法医学杂志

法医学杂志 ›› 2010, Vol. 26 ›› Issue (4): 273-275.DOI: 10.3969/j.issn.1004-5619.2010.04.010

• 案例分析 • 上一篇    下一篇

道路交通事故致儿童颅脑损伤伤残评定204例分析

刘宽林，张先国，孔  斌，黄思兴   

  1. （成都市公安局 交通管理局，四川 成都 610036）
  • 发布日期:2010-08-25 出版日期:2010-08-28
  • 通讯作者: 通信作者：孔斌，男，副主任法医师，主要从事道路交通事故技术检验鉴定的研究；E－mail：cdsgkb@163.com
  • 作者简介:刘宽林（1979—），男，贵州兴仁人，主检法医师，主要从事道路交通事故技术检验鉴定的研究；E－mail：kuanlin_liu@ hotmail.com

Disability Evaluation of 204 Cases of Children with Brain Injury in Road Traffic Accidents

LIU KUAN-LIN, ZHANG XIAN-GUO, KONG BIN, HUANG SI-XING   

  1. （Traffic Administration Bureau, Chengdu Public Security Bureau, Chengdu 610072, China）
  • Online:2010-08-25 Published:2010-08-28

被引次数

5

摘要： 目的 研究道路交通事故致儿童颅脑损伤的类型、特点、主要并发症及其受伤人员伤残评定的特点。 方法 对204例车祸致儿童颅脑损伤的伤残评定资料按伤者受伤的不同部位、有无并发症、并发症的类型及伤残程度进行统计分析。 结果 单纯弥散性原发性脑损伤64例，单纯局灶性原发性脑损伤80例，全面性继发性脑损伤24例，局部性继发性脑损伤36例。主要并发症为外伤性癫痫14例（6.9%）、外伤性脑梗死9例（4.4%）、外伤性脑积水7例（3.4%）、外伤性精神障碍5例（2.5%）。 结论 道路交通事故致儿童颅脑损伤，以单纯原发性颅脑损伤多见，容易并发外伤性癫痫及外伤性脑梗死。对涉及儿童颅脑损伤的伤残评定应适当放宽标准，伤残评定标准应增加专门针对儿童的条款。

关键词: 法医学, 事故,交通, 颅脑损伤, 儿童, 伤残评定

Abstract: Objective To study the types, characteristics and common complications as well as disability assessment for the children with craniocerebral injury in the road traffic accidents. Methods Data from 204 cases of children with cranio-injury in road traffic accidents were collected and were statistically analyzed according to the location injured, complication, the type of complication and the severity of disability． Results There were 64 cases of simple diffuse primary craniocerebral injury, 80 cases of simple local primary cranio-injury, 24 cases of diffuse secondary craniocerebral injury and 36 cases of local secondary cranio-injury. The main complications included traumatic epilepsy（14, 6.9％）, traumatic cerebral infarction（9, 4.4％）, traumatic hydrocephalus（7, 3.4％） and traumatic mental disorder（5, 2.5％）. Conclusion Among the children with cranio-injury due to road traffic accidents, simple primary cranio-injury was the most common result, whereas the traumatic epilepsy and traumatic cerebral infarction were the major types of complications. The assessment criteria for body impairment of the children with craniocerebral injury in the road traffic accidents should be broadened accordingly, with addition of certain specific items for children.

Key words: forensic medicine, accidents, traffic, craniocerebral trauma, child, assessment for body impairment

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