闭合性颅脑损伤的临床诊断与法医鉴定的结论差异研究

Difference between Clinical Diagnosis and Forensic Identification of Closed Craniocerebral Injury

目的探究闭合性颅脑损伤患者应用临床诊断与法医鉴定的结论差异。方法本次研究的分析对象是我司法鉴定中心鉴定的127例闭合性颅脑损伤患者,且通过纳入标准均判定为闭合性颅脑损伤患者,并对抽取的闭合性颅脑损伤患者按照诊断方式不同分为对照组与研究组,研究组采用法医鉴定,对照组选择临床诊断,分析不同方法对诊断结果的影响。结果对抽取的127例闭合性颅脑损伤患者采用临床诊断与法医鉴定诊断的结果进行对照,结果显示,临床诊断中对蛛网膜下腔出血、脑挫裂伤、颅内血肿、脑外伤后综合征等诊断结果存在明显性差异(P<0.05),存在多处不吻合。结论针对闭合性颅脑损伤患者通过临床诊断存在诸多影响因素,包括社会因素和人为因素等,诊断结果对照法医鉴定存在明显性差异,法医鉴定结果更准确,临床诊断需要及时进行检查并提高综合诊断水平。

Objective To explore the differences between clinical diagnosis and forensic identification in patients with closed craniocerebral injury. Methods The subjects of this study were 127 patients with closed craniocerebral trauma identified by the Center for Forensic Experts, and diagnosed according to the patients with closed craniocerebral injury. The methods were divided into control group and study group. The study group used forensic identification, and the control group selected clinical diagnosis. The effects of different methods on the diagnosis were analyzed. Results The results of clinical diagnosis and forensic diagnosis of 127 patients with closed craniocerebral injury were compared. The results showed that the clinical diagnosis of subarachnoid hemorrhage, brain contusion, intracranial hematoma, brain trauma Syndrome and other diagnostic results were significantly different （P〈0.05）, there are many unsatisfied. Conclusion There are many influencing factors in clinical diagnosis of patients with closed brain injury, including social factors and human factors, the forensic identification resuhs are more accurate, clinical diagnosis needs to be checked in time and improve comprehensiveness. Diagnostic level.