50例外伤性脑梗死的法医学鉴定分析

Analysis on 50 Cases of Forensic Appraisal of Traumatic Cerebral Infarction

目的:探讨外伤性脑梗死的发生机制及法医学鉴定要点。方法:观察50例外伤性脑梗死患者的临床表现,并根据其影像学检查结果作出法医学鉴定意见。结果:根据《人体损伤程度鉴定标准》,24例钝器伤患者和11例高空坠落伤患者被鉴定为重伤一级3例、重伤二级6例、轻伤一级12例,不宜进行损伤程度鉴定只说明因果关系14例;根据《道路交通事故受伤人员伤残评定标准》,15例交通事故伤患者被鉴定为Ⅰ级伤残2例、Ⅱ级伤残3例、Ⅲ级伤残4例、Ⅳ级伤残2例、Ⅴ级伤残2例、Ⅵ级伤残1例、Ⅶ级伤残1例。结论:外伤性脑梗死的发生机制较为复杂,影像学检查能为外伤性脑梗死的临床诊断和法医学鉴定提供可靠依据。

Objectives： To study and discuss the mechanism of traumatic cerebral infarction and the main points of forensic appraisal. Methods： The clinical manifestations of 50 cases of traumatic cerebral infarction patients were observed, and according to the imaging examination results, the ideas of forensic appraisal were made. Results： According to The Appraisal Standard of Human Body Damage Degree, 24 cases of blunt trauma patients and 11 cases of high fall injury patients were appraised as 3 cases of first degree serious injury, 6 cases of second degree serious injury, 12 cases of first degree minor injury, and 14 cases which are unsuitable to identify the damage degree and only show causality; according to The Evaluation Standard of Road Traffic Accident Injury Disability, among the 15 cases of traffic accident trauma patients, 2 were appraised as grade I disability, 3 grade II injury, 4 grade III disability, 2 grade IV disability, 2 grade V disability, 1 grade VI disability, and 1 grade VII disability. Conclusion： the mechanism of traumatic cerebral infarction is comparatively complex, and imaging examination can provide a reliable basis for clinical diagnosis and forensic appraisal of traumatic cerebral infarction.