外伤后流产23例法医学鉴定回顾性分析

目的分析外伤后流产案例法医学临床鉴定的特点,探究外伤与流产之间的因果关系。方法收集近年中国医科大学法医学院临床法医学教研室外伤后流产法医学鉴定共23例,总结和分析外伤后流产案例的特点。结果23例外伤后流产法医学鉴定例均为早期流产,体表损伤轻微,伤后短时间内出现阴道流血,并在较短时间内流产。高龄孕妇、农村人口和无业人员所占比例大。结论流产原因较多,对于外伤后流产的法医学鉴定案例,只有排除非外伤性因素后,才能认定为外伤性流产;对于不能排除非外伤性流产因素的案例,可根据具体情况分析损伤为流产的主要原因、次要原因或诱因。

The retrospective analysis of 23 cases of post-traumatic abortion

Objective To analyze the clinical characteristics of post-traumatic abortion and the relationship between trauma and abortion. Methods We collected and analyzed 23 cases of post-traumatic abortion encountered in the department of clinical forensic medicine,faculty of forensic medicine,China Medical University in recent years. Results All 23 post-traumatic abortions were early abortions. Their traumata were mild and external only. Vagina bleeding and abortion occurred shortly after trauma. Most patients were older,from countryside,or unemployed. Conclusion The causes of abortion are complex. Post-traumatic abortion can only be diagnosed after excluding non-traumatic factors. For those cases abortion occur shortly after injuries and non-traumatic factors can not be excluded,trauma should be assessed for its role in abortions as primary,secondary or induction factors correlated with clinical symptoms and presentations.