法医学杂志

法医学杂志 ›› 2016, Vol. 32 ›› Issue (6): 434-437.DOI: 10.3969/j.issn.1004-5619.2016.06.010

• 案例分析 • 上一篇    下一篇

椎弓崩裂与外伤伤病关系法医学鉴定26例分析

王立新1，朱光烈2，戚莉群1，盛银雅1   

  1. （1. 杭州求正司法鉴定所，浙江 杭州 311100； 2. 杭州市公安局余杭分局，浙江 杭州 311100）
  • 发布日期:2016-12-25 出版日期:2016-12-28
  • 作者简介:王立新（1967—），男，副主任法医师，主要从事法医临床学和法医病理学鉴定；E-mail：jsdj.288＠163.com

Analysis of the Injury-disease Relationship between Spondylolysis and Trauma in 26 Forensic Identifications

WANG LI-XIN1, ZHU GUANG-LIE2, QI LI-QUN1, SHENG YIN-YA1   

  1. （1. Hangzhou Qiuzheng Judicial Identification, Hangzhou 311100, China; 2. Yuhang Branch of Hangzhou City Public Security Bureau, Hangzhou 311100, China）
  • Online:2016-12-25 Published:2016-12-28

摘要： 目的 阐述椎弓崩裂与外伤之间伤病关系的法医学鉴定要点。 方法 收集26例椎弓崩裂案例，从年龄、伴随症状、治疗方式、致伤方式等方面讨论此类病例的特点。 结果 认定外伤与损伤后果之间存在一定因果关系的2例被鉴定人年龄均在50岁以下，致伤方式均为高能量损伤，且均伴有合并伤，2例患者均接受了手术治疗。 结论 应关注50岁以下中青年外伤后椎弓崩裂与外伤之间的伤病关系分析。对于选择手术治疗者，更需分析两者之间的伤病关系。

关键词: 法医学, 脊柱损伤, 外伤, 椎弓崩裂, 伤病关系

Abstract: Objective To expound the injury-disease relationship between spondylolysis and trauma for the points of forensic identification. Methods Total 26 cases of spondylolysis were collected and the characteristics of this disease such as age, accompanied symptoms, treatment and injury manner were discussed. Results The causal relationship existed between trauma and injury consequence in 2 appraised individuals and both of them aged less than 50 years old. The injury manners of both were high-energy injury with combined injury and these 2 patients were treated by operation. Conclusion The analysis of injury-disease relationship between spondylolysis and trauma should be paid attention in the middle-young age under 50 years old. More importantly, the injury-disease relationship should be analyzed in the patients who chose operative treatment.

Key words: forensic medicine, spinal injuries, trauma, spondylosis, injury-disease relationship

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