法医学杂志

法医学杂志 ›› 2007, Vol. 0 ›› Issue (4): 295-298.

• 论文 • 上一篇    下一篇

臂丛神经主要分支损伤法医学鉴定66例分析

吕红;胡斌暐;黄莉娜;李棨;   

  1. 上海市刑事科学技术研究所,上海市刑事科学技术研究所,上海市刑事科学技术研究所,上海市刑事科学技术研究所 上海200083,上海200083,上海200083,上海200083
  • 发布日期:2007-08-25 出版日期:2007-08-28

Forensic Analysis on Injuries Involving Main Branches of Brachial Plexus in 66 Cases

LU HONG,HU BIN-WEI,HUANG LI-NA,LI QI(SHANGHAI CRIMINAL SCIENCE AND TECHNOLOGY INSTITUTE,SHANGHAI 200083,CHINA)   

  • Online:2007-08-25 Published:2007-08-28

被引次数

5

摘要： 目的探讨臂丛神经主要分支损伤的法医学鉴定。方法取自本室2003年1月至2005年12月共66例84条臂丛神经主要分支损伤的案例进行统计分析。结果被鉴定人中男性青壮年占较大比例;锐器伤引起神经损伤居多达94%;神经损伤伴有骨折的占34%,其中50%尺神经损伤伴尺骨骨折;曾行肌电图检查的为34条神经,占40%,其中有15条临床未确诊为神经损伤。结论臂丛神经主要分支损伤的法医学鉴定,关键看影响肢体运动功能的后果,鉴定时机宜术后20天+L(神经断端远侧的长度)/R(生长速度)+90天。

关键词: 臂丛神经主要分支, 肌电图, 损伤程度

Abstract: Objective To study injuries involving brachial plexus and its branches.Methods 66 cases collected from 2003 to 2005 in our department were analyzed statistically.Results 94% of injuries involved young adult males;94% were blunt force injuries;34% involved both nerve and bone mainly involving ulnar nerve and ulnar bone(50%);40% of the injured nerves received electromyogram and 15 nerves were diagnosed with injuries clinically.Conclusion Forensic determination on severity of brachial plexus injuries mainly depends on movement recovery of limb.The best time for forensic appraisal is 20 d post operation+L(length of nerve severed distally)/R(growth rate)+90 d.

Key words: main branch of brachial plexus, electromyogram, injury degree