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目的 探讨骨折误诊漏诊的临床法医学特点 ,提高正确诊断 ,鉴定骨折的能力。 方法 收集 5 6例骨折误诊漏诊的案例 ,对骨折误诊漏诊的原因及特点进行回顾性研究。 结果 发现骨折误诊漏诊的主要原因是 :(1)对骨骼的正常解剖、变异不够熟悉 ;(2 )对骨的某些病理生理变化不认识 ;(3)拍片技术及检查方法不当 ;(4 )与诊断者业务素质有关 ;(5 )主观因素。 结论 熟悉骨折误诊漏诊的临床法医学特点 ,对于减少骨折鉴定中的误诊漏诊 ,提高骨折鉴定的准确性 ,具有重要的实际意义
Objective To investigate the clinical forensic features of misdiagnosis and missed diagnosis of fractures and to improve the ability of correct diagnosis and identification of fractures. Methods Fifty-six cases of misdiagnosis and missed diagnosis of fracture were collected, and the causes and characteristics of misdiagnosis and missed diagnosis of fracture were retrospectively studied. The results showed that misdiagnosis and missed diagnosis of fractures are mainly due to: (1) the normal anatomy and variation of bone is not familiar enough; (2) some pathophysiological changes of bone are not recognized; (3) the technique and inspection method of film are improper; (4) And diagnostic quality of the business related; (5) subjective factors. Conclusion It is of great practical significance to become familiar with the clinical forensic features of misdiagnosis and missed diagnosis of fractures in order to reduce misdiagnosis and misdiagnosis of fractures and to improve the accuracy of fractures identification