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本文总结分析100例重度颅脑损伤的尸检资料。年龄最小4个月,最长者71岁,男性70例,女性30例。颅脑损伤成因以钝器伤、高坠伤、跌伤及交通事故为多。头皮损伤占83%,头皮无明显损伤但有颅脑损伤者占17%。颅骨骨折占71%,以线状骨折为多(45%),粉碎骨折次之(22.53%),颅骨骨折常合并颅内出血。两者并存者69例,占颅内出血70.41%,有颅内出血无颅骨骨折29例,占29.59%,略高于文献报告。硬膜外出血(EDH)占35%,冲击部占88.57%,对冲部占20%。硬膜下出血(SDH)占40%,冲击部占85%,对冲部占25%。蛛网膜下腔出血占87%。髓内出血86%,合并EDH占33.72%,合并SDH占36.05%,EDH、SDH和髓内出血者同时发生占8.26%。脑室出血占12%。脑挫伤裂伤占64%,有冲击伤和对冲伤占46.88%,有冲击伤无对冲伤占28.12%,无冲击伤有对冲伤占25%。脑疝:小脑扁桃体疝占67%,海马钩回疝占60%,略高于文献报告,结合本文资料,对病理特点及法医鉴定中应注意问题略加讨论。
This paper summarizes the 100 cases of severe head injury autopsy data. The youngest four months, the longest 71-year-old, 70 males and 30 females. Causes of craniocerebral injury with blunt, high fall, falls and traffic accidents and more. Scalp injury accounted for 83%, no significant damage to the scalp but head injury accounted for 17%. Skull fractures accounted for 71%, with linear fractures as much (45%), comminuted fractures (22.53%), skull fractures often associated with intracranial hemorrhage. The coexistence of the two 69 cases, accounting for 70.41% of intracranial hemorrhage, intracranial hemorrhage without skull fracture in 29 cases, accounting for 29.59%, slightly higher than the literature. Epidural hemorrhage (EDH) accounted for 35% of the impact of the Ministry accounted for 88.57%, hedging accounted for 20%. Subdural hemorrhage (SDH) accounts for 40%, impact department accounts for 85%, hedge department accounts for 25%. Subarachnoid hemorrhage accounted for 87%. Intramedullary hemorrhage 86%, combined EDH accounted for 33.72%, combined SDH accounted for 36.05%, EDH, SDH and intramedullary hemorrhage occurred simultaneously accounted for 8.26%. Ventricular hemorrhage accounted for 12%. Brain contusion and laceration accounted for 64%, with impact and hedge accounted for 46.88%, with impact injury without hedge injury accounted for 28.12%, non-impact injury hedge injury accounted for 25%. Hernia: cerebellar tonsillar hernia accounted for 67%, hippocampus hernia hernia 60%, slightly higher than the literature, combined with the information in this paper, the pathological features and forensic identification should pay attention to a little discussion.