外伤与流产关系的法医学鉴定

外伤后流产的案例在法医鉴定工作中屡见不鲜,而外伤与流产之间的关系及外伤的参与度问题常常是案件争论的焦点。一方面流产受较多因素影响,尤其是早孕期发生率高,另一方面案情具有复杂性和待推定的特点如外力未直接作用于腹部,外伤轻微通常不至于引起流产、流产儿出现畸形,案情不确定或资料不完整等情况给外伤后流产鉴定带来一定难度。通过对证实已孕、外力作用方式作用机制、伤后症状体征出现的时间特点、孕妇自身流产史及病理基础、流产物病理检查相互佐证分析流产与外伤的关系,得出合理结论。

Forensic assessment of correlativity between trauma and abortion

The cases about abortion after trauma occur frequently, in which relation between trauma and abortionand the contributory of trauma are often the focus in the forensic medicine identification. The medicolegal expertise be-comes more difficult because many factors influenced abortion, especially the high rate in the first trimester, and the de-tails of cases or nondetailed data and so on. It can give an reasonable conclusion by analyzing and each other provingpregnancy, the mechanism of force, the interval of symptom of abortion after trauma, the pregnant woman own factor,pathology examination of apoblema.