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目的:研究分析重型颅脑损伤致死患者的法医学病理资料,为临床鉴定提供参考。方法:收集了81例鉴定为重型颅脑损伤致死患者的案例资料,从致死类型、存活时间、致死原因等方面进行分析研究。结果:重型颅脑损伤致死患者主要致死成因有原发性颅脑损伤、继发性脑干损伤和并发症,原发性颅脑损伤致死者34例(42.0%),继发性脑干损伤者3例(3.7%),并发症者2例(2.5%),原发性颅脑损伤合并继发性脑干损伤者24例(29.6%),原发性颅脑损伤合并并发症者4例(4.9%),原发性颅脑损伤合并继发性脑干损伤及并发症者14例(17.3%),且随着存活时间的延长,致死原因越多样。结论:对重型颅脑损伤致死患者的临床法医学病理鉴定应该结合死亡事件、临床资料、病理检查等各方面因素综合分析,以得到更为准确的鉴定结果。
Objective: To study the forensic pathology data of patients with fatal craniocerebral injury and provide reference for clinical identification. Methods: A total of 81 cases of patients with severe craniocerebral injury were collected and analyzed from the aspects of lethal type, survival time and cause of death. Results: The main causes of death in patients with severe craniocerebral injury were primary craniocerebral injury, secondary brain stem injury and complications, 34 cases (42.0%) of them died of primary craniocerebral injury, secondary brain stem injury (3.7%), 2 cases (2.5%) of complications, 24 cases (29.6%) of primary craniocerebral injury combined with secondary brain stem injury, and 4 cases of primary craniocerebral injury complicated with complications Cases (4.9%), primary craniocerebral injury combined with secondary brain stem injury and complications in 14 cases (17.3%), and with the survival time, the more the cause of death. Conclusion: The pathological identification of clinical patients should be combined with the death events, clinical data, pathological examination and other factors in order to obtain more accurate identification results.