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腦外傷所致精神障礙司法鑒定400例分析

發(fā)布時間:2019-02-16 15:35
【摘要】:目的探討精神疾病司法鑒定中顱腦損傷所致精神障礙的臨床特征及相關因素。方法收集腦外傷后司法鑒定案例資料,按照神經外科GCS評分把腦損傷所致精神障礙鑒定案例分為重型(A組)、中型(B組)及輕型(C組)顱腦損傷;對案例的臨床癥狀進行分析,根據中國精神障礙分類與診斷標準(第三版)(CCMD-3)進行精神障礙診斷,并探索臨床癥狀與腦外傷程度之間的關系。結果輕、中度顱腦損傷所致精神障礙以器質性神經癥樣綜合征最多見。重度顱腦損傷所致精神障礙中以智能損害綜合征為多。三組間有顯著性差異(P≤0.01)。結論在精神疾病司法鑒定中,不同嚴重程度的顱腦損傷所致的精神障礙有不同的臨床特征。
[Abstract]:Objective to investigate the clinical features and related factors of mental disorders caused by craniocerebral injury in forensic identification of mental diseases. Methods according to the GCS score of neurosurgery, the patients with mental disorders caused by brain injury were divided into three groups: severe (group A), moderate (group B) and mild (group C). The clinical symptoms of the cases were analyzed, and the relationship between the clinical symptoms and the degree of brain trauma was explored according to the Chinese Classification and Diagnostic criteria of Mental Disorder (CCMD-3). Results Organic neurosis syndrome was the most common mental disorder caused by mild and moderate craniocerebral injury. Among the mental disorders caused by severe craniocerebral injury, intellectual impairment syndrome is more common. There was significant difference among the three groups (P 鈮,

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