158例“周围神经损伤”法医学鉴定分析

Analysis of 158 Forensic Identification Cases Involved with Peripheral Nerve Injury

目的研究"周围神经损伤"法医学鉴定案件的特点,探讨如何运用临床资料、法医检查和神经电生理检测结果等对周围神经损伤者进行法医学鉴定。方法收集临床诊断为"周围神经损伤"的158例法医学鉴定案件,对其个体特征、损伤情况、鉴定结果、夸大与伪装情况等进行统计分析。结果在158例"周围神经损伤"案件中以男性、青壮年及无业人员多见。"周围神经损伤"的原因以交通事故损伤和伤害案件中的锐器伤为主。损伤部位以四肢为主。被鉴定人中存在明显夸大与伪装神经功能障碍的占相当比例。结论对"周围神经损伤"者的法医学鉴定应综合运用临床资料、法医检查和神经电生理检测结果等进行。

Objective To study the characteristics of forensic identification cases involved with peripheral nerve injury,and to discuss how to apply the clinical information,forensic examination and neurophysiological testing.Methods One hundred and fifty-eight cases which were diagnosed peripheral nerve injury in clinic,were collected.Then the individual characteristics,injuries,identification results,exaggeration or camouflage were analysed.Results The male,the unemployed,and the young and middle-aged were common in our cases.The main reasons of ＂peripheral nerve injury＂ were traffic accidents and sharp injuries.Most wounded parts were in limbs.Also the exaggeration and camouflage accounted for a considerable proportion in our cases.Conclusion The forensic identification of ＂peripheral nerve injury＂ cases should be evaluated with clinical information,forensic examination and electrophysiological testing comprehensively.