外伤后延迟性脾破裂的法医临床鉴定

Forensic Clinical Identification of Post-traumatic Delayed Splenic Rupture

目的:探讨外伤后延迟性脾破裂的法医临床鉴定要点。方法:总结32例外伤后延迟性脾破裂患者的致伤原因、临床症状,经影像学检查、病理学检验,最后进行法医学鉴定。结果:32例伤者均确诊为脾破裂,其中20例鉴定为轻伤一级,6例鉴定为轻伤二级,6例鉴定为重伤二级。结论:法医在对脾破裂的鉴定中应紧密围绕外伤史、临床症状、影像学检查、病理学检验进行鉴定,提高鉴定的客观性和科学性。

Objective： to explore the key points of forensic clinical identification of post-traumatic delayed splenic rupture. Methods： summarizing the cause, clinical symptom, imaging examination, and pathology check of32 cases of post-traumatic delayed splenic rupture, and finally making the forensic clinical identification. Results：32 cases of the injured were diagnosed with splenic rupture, among which 20 had been identified as a minor injury level, 6 cases were identified as minor secondary, 6 cases were identified as serious injury secondary. Conclusion： forensic identification of splenic rupture should be closely based on the history of trauma, clinical symptom, imaging examination, and pathology check in order to improve its objectivity and scientificity.