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[创伤性硬膜下血肿距离的定性组织学诊断]

[Qualitative histological diagnostics of the remoteness of traumatic subdural hematomas].

作者信息

Nedugov G V

出版信息

Sud Med Ekspert. 2011 Mar-Apr;54(2):19-22.

Abstract

The present histological study was based on the examination of dura mater, capsules, and contents of 200 subdural hematomas (SDH) obtained from the corpses of subjects with a non-penetrating craniocerebral injury within a period from 1 hour to 2.5 years after the trauma. A total of 14 well-reproducible qualitative morphological criteria have been identified for diagnostics of the prescription of subdural hematomas; the probability and the exact earliest and latest times of their manifestation at different dates of the posttraumatic period were calculated. Sensitivity, specificity, and prognostic value of the proposed qualitative morphological criteria for the prescription of traumatic subdural hematomas were evaluated. The results of the study can be used in the practical work of forensic medical experts.

摘要

本组织学研究基于对200例硬膜下血肿(SDH)的硬脑膜、包膜及内容物的检查,这些血肿取自创伤后1小时至2.5年期间非穿透性颅脑损伤患者的尸体。共确定了14个可重复的定性形态学标准用于诊断硬膜下血肿的病程;计算了它们在创伤后不同时期出现的概率以及确切的最早和最晚时间。评估了所提出的创伤性硬膜下血肿病程定性形态学标准的敏感性、特异性和预后价值。研究结果可用于法医专家的实际工作。

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