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[颅面部创伤的法医鉴定]

[The forensic-medical expertise in craniofacial trauma].

作者信息

Solokhin E V

出版信息

Sud Med Ekspert. 2004 Nov-Dec;47(6):14-8.

Abstract

Archive materials of the recent 6 years, including 14720 death cases of victims, were analyzed for the purpose of detecting the general regularities of injuries within the craniofacial trauma (CFT). The diversity of CFT with injuries to skull bones and medullary substance was found not to interfere with establishing an actual type and mechanism of trauma provided all injuries are thoroughly and comprehensively examined. The trauma specificity must be evaluated with respect to a location and direction of traumatic force in order to define an actual impact that caused death. CFT is special variation of craniocerebral trauma, whose onset mechanism needs more research. The efficiency of forensic-medical examination of CFT cadavers directly depends on the coordination and logic of measure undertaken by expert as well as on his technical outfit and knowledge of such trauma. The diversity of variations of damage to anatomic head structures requires an interdisciplinary approach with the need to isolate a predominant chain that affects the course and outcome of trauma.

摘要

为了探寻颅面部创伤(CFT)损伤的一般规律,对近6年的档案资料进行了分析,其中包括14720例受害者死亡案例。研究发现,只要对所有损伤进行全面、彻底的检查,颅骨和骨髓组织损伤的颅面部创伤多样性并不影响确定实际的创伤类型和机制。必须根据创伤力的位置和方向来评估创伤的特异性,以便确定导致死亡的实际冲击力。颅面部创伤是颅脑创伤的一种特殊变体,其发病机制需要更多研究。对颅面部创伤尸体进行法医检查的效率直接取决于专家所采取措施的协调性和逻辑性,以及其技术装备和对此类创伤的了解。解剖头部结构损伤变化的多样性需要采用跨学科方法,需要找出影响创伤过程和结果的主要环节。

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