法医学杂志

法医学杂志 ›› 2011, Vol. 27 ›› Issue (5): 358-360,364.DOI: 10.3969/j.issn.1004-5619.2011.05.011

• 案例分析 • 上一篇    下一篇

腹部穿透伤剖腹探查57例法医学鉴定分析

余延和1，彭  辉1，陈燕青2，张玲芬2，彭  斌2   

  1. （1. 古田县公安局 刑侦大队，福建 古田 352200； 2. 古田县医院，福建 古田 352200）
  • 发布日期:2011-10-25 出版日期:2011-10-28
  • 作者简介:余延和（1974—），男，福建古田人，主检法医师，主要从事法医临床学和法医病理学鉴定；E－mail：yyh67666@163.com

Analysis of 57 Abdominal Penetrating Injury Cases with Exploratory Laparotomy

YU YAN-HE1, PENG HUI1, CHEN YAN-QING2, ZHANG LING-FEN2, PENG BIN2   

  1. （1. Public Security Bureau of Gutian County, Gutian 352200, China; 2. Hospital of Gutian County, Gutian 352200, China）
  • Online:2011-10-25 Published:2011-10-28

被引次数

2

摘要： 目的 探讨经临床行剖腹探查术的腹部穿透伤的损伤特征，归纳其损伤程度的鉴定要点，为法医临床学鉴定实践及修改相关鉴定标准提供科学、合理的参考依据。 方法 对笔者于1990年7月—2011年2月受理的57例腹部穿透伤后行剖腹探查术的损伤案例，根据致伤物、腹腔积血、器官损伤、鉴定结论等方面进行分析总结。 结果 对于腹部穿透伤行剖腹探查术者，腹腔器官损伤类型和腹腔积血量与人体损伤程度之间有一定的相关性。 结论 腹部穿透伤者剖腹探查所见的腹腔内损伤情况对轻重伤鉴定结果有重要影响，在此类损伤的鉴定实践和标准修订时应予以考虑。

关键词: 法医学, 腹部损伤, 穿透性, 案例分析

Abstract: Objective To explore the characteristics of abdominal penetrating injuries with exploratory laparotomy, as well as to summarize the key points of injury degree, and to supply reasonable reference for the practice and criterion modification in forensic clinical medicine identification. Methods Fifty-seven cases which were all abdominal penetrating injuries with exploratory laparotomy from July 1990 to February 2011 were retrospectively analyzed including the instrument causing trauma, amount of the hemoperitoneum, the organs of the injury, conclusion of the forensic indentification, and so on. Results There was some correlation between the organ injury patterns, volume of hemoperitoneum and identification conclusion for the abdominal penetrating injury cases with exploratory laparotomy. Conclusion The intra-abdominal injury has important effect for the injury degree of the abdominal penetrating injury cases with exploratory laparotomy and should be considered in the practice and criterion modification of these kinds of cases.

Key words: forensic medicine, abdominal injuries, penetrating, cases analysis

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