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目的:研究颅脑损伤致精神障碍的流行病学特点和损伤特征。方法:应用统计学方法对2011年~2012年颅脑损伤致精神障碍408例法医临床鉴定案例进行系统性分析研究。结果:本组408例颅脑损伤致精神障碍的案例,其中伤情鉴定198例,伤残评定148例,精神病鉴定62例。受伤人群的流行病学特点为:男性多,青壮年多,工人和农民多,小学及初中文化程度所占比例较大,少数民族占18.87%;因交通事故损伤295例(72.3%);合并身体其他部位损伤的占多数,额颞叶损伤为多见,精神障碍类型以智能损害综合征和脑外伤综合征为最多。结论:颅脑损伤致精神障碍人群以男性、中青年、农民为主,文化程度偏低,少数民族占一定比例。因交通事故损伤多,且行人多;伤情以重伤为主,伤残程度以轻度伤残为主,智能损伤多见。伤情鉴定应考虑相关因素,具体案例具体分析。
Objective: To study the epidemiological characteristics and injury characteristics of mental disorders caused by brain injury. Methods: Statistical analysis was conducted on 408 cases of forensic clinical diagnosis of mental disorders caused by craniocerebral injury in 2011-2012. Results: The group of 408 cases of brain injury caused by mental disorders, including injury identification 198 cases, 148 cases of disability assessment, mental illness identified 62 cases. The epidemiological characteristics of the injured population were as follows: more males, more young adults, more laborers and peasants, a larger proportion of primary and junior high school education, ethnic minorities accounting for 18.87%, injuries caused by traffic accidents by 295 cases (72.3%), mergers Other parts of the body damage the majority of forehead and temporal lobe damage is more common, type of mental disorders to intelligent damage syndrome and traumatic brain injury syndrome is the most. Conclusion: The mental disorders caused by craniocerebral injury are mainly male, middle-aged and young peasants with low educational level and ethnic minorities account for a certain proportion. More injuries due to traffic accidents, and more pedestrians; injury to a serious injury, the degree of disability to mild disability-based, more common intelligent injury. Injury identification should consider the relevant factors, the specific case of specific analysis.