法医学杂志

法医学杂志 ›› 2014, Vol. 30 ›› Issue (5): 357-359.DOI: 10.3969/j.issn.1004-5619.2014.05.011

• 案例分析 • 上一篇    下一篇

单纯性眶壁骨折法医学鉴定130例分析

黄  巍1，朱承仁2，黄  洪3，陶梅水1   

  1. （1. 南昌市公安局红谷滩分局，江西 南昌 330038； 2. 江西省公安厅，江西 南昌 330006； 3. 南昌市公安局青山湖分局，江西 南昌 330039）
  • 发布日期:2014-10-25 出版日期:2014-10-28
  • 作者简介:黄巍（1981—），男，江西南昌人，硕士，主检法医师，主要从事法医临床学和法医病理学研究及鉴定；E-mail：39193206@qq.com

Analysis of 130 Forensic Expertise Cases of Simple Orbital Fracture

HUANG WEI1, ZHU CHENG-REN2, HUANG HONG3, TAO MEI-SHUI1   

  1. （1. Honggutan Branch of Nanchang Public Security Bureau, Nanchang 330038, China; 2. Public Security Department of Jiangxi Province, Nanchang 330006, China; 3. Qingshanhu Branch of Nanchang Public Security Bureau, Nanchang 330039, China）
  • Online:2014-10-25 Published:2014-10-28

被引次数

5

摘要： 目的 分析眶壁骨折的损伤特点，探讨眶壁骨折的法医学鉴定要点。 方法 收集2010—2012年在某市公安局涉及单纯性眶壁骨折的130例案件进行回顾性分析，主要包括年龄、性别、致伤物、眶壁骨折的部位和形态、眶内及眶周的复合性损伤以及伤后6个月回访等。 结果 130例案例中，青壮年男性伤者比例较高，主要为拳头击打，单纯性眶内侧壁骨折的比例最高（81.5%），眶内及眶周复合性损伤致眼睑挫伤（挫裂创）和筛窦（上颌窦）积血最为常见，6个月回访发现眶壁粉碎性骨折30例伤侧眼较健侧眼球略有凹陷。 结论 单纯性眶内侧壁骨折不宜评定轻伤，应待伤情稳定后再予以评定，全面详细的眼科检验是单纯性眶壁骨折鉴定的必要前提。

关键词: 法医学, 眶骨折, 案例分析

Abstract: Objective To analyze the features of orbital fracture and to discuss its forensic expertise points. Methods One hundred and thirty cases of simple orbital fracture from 2010 to 2012 collected from one public security bureau were retrospectively analyzed such as age, gender, tools, position and morphology of the fracture, periorbital and orbital compound injury and the follow-up results after 6 months. Results In the 130 cases, the wounded were mainly young men and hit by fist. The fracture of simple medial orbital wall accounted for up to 81.5% in all cases. In the periorbital and orbital compound injury, laceration and contusion of eyelid and ethmoidal cellules and maxillary sinus always occurred. After 6 months follow-up, there were 30 cases of comminuted fracture remained enophthalmos compared with the uninjured side. Conclusion It is inappropriate to judge the fracture of simple medial orbital wall as minor injury. We should judge the degree of simple orbital fracture after the injury is stable. Detailed ophthalmology inspection is necessary for forensic expertise of simple orbital fracture.

Key words: forensic medicine, orbital fractures, cases analysis

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