病理性半醒状态案例报道分析

Report and analysis of pathological drowsiness cases

目的收集分析近25年国内报道涉及违法犯罪病理性半醒状态的案例，研究发现这类罕见疾病发生犯罪行为的有关特点。方法查阅收集1980-2005年9月涉及违法的病理性半醒状态的案例报道，对收集资料的一般人口学特征、违法行为的特点以及责任能力的评定进行描述性的研究分析。结果收集到23例报道，平均年龄（33．74±4．71）岁，男性19人（82．61％），女性4人（17．39％）。文化程度报道17例：小学文化6人（35．29％），初中7人（41．18％），高中3人（17．65％）。文盲1人（5．89％）。职业状况报道20例：其中农民14人（70％），工人2人（10％），其他4人（20％）。23例均无作案动机，23例均无作案前准备。16例（69．57％）报道睡前有不适、思睡感。案件类型杀人19例（82．61％）、伤害2例（8．70％），抢劫1例（4．35％），自伤1例（4．35％）。17例（73．91％）报道作案时有梦魇体验。受害者中亲人18人（78．26％），好友4人（17．39％），邻居1人（4．35％）。作案后有18例（94．74％）有部分或完全遗忘。结论病理性半醒状态违法行为男性多于女性，青壮年多见。作案缺乏动机和作案前准备，案件类型以杀人、伤害等暴力犯罪为主，作案前有思睡、疲惫不适感。作案时绝大多数有梦魇体验，案发后遗忘明显，23例均评定为无责任能力。

Objective To collect and analyze pathological drowsiness cases reported in our country in recent 25 years, which were involved in breaking the law and committing a crime. Then to study the correlate characteristics of the criminal behavior in the rare disease. Methods To look up the cases reports of pathological drowsiness from Sept. 1980 to Sept. 2005, the describe study was done in the demography characteristics, unlawful act features and responsibility evaluation. Results In 23 cases, the mean age is （33.74±4.71）, 19 males （82.61%） and 4 females （17.39%）. 17 cases with education background, 6 cases （35.29%） graduated from elementary school, 7 cases （41.18%） from junior high school, 3 cases （17.65%） from high school, 1 case of illiteracy （5.89%）. 20 cases with employment status, 14 cases of peasants （70%）, 2 cases of workers （10%）, and 3 cases with other professions （20%）. All cases were without committing a crime motive and preparation, 16 cases （69. 57%） with discomfort and thinking sleeping. The types of law case were homicide （19, 82. 61%）, harm （2, 8. 70%）, rob （1, 4.35%）, autolesion （1, 4.35%）. 17 cases had nightmare experience during committing crime. The victims were their family members （18, 78.26%）, friends （4, 17.39%）, neighbors （1, 4.35%）. 18 cases forgot partly or completely after committing. Conclusions Pathological drowsiness unlawful act are more in males than females, especially in youth and prime of one＇s life, without motive and preparation. The main types are homicide and injury, with discomfort and thinking sleep before crime. During committing crime, most cases have nightmare experience and then forgot after. So 23 cases were evaluated to be without responsibility.