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法医实践中挥鞭样损伤相关疾病的鉴定。第二部分——损伤的客观化

Verification of whiplash-associated disorders in forensic medical practice. Part II--Objectivization of injuries.

作者信息

Teresiński Grzegorz

出版信息

Arch Med Sadowej Kryminol. 2013 Jul-Sep;63(3):182-93, 172-81.

Abstract

In clinical practice, cervical spine distortion or whiplash-associated disorders (WADs) are diagnosed exclusively on the basis of subjective complaints presented by the patients and by information that they were involved in traffic collisions. Therefore, from the forensic point of view, it is essential to verify all diagnosed WADs in the context of an extremely important and already proven mental component of the reported complaints and lack of objective changes in imaging examinations. The study presents suggestions regarding objectivization of acute episodes of cervical spine distortion in traffic accident victims based on medical criteria and accident circumstances. The knowledge of technical aspects of the circumstances of WADs facilitates medical evaluation of their consequences; moreover, the use of combined criteria allows for the assessment of probability of WADs in a particular traffic accident victim.

摘要

在临床实践中,颈椎扭曲或挥鞭样损伤相关疾病(WADs)完全是根据患者提出的主观主诉以及他们曾遭遇交通事故这一信息来诊断的。因此,从法医学角度来看,在已证实的所报告主诉中极其重要的心理因素以及影像学检查缺乏客观变化的背景下,核实所有诊断出的WADs至关重要。该研究基于医学标准和事故情况,提出了关于交通事故受害者颈椎扭曲急性发作客观化的建议。了解WADs情况的技术方面有助于对其后果进行医学评估;此外,使用综合标准能够评估特定交通事故受害者发生WADs的可能性。

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