法医学杂志

法医学杂志 ›› 2011, Vol. 27 ›› Issue (4): 277-278.DOI: 10.3969/j.issn.1004-5619.2011.04.010

• 案例分析 • 上一篇    下一篇

外伤性黄斑裂孔法医学鉴定16例分析

徐晓明，郑传斐，刘兴本，刘技辉   

  1. （中国医科大学 法医学院法医临床教研室，辽宁 沈阳 110001）
  • 发布日期:2011-08-25 出版日期:2011-08-28
  • 作者简介:徐晓明（1977—），男，辽宁海城人，讲师，主要从事法医临床学教学、科研及鉴定工作；E-mail：cmuxxm@163.com

Analysis of Forensic Identification of Traumatic Macular Hole in 16 Cases

XU XIAO-MING, ZHENG CHUAN-FEI, LIU XING-BEN, LIU JI-HUI   

  1. （Department of Clinical Forensic Medicine, School of Forensic Medicine, China Medical University, Shenyang 110001, China）
  • Online:2011-08-25 Published:2011-08-28

摘要： 目的 分析总结外伤性黄斑裂孔的特点，探讨法医学鉴定的要点及注意事项。 方法 对2004—2009年在中国医科大学法医司法鉴定中心鉴定的16例外伤性黄斑裂孔案例进行回顾性分析。 结果 16例外伤性黄斑裂孔均为闭合性眼球钝挫伤所致，以青年男性多见。裂孔可于伤后立即出现或间隔一段时间出现。伤后6个月，2例黄斑裂孔自发性闭合，12例伤者视力有不同程度的恢复。根据视力障碍程度，12例鉴定为轻伤，4例为重伤。 结论 外伤性黄斑裂孔具有一定的特征性，其损伤程度为轻伤或重伤，鉴定时限应掌握在3～6个月。

关键词: 法医学, 创伤和损伤, 视网膜穿孔

Abstract: Objective To analyze and summarize the characteristics of traumatic macular hole and to discuss the key points and matters need attention in forensic identification. Methods Sixteen cases of traumatic macular hole were collected from Forensic Science Identification Center of China Medical University from 2004 to 2009 and analyzed. Results All of the 16 cases resulted from closed ocular contusion. Traumatic macular hole was more common in young men and may occur immediately after injury or after a certain interval. Six months after injury, there was a spontaneous closure of macular hole in 2 cases and the vision of the injured in 12 cases improved to different degrees. According to the degree of vision dysfunction, 12 cases were identified as slight injury, 4 cases were identified as severe injury. Conclusion Traumatic macular hole has its characteristics. Its injury degree is all slight or severe injury. The time of identification should be within 3-6 months.

Key words: forensic medicine, wounds and injuries, retinal perforations

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