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[颧眶复合体骨折并发眼科疾病时对健康损害严重程度的法医医学评估]

[Forensic medical evaluation of the severity of harm to the health in the cases of a fracture of the zygomaticoorbital complex complicated by ophthalmological disorders].

作者信息

Klevno V A, Grigor'eva E N

出版信息

Sud Med Ekspert. 2011 May-Jun;54(3):13-8.

Abstract

Expert reports of the cases of a fracture of the zygomaticoorbital complex are presented along with their comprehensive assessment based on the available investigative, clinical, and anamnestic data. The analysis included 71 patients, materials of forensic medical examination and other medical documentation, civil, criminal, and administrative proceedings. It was shown that forensic medical evaluation of the severity of harm to the health in the cases of a fracture of the zygomaticoorbital complex including those complicated by ophthalmological disorders is possible both in terms of the total duration of health impairment and in terms of the persistent loss of ability to work (on a percentage base). It is concluded that the degree of harm to the health in the cases of a fracture of the zygomaticoorbital complex complicated by ophthalmological disorders can be categorized as mild, moderate, and severe depending on the total duration of health impairment and percentage loss of ability to work. In case of irreparable facial disfigurement, the moderate harm to the health can be re-evaluated by the court as a severe one.

摘要

本文呈现了颧眶复合体骨折病例的专家报告,并根据现有的调查、临床和记忆数据对其进行了综合评估。分析纳入了71名患者、法医检查材料及其他医疗文件、民事、刑事和行政诉讼程序。结果表明,对于颧眶复合体骨折病例,包括那些并发眼科疾病的病例,从健康损害的总持续时间和工作能力的持续丧失(以百分比为基础)两方面对健康损害的严重程度进行法医评估是可行的。得出的结论是,并发眼科疾病的颧眶复合体骨折病例中,根据健康损害的总持续时间和工作能力丧失的百分比,健康损害程度可分为轻度、中度和重度。若存在无法修复的面部毁容,法院可将中度健康损害重新评估为重度。

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