头部创伤后精神障碍的司法鉴定(附34例分析)

目的研究头部创伤和精神障碍的关系及其伤情评定等相关问题。方法34例头部创伤1年后出现精神障碍的鉴定案例，分为车祸组与殴伤组，对两组有关数据进行卡方检验。结果车祸组出现明显昏迷者及具有明确神经系统体征者显著多于殴伤组，殴伤者出现痴呆样表现者多于车祸组，两组出现精神病性症状、社会功能严重缺陷或丧失的例数没有显著差异。结论头部创伤严重程度和精神障碍的严重程度及后果不成比例，在伤情评定时对精神功能缺陷及丧失这一重要因素应充分加以考虑。

Forensic assessment for 34 cases with mental disorder after head trauma

Objective The purpose of this paper was to investigate the relation between head trauma and mental disorder and some relative problems about injury. Methods 34 cases with mental disorder after head trauma were diveded into the traffic group and the fight gruop. Chi-Squant test was used in analysing the data. Results Serious coma, syndrome of nervous system in the traffic group were obviously more than those in the fight group,while dementia in the fight group was more than those in the traffic group. There were no significant difference in psychosis symptoms, disability or lose of social function between the two groups. Conclusions The seventy of mental disorder was out of proportion with the seventy of head trauma. The important of disability or lose of mental function must be considered when the degree of injury was assessed.