伤残等级重新评定45例分析

Forty-five Cases on Re-assessing the Personal Disability

目的探讨道路交通事故、工伤及其他意外事故所致人身伤害的伤残等级重新评定结论改变的原因。方法回顾性分析杭州求正司法鉴定所2007年3月—2009年3月受理的伤残等级重新评定案件45例。结果重新鉴定结论较之原鉴定结论有改变的共计12例(26.7%),结论改变原因分别为错误引用条款、鉴定时机掌握不当、漏鉴或误鉴伤情、人工假体鉴定掌握不当、未能准确分析伤病关系及未能准确适用工伤伤残晋级原则等。结论伤残鉴定应准确把握鉴定时机,正确理解标准条款的内涵,采用合适的医学和法医学技术,并充分了解各种相关规定的要求。

Objective To discuss the reasons for the alterations of the conclusions in re-assessment for personal disability in road traffic accidents, work-related accidents and other accidents. Methods Forty five cases of re-assessing the personal disability from 2007 to 2009 in our institute were collected and analyzed. Results The disability grade of 12 cases（26.7%） was altered in re-assessment. The reasons for the ahernation included assessment standard items misquoted, assessment time mischosen, injury misdiag- nosed and omitted, artificial prostheses mismanaged, injury-disease relationship erroneous judgment and disability grade promoted incorrectly. Conclusion The attention for assessment of disability grade should been paid to correct time for assessment, correct items of identification standard, appropriate medical and forensic technology, and correct understand about all relevant regulations.