儿童病理性骨折伤残鉴定1例
Disability Identification of Pathological Fracture in Children:A Case Report
卢双 1吴海荣 1王莹琦 2包俊霞 1包乌仁吐亚1
作者信息
- 1. 内蒙古科技大学包头医学院,内蒙古包头 014040;内蒙古科技大学包头医学院司法鉴定中心,内蒙古包头 014040
- 2. 包头市公安局青山区公安分局,内蒙古包头 014030
- 折叠
摘要
儿童病理性骨折发病隐匿,病变部位骨质薄弱,常在遭受外力后确诊为病理性骨折,通常情况下骨折线位于肿瘤部位.儿童病理性骨折伤残等级鉴定较为少见,这类案件在法医临床鉴定活动中争议较大,损伤与疾病共存情况下,如何评定伤残等级及伤病关系处理是该类案件的难点.笔者结合一个儿童病理性骨折案例,分别从病历资料完整性、影像学资料选择、DICOM文件使用、鉴定时机选择、伤病关系处理五个方面总结鉴定过程中需注意的要点,为之后相似的鉴定活动提供参考.
Abstract
Pathological fractures in children have an insidious onset,and the bone quality of the lesion site is weak,often diagnosed as pathological fracture after being subjected to external force,and usually the fracture line is located in the tumor site.Children's pathologic fracture disability rating is relatively rare,and this kind of case is more controversial in the forensic clinical appraisal activities.Injury and disease coexistence,how to assess the disability rating and the relationship between injury and disease treatment is the difficulty of this kind of case.In the paper,the author reviewed this case from the completeness of the medical record data,the choice of imaging data,the use of DICOM files,identification of the timing of the choice,and the relationship between injuries and diseases.The key points were noted during children's pathologic fracture identification process which serve as a reference for similar cases.
关键词
病理性骨折/伤残鉴定/法医临床学/因果关系Key words
pathological fractures/disability identification/forensic clinical practice/causality引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据