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[弥漫性轴索脑损伤病例中法医诊断和结论制定方面的专家错误]

[Expert errors in formulating a forensic diagnosis and conclusions in cases of diffuse axonal brain damage].

作者信息

Zorikov O V, Koludarov E M, Tuchik E S, Grin A A

机构信息

Russian Center of Forensic Medical Expertise, Moscow, Russia.

Pirogov Russian National Research Medical University, Moscow, Russia.

出版信息

Sud Med Ekspert. 2022;65(5):21-25. doi: 10.17116/sudmed20226505121.

Abstract

The study objective is to review expert errors in the wording of a post-mortem diagnosis and expert conclusions in cases of traumatic brain injury with diffuse axonal brain damage. We reviewed 50 corpse examinations of those who died from a traumatic brain injury with diffuse axonal brain damage. A retrospective analysis of the results of expert examinations, the structure of the post-mortem forensic diagnosis, and the validity of expert conclusions showed that expert errors were made in 30% of cases. In 93% of cases, the errors were epistemological due to the lack of a scientifically based methodological approach to the expert opinion on a particular mechanism for the development of traumatic brain injury with diffuse axonal brain damage; and lack of professional expertise. A case is provided demonstrating the most common expert errors in the examination of this type of traumatic brain injury.

摘要

本研究的目的是回顾在创伤性脑损伤伴弥漫性轴索损伤病例中,尸检诊断措辞和专家结论方面的专家错误。我们回顾了50例因创伤性脑损伤伴弥漫性轴索损伤死亡者的尸体检查。对专家检查结果、尸检法医诊断结构以及专家结论有效性的回顾性分析表明,30%的病例存在专家错误。在93%的病例中,这些错误是认识论上的,原因是缺乏基于科学的方法来对创伤性脑损伤伴弥漫性轴索损伤特定发病机制的专家意见进行评估;以及缺乏专业知识。提供了一个案例,展示了在这类创伤性脑损伤检查中最常见的专家错误。

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