220例损伤导致精神障碍损伤程度的法医学鉴定

Forensic assessment of mental disorder after head injury in 220 cases

研究损伤导致精神障碍损伤程度的评定标准。对 1986年 7月～ 2 0 0 0年 7月受理的精神损伤司法鉴定 2 2 0例资料进行回顾性研究。结果显示 :男女比例无差异 ;以中青年组居多 (占 5 5 % ) ;职业以工人、农民多见 ,损伤原因多为伤害和交通事故 (占 82 % ) ;鉴定时间以 1年内为佳。损伤与精神障碍间有直接因果关系者 110例 ,有间接因果关系者 6 9例 ,两者间条件相关者 35例 ,无相关者 6例。对有相关关系的 2 14例作损伤程度评定 ,重伤 91例 ,轻伤6 8例 ,仅就伤病关系作出评定者 5 5例。损伤导致精神障碍的损伤程度应具体案情具体分析 ;对颅脑外伤所致神经症的损伤程度评定提出可操作性的意见。

To study the assessment criteria of mental disorder after head injury.220 cases of mental disorder were retrospectively studied by the team of forensic psychiatry from July 1986 to July 2000.There was no significant sexual difference in 220 cases.The predominant group was fallen in the manhood(123 cases,55%).Most patients were workers and farmers with lower level of education and most of them suffered from trauma and traffic accident(177 cases,82%).The best time of forensic assessment was within one year after trauma.Among 220 cases,there were a direct correlation between the trauma and the mental disorder in 110 cases,without direct correlation in 69 cases,with a correlation for some reason in 35 cases,and without any correlation in 6 cases.Among 214 cases with correlation between the trauma and the mental disorder,91 cases were heavily injured,68 cases moderately injured and 55 cases were investigated for the correlation between the trauma and the mental disorder.In case of assessment of mental disorder after head injury,one must insist of doing casework based upon the facts of that case.The present paper provides the criteria for the assessment.