摘要
摇晃婴儿综合征是常见的虐待性颅脑损伤,其病理表现为三联征:脑实质病变、硬脑膜下出血、视网膜出血。虽然摇晃婴儿综合征被广泛运用于医学及法律领域,但是由于目前尚无直接证据证实成人摇晃儿童能造成严重脑损伤甚至死亡的后果,因此摇晃婴儿综合征存在学术争议。争议内容包括摇晃婴儿综合征的生物力学机制、病理生理机制等方面。由于某些疾病也能导致病理三联征,因此在诊断摇晃婴儿综合征过程中,应当注意外伤史、案情调查等。
Shaken baby syndrome is a common abusive head trauma.It is pathologically characterized by the triad of encephalopathy,subdural haemorrhage(SDH)and retinal haemorrhage(RH).Although shaken baby syndrome is widely used in medical and legal fields,there is no direct evidence to prove that adult shaking children can cause serious brain damage,even death.Therefore,shaken baby syndrome is controversial academically.The content of the controvercy includes biomechanical mechanism and pathophysiological mechanism.Because some diseases can also cause a pathological triad,attention should be paid to trauma history,case investigation and other aspects in the diagnosis of shaken baby syndrome.
作者
丁杨
鲁琴
Ding Yang;Lu Qin(Institute of Criminal Science and Technology,Pudong Branch of Shanghai Public Security Bureau,Shanghai 220135,China)
出处
《中国法医学杂志》
CSCD
2020年第1期69-72,共4页
Chinese Journal of Forensic Medicine
关键词
摇晃婴儿综合征
争议
生物力学机制
病理三联征
Shaken baby syndrome
Controversy
Biomechanical mechanism
Pathological triad
