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法医实践中挥鞭样损伤相关病症的鉴定。第一部分——损伤情况及生物力学评估

Verification of whiplash-associated disorders in forensic medical practice. part I--assessment of the injury circumstances and biomechanics.

作者信息

Teresiński Grzegorz

机构信息

Chair and Department of Forensic Medicine, Medical University, Lublin.

出版信息

Arch Med Sadowej Kryminol. 2013 Apr-Jun;63(2):79-92, 69-78.

Abstract

For many years, researchers involved in automotive industry and forensic medicine, as well as insurance companies have shown great interest in the issues of etiology and prevention of cervical spine distortion. The etiopathogenesis of whiplash-associated disorders (WADs) remains controversial and its morphological determinants have not been explicitly determined to date. The subjective nature of complaints causes great difficulties in objective assessment of the consequences of acceleration-deceleration injuries and in verification of compensation claims. The objective of the study was to present biomechanical relationships and circumstances accompanying WADs using population-based studies, statistical data of insurance companies and analysis of recordings of event data recorders installed by vehicle producers. The knowledge of technical aspects of WAD circumstances should facilitate medical assessment of the above-mentioned consequences.

摘要

多年来,汽车行业和法医学领域的研究人员以及保险公司一直对颈椎扭曲的病因及预防问题表现出极大兴趣。挥鞭样损伤相关疾病(WADs)的病因发病机制仍存在争议,其形态学决定因素至今尚未明确确定。主诉的主观性给客观评估加速-减速损伤的后果以及核实赔偿要求带来了极大困难。本研究的目的是通过基于人群的研究、保险公司的统计数据以及对车辆生产商安装的事件数据记录器的记录分析,呈现伴随WADs的生物力学关系及情况。了解WADs情况的技术方面应有助于对上述后果进行医学评估。

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