法医学杂志 ›› 2008, Vol. 0 ›› Issue (2): 138-142.

• 论文 • 上一篇    下一篇

关节活动丧失度测算方法的统一和完善

汪家文;于晓军;黄鹏华;   

  1. 汕头大学医学院法医学教研室;
  • 发布日期:2008-04-25 出版日期:2008-04-28

Unifying the Scaling Method of the Loss Degree of Joint Motion

WANG JIA-WEN,YU XIAO-JUN,HUANG PENG-HUA(DEPARTMENT OF FORENSIC MEDICINE,MEDICAL COLLEGE OF SHANTOU UNIVERSITY,SHANTOU 515041,CHINA)   

  • Online:2008-04-25 Published:2008-04-28

摘要: 法医临床学鉴定中,涉及计算关节活动丧失度的案例很普遍,但目前尚无统一的标准和规范,一定程度上造成了鉴定结论的混乱,影响了法律和司法鉴定的公平公正。通过实际案例比较临床医学和法医学文献中记载的关节活动功能丧失程度计算的四种方法:主从法、加和法、方向均分法和轴向均分法发现其各有优缺点,现提出法医学鉴定应用技术的公平公正、科学客观和简便易行三原则,建议尽快达成业内共识,采用统一规范的轴向均分法为计算关节活动丧失程度方法,以期避免这方面的弊端。

关键词: 法医临床学, 关节活动度, 测算方法

Abstract: The scaling method of the loss degree of joint motion is very common in clinical forensic medicine.However,there is no uniform criterion until now.Therefore,this had made a negative effect to ensure the impartiality and justice in law and the identification.The advantages and disadvantages of the four methods recorded in literatures by practical case,which include major and minor methods,additional methods,directive average methods,axial directive average methods,were discussed and compared.Now three basic critics about how to choosing the applicable technique in forensic medicine were supposed according to the impartiality and justice principle,scientific and objective principle,simple and easy principle.It was hoped that we can reach a consensus in our legal-medical circumscription that all of us can choose the Axial Directive Average Methods as our standard for the loss degree of joint motion,to avoid the disadvantages of this aspect.

Key words: forensic clinical medicine, degree of motion of joints, scaling method