| 外伤性癫痫法医学评定100例分析 |
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| 引用本文： | 张运阁,李春晓,管国富,吕铭,蔡剑虹,程荷英.外伤性癫痫法医学评定100例分析[J].中国司法鉴定,2011(2):69-71. |
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| 作者姓名： | 张运阁 李春晓 管国富 吕铭 蔡剑虹 程荷英 |
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| 作者单位： | 常州市德安医院司法鉴定所,江苏,常州,213003 |
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| 基金项目： | 江苏省常州市科技局社会发展科技课题(CS201009007) |
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| 摘 要： | 目的探讨颅脑外伤后癫痫的法医学评定要点,提出外伤性癫痫的法医学评定依据。方法对100例颅脑损伤后癫痫患者门诊及住院病历,结合临床脑电图（EEG）结果、CT片、MRI片等影像学资料,进行了回顾性分析。结果依据GBl8667-2002《道路交通事故受伤人员伤残评定》标准有关颅脑损伤后癫痫发作类型、发作频率的相关条款规定,Ⅲ级伤残8人,Ⅴ级伤残10人,Ⅶ级伤残22人,Ⅸ级伤残40人,Ⅹ级伤残20人。误工期限、营养期限和护理期限评定结论时间长短差异较大,具有个体化特征。结论外伤后癫痫常继发于严重的颅脑损伤,其发作特点决定于颅脑外伤的部位和程度,外伤性癫痫法医学鉴定必须以外伤史及既往史为基础,结合电生理及影像学检查,综合癫痫发作类型、频率及药物控制情况作出正确的伤残等级及误工期限、护理期限、营养期限的鉴定结论。
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| 关 键 词： | 法医临床学 颅脑外伤 癫痫 伤残等级 误工期限 护理期限 营养期限 |
Forensic Assessment of 100 Cases of Traumatic Brain Injury Induced Epilepsy |
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| ZHANG Yun-ge,LI Chun-xiao,GUAN Guo-fu,LV Ming,CAI Jian-hong,CHEN He-ying.Forensic Assessment of 100 Cases of Traumatic Brain Injury Induced Epilepsy[J].Chinese Journal of Forensic Sciences,2011(2):69-71. |
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| Authors: | ZHANG Yun-ge LI Chun-xiao GUAN Guo-fu LV Ming CAI Jian-hong CHEN He-ying |
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| Institution: | ZHANG Yun-ge,LI Chun-xiao,GUAN Guo-fu,LV Ming,CAI Jian-hong,CHEN He-ying(Section of Forensic Expertise of De'An Hospital,Changzhou 213003,China) |
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| Abstract: | Objective To study the forensic assessment points about traumatic brain injury induced epilepsy,and to provide a basis for forensic assessment.Methods Data from 100 cases with traumatic brain injury induced epilepsy,including outpatient and inpatient medical records,clinical EEG,CT and MRI films,were collected and statistically analyzed.Results According to the statements on the type and the frequency of epileptic seizures in standard for impairment assessment in road traffic accidents(GBl8667-2002),3rd gra... |
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| Keywords: | forensic clinical medicine brain injury epilepsy disability identification loss of working time care time nutrition time |
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