斯里兰卡一家三级护理医院接收的工伤法医检查的法医学报告分析

An Analysis of Medicolegal Reporting in Workman Injuries Referred for Medicolegal Examination in a Tertiary Care Hospital of Sri Lanka.

作者信息

Kitulwatte I D G, Edirisinghe P A S

机构信息

Department of Forensic Medicine, Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka.

出版信息

Indian J Occup Environ Med. 2020 May-Aug;24(2):55-59. doi: 10.4103/ijoem.IJOEM_81_20. Epub 2020 Aug 19.

DOI:10.4103/ijoem.IJOEM_81_20

PMID:33281372

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7703824/

Abstract

INTRODUCTION

A reasonable number of workman injuries are reported for medicolegal examination every year. In addition to report on the degree of severity and consistency of the injuries with the historical evidence, the medical officers are expected to opine on degree of disability as well. However, routine Medicolegal Examination Form or Report used in Sri Lanka to report these cases does not carry a section for disability or impairment.

OBJECTIVE

To gain an insight into the pathology of workplace injuries and to evaluate the role of medicolegal examination and reporting among the victims presented with injuries at work.

METHODS

A retrospective descriptive study was carried out on workmen who were referred for medicolegal examination during a period of 5 years in a Tertiary Care Hospital in the Western Province of Sri Lanka.

RESULTS

Out of 172 subjects who got injured at work, none had claimed for a report of compensation. 47% (81) of the injured workers were in the age group of 19-30 years. 81% (139) were males. Factory workers were the most vulnerable workers (34%) followed by drivers (15%). A majority 39% (67) of injuries were located on upper limbs. 52% (90) of the victims had grievous injuries. However, a majority 61% (105) had no permanent disability.

CONCLUSIONS

Disability is not a direct reflection of the category of hurt. Therefore, testifying on routine medicolegal reports on cases of workman compensation will not serve justice to the patient.

摘要

引言

每年都有相当数量的工人受伤案例被提交进行法医学检查。除了报告损伤的严重程度以及损伤与病史证据的一致性外，医务人员还需对残疾程度发表意见。然而，斯里兰卡用于报告这些案例的常规法医学检查表或报告中并没有残疾或损伤情况的相关部分。

目的

深入了解工伤的病理学情况，并评估法医学检查及报告在工伤受害者中的作用。

方法

对斯里兰卡西部省一家三级护理医院5年内被转介进行法医学检查的工人进行了一项回顾性描述性研究。

结果

在172名工作中受伤的受试者中，无人申请赔偿报告。47%（81人）的受伤工人年龄在19至30岁之间。81%（139人）为男性。工厂工人是最易受伤的群体（34%），其次是司机（15%）。大部分损伤（39%，67例）位于上肢。52%（90人）的受害者受重伤。然而，大部分（61%，105人）没有永久性残疾。