causes and clinical manifestations of 64 patients with delayed splenic rupture after trauma were summarized, and the imaging and other examinations were carried out, and forensic identification was carried out. Results(1) Damage degree analysis: According to the " Standard for identification of human damage degree", there were 50 cases of serious injury two level, 3 cases of minor injury first grade and 11 cases of minor injury two level.(2) Analysis of disability degree: 23 cases, 15 cases and 12 cases of grade 8, 9 and 10 were classified according to "Classification of disability degree caused by human body injury". 23 cases, 15 cases, 15 cases and 11 cases were classified as grade 7, 8, 9 and 10 according to "Labor capacity assessment of the grade of injury and disability caused by occupational diseases of workers". Conclusion In the process of forensic identification of patients with delayed splenic rupture after trauma, it is necessary to make a comprehensive analysis with their trauma history,imaging findings, clinical manifestations and pathological findings, so as to ensure the scientificity and accuracy of the identification results.
引文
[1]陈鹏宇,商敬谦,贾富全.外伤性迟发性脾破裂的法医临床检验要点探讨[J].中国卫生标准管理,2016,7(13):55-56.
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[5]段琨,巩守平.骨折合并闭合性腹部损伤延迟性脾破裂临床诊断和治疗[J].中国临床研究,2018,31(5):640-644.
[6]万忠博.腹腔镜脾切除术治疗外伤性脾破裂的技术要点分析[J].临床医学研究与实践,2017,2(21):60-61.
[7]张伟.分析外伤性脾破裂的临床治疗措施[J].中国实用医药,2017,12(29):68-69.
[8]张开亮.外伤性脾破裂的临床分析及全切手术探讨[J].中国医药指南,2017,15(18):104-105.
[9]王吉明,隆洪木,陈先锋.微波消融在外伤性脾破裂保脾术中的应用分析[J].临床外科杂志,2017,25(1):55-57.
[10]龙达领.外伤性脾破裂手术与非手术治疗的效果分析[J].中外医学研究,2016,14(34):103-104.
[2]曹清,姚民富.40例外伤致迟发性脾破裂的临床法医学鉴定分析[J].医学与法学,2017,9(2):76-77.
[3]季宇龙.外伤性迟发性脾破裂伤者的临床法医鉴定分析[J].中国继续医学教育,2018,10(19):94-95.
[4]袁兵兵,郭智强.外伤性迟发性脾破裂法医学鉴定1例[J].中国法医学杂志,2016,31(4):408-409.
[5]段琨,巩守平.骨折合并闭合性腹部损伤延迟性脾破裂临床诊断和治疗[J].中国临床研究,2018,31(5):640-644.
[6]万忠博.腹腔镜脾切除术治疗外伤性脾破裂的技术要点分析[J].临床医学研究与实践,2017,2(21):60-61.
[7]张伟.分析外伤性脾破裂的临床治疗措施[J].中国实用医药,2017,12(29):68-69.
[8]张开亮.外伤性脾破裂的临床分析及全切手术探讨[J].中国医药指南,2017,15(18):104-105.
[9]王吉明,隆洪木,陈先锋.微波消融在外伤性脾破裂保脾术中的应用分析[J].临床外科杂志,2017,25(1):55-57.
[10]龙达领.外伤性脾破裂手术与非手术治疗的效果分析[J].中外医学研究,2016,14(34):103-104.