Khaes L B, Cheprov A G
Sud Med Ekspert. 1998 Mar-Apr;41(2):29-32.
The authors discuss objective medical labor and forensic medical expert valuation of the severity of corporal injuries and performance abilities of subjects in various periods after slight concussion or confusion of the brain. Files of a neurotraumatology department over 11 years (10072 case histories) and 3769 conclusions, made by the Regional Bureau of Forensic Medical Expert Evaluation on the health status of subjects exposed to slight concussion and(or) confusion of the brain, are analyzed. The incidence of craniocerebral injuries has increased, mainly at the expense of grave and medium-severe injuries. The authors detected faults in the examination and description of the mechanism of injury and neurological status and its changes, which impede expert evaluation. They emphasize the need in a universal scientifically-based approach to this problem, which is to be solved by united efforts of medical, legal, and social workers.
作者讨论了客观医学劳动以及法医对轻度脑震荡或脑功能障碍后不同时期受试者身体损伤严重程度和行为能力的评估。分析了神经创伤科11年期间的档案（10072份病历）以及地区法医鉴定局对遭受轻度脑震荡和（或）脑功能障碍的受试者健康状况做出的3769份结论。颅脑损伤的发生率有所上升，主要是重度和中度重伤。作者发现了损伤机制、神经状态及其变化的检查和描述方面的缺陷，这妨碍了专家评估。他们强调需要采用一种基于科学的通用方法来解决这一问题，这需要医学、法律和社会工作者共同努力。
