儿童眼外伤的法医学探讨

CHARACTERISTICS OF FORENSIC CLINICAL MEDICINE OF OCULAR INJURY IN CHILDHOOD.

本文从法医学角度对29例引起法律纠纷的儿童眼外伤进行了分析。分析结果表明:1)眼外伤主要见于4—15岁儿童,4岁以下的少见;2)4—12岁的儿童,受伤时的致伤物可多种多样,没有明显的集中趋势;12—15岁的儿童,致伤物以拳脚为多见;3)4—12岁的儿童,以伤及晶体或其前结构为多见;12—15岁的儿童,主要伤及眼睑、结合膜或眼底;4)损伤类型与加害者有关。成人造成的损伤多为钝挫伤,儿童造成的多为穿通伤;5)与成人眼外伤相比,儿童眼外伤的诊疗次数、诉讼请求额显著偏高。本文还讨论了儿童眼外伤的其他法医学问题。

For studing forensic clinical medical characteristics of ocu- lar injury in childhood.We studied 29 ocular injuring cases (age of victims within fifteen),sustained ocular mechanical trauma and litigation,desides,we selected groups:0～4 years of age,4～12 year of age and 12～15 years of age.The data were analysised by statistical methods.The ocular injuring forensic clinical medical characteristics in children revealing: (1)The children were younger than 4 years of age were rare, 4 to 15 are molt majority,Injurant is varied and constrution is often involved lens and other anterior segment in 4 to 12.In 12 to 15,the mint common injurant is first and food,the con- struction is lid,conjunctivtis and fundus.(2)Types of injury is correlated with injurer.Blunt force ocular injury was caused by adult(P<0.001),penetrating ocular injury was caused by children(P<0.001).(3)As compared with control group,all cases of ocular injury of children had higher climing damages(P<0.005)end more frequencies of seeking madical advice(P<0.001).The characteristics and some question about clinical medical jurisprudence were discussed.