论文部分内容阅读
目的:探究外伤性脑梗死法医临床学鉴定的方法要点。方法:从2013年6月-2015年5月我科室接收并鉴定的外伤性脑梗死患者中抽取230例进行回顾分析、230例患者均行CT扫描检查,分析患者外伤性脑梗死一次检出率和发生部位情况。结果:230例外伤性脑梗死患者中一次检出共43例,一次检出率为18.69%,相比二次检出率,明显较低:P<0.05);230例外伤性脑梗死患者中,大脑基底节-内囊区63例(27.39%);大脑前动脉供血支配区52例(22.61%);大脑中动脉供血支配区45例(19.57%);大脑后动脉供血支配区31例(13.48%);颞叶皮层18例(7.82%);额叶皮层11例(4.78%);顶叶皮层6例(2.61%);豆纹动脉X丘脑动脉4例(1.74%),组间比较有明显差异。(P<0.05)。结论:外伤性脑梗死法医临床学鉴定的一次检出率较低,外伤性脑梗死的临床结果与脑梗死的发生部位密切相关,好发于大脑基底节-内囊区、大脑动脉供血支配区以及各皮层部位,值得临床重视。
Objective: To explore the main points of clinical identification of forensic traumatic cerebral infarction. Methods: From June 2013 to May 2015, 230 cases of traumatic cerebral infarction received and identified by our department were retrospectively analyzed. All 230 patients underwent CT scan to analyze the primary detection rate of traumatic cerebral infarction And the site of the situation. Results: Of the 230 traumatic cerebral infarction patients, a total of 43 cases were detected at one time, with a detection rate of 18.69%, which was significantly lower than that of the secondary detection rate (P <0.05). In 230 patients with traumatic cerebral infarction , Brain basal ganglia - internal capsule in 63 cases (27.39%); anterior cerebral artery blood supply control area in 52 cases (22.61%); middle cerebral artery control area in 45 cases (19.57%); posterior cerebral artery blood supply control area in 31 cases 13.48%). There were 18 cases of temporal cortex (7.82%), 11 cases of frontal cortex (4.78%), 6 cases of parietal cortex (2.61%), 4 cases There are obvious differences. (P <0.05). Conclusion: The detection rate of forensic traumatic cerebral infarction is low. The clinical result of traumatic cerebral infarction is closely related to the occurrence of cerebral infarction. It occurs in the basal ganglia - As well as the cortical parts, it is worth clinical attention.