医疗干预对损伤程度鉴定与伤残等级评定的影响

The Influence of Medical Intervention on Identification of Injury Degree and Impairment Assessment

损伤程度鉴定与伤残等级评定是法医临床学司法鉴定的重要内容。损伤程度的鉴定应以损伤当时的伤情为依据,结合损伤后果或结局,全面分析,综合评定。伤残等级的评定时机应以临床一般医疗原则所承认的治疗终结为准,其评价的是经临床治疗效果稳定后仍遗留的后遗症。损伤后果或结局既与损伤当时伤情的严重程度密切相关,也与临床医疗措施的干预不可分割。由此可见,损伤程度与伤残等级的法医临床学司法鉴定意见很可能受到医疗干预因素的影响,在鉴定实践中必须加以考虑。

The identification of injury degree and impairment assessment are the main task in the clinical forensic practice. The former, which is based on the immediate traumatic conditions and is combined with injury consequences or outcomes, should be analyzed and assessed comprehensively. The impairment should be assessed posterior to the clinical treatment, according to the sequel after stable therapeutic effects. Injury consequences or outcomes are not only closely correlated with the severity of the immediate traumatic conditions but with the intervention of clinical measures. Thus, medical intervention may influence the clinical forensic appraisal opinions, and should be considered in the clinical forensic assessment.