摘要
肋骨骨折是法医临床实务中常见的损伤类型,直接暴力和间接暴力均可造成,其中肋骨骨折的数量和预后表现是影响损伤程度和伤残等级鉴定结果的重要指标。结合力学原理对成伤机理进行正确推断,结合影像资料对骨折形态进行正确描述,对骨折数量的确定至关重要。肋骨隐匿性骨折因早期影像学表现不明确极易出现漏诊和错鉴,定期复查CT、动态观察骨折愈合过程可以明显减少漏诊和错鉴。本文旨在通过1例肋骨隐匿性骨折的法医学鉴定和思考,为降低肋骨隐匿性骨折的错鉴率提供参考。
Rib fractures are common types of injuries in forensic clinical practice,which can be caused by both direct and indirect violence.The number of rib fractures and prognosis are important indicators affecting the degree of injury and the results of the identification of disability grade.The correct inference of the injury formation mechanism based on mechanical principles and the accurate description of the fracture morphology in combination with imaging data are of vital importance for determining the number of fractures.Hidden rib fractures are prone to misdiagnosis and misidentification due to unclear early imaging findings.Regular CT scans and dynamic observation of the fracture healing process can significantly reduce misdiagnosis and misidentification.This paper aims to provide a reference for reducing the rate of misidentification of occult rib fractures through forensic medical appraisal and reflection of a case of occult rib fractures.
作者
杨君德
吴东
樊国香
YANG Jun-de;WU Dong;FAN Guo-xiang(Qinghai Police Officer Vocational College,Xining 810000,China)
出处
《中国实用医药》
2025年第19期145-148,共4页
China Practical Medicine
关键词
法医临床学
肋骨隐匿性骨折
影像学表现
鉴定时机
成伤机理
Forensic identification
Occult rib fractures
Image findings
Timing of identification
Mechanism of injury
