法医学 4法医损伤学专业课教材.ppt

损伤的医学证据之不可替代性临床医生的优势Advantageofclinicaldoctor：①最原始的案情therealestdetailsofcase②最真实的伤情theearliestinjury③最准确的结果themostaccurateresults乌克兰前总理季莫申科称被“3名壮汉”用床单蒙头殴打北京幼师打3个孩子的证据检验记录内容Contentofrecord案情Detailofcase：real检查Examination：careful,overall记录Record：accurate①损伤形态morphology：shape,number,size(diameter,length,breadth,depth),scientificterm,objectknowntoall②损伤部位position：anatomicallandmarkandpartition③照相和录像photoandvideorecording-scale④测量单位measurement：cm,ml,g(IS)⑤保全物证preservingmaterialevidence：blood,hair,fibre,semen,swab,foreignmatter,etc检验记录内容Contentofrecord案情Detailofcase：real检查Examination：careful,overall记录Record：accurate①injury：type,number,size(diameter,length,breadth,depth)②position：anatomicallandmarkandpartition③shape：scientificterm,objectknowntoall④photoandvideorecording-scale⑤measurement：cm,ml,g(IS)⑥保全物证preservingmaterialevidence：blood,hair,fibre,semen,swab,foreignmatter,etc损伤程度/伤残等级Law：损伤程度Injurydegree：①slightinjury–jail15ddetain②minorinjury-privateprosecution③severeinjury-publicprosecution伤残等级Disabilitydegree：injury,traffic,industrial,medicalaccident,insurance→lifeandworkhandicap死亡-伤残的因果关系和原因力分析

Analysisofcausalityandcausativepotencyindeathandinjury因果关系及其原因力causecategory：①直接原因proximatecause②根本原因underlyingcause③中介原因intermediatecause④辅助原因contributivecause⑤诱因inductivecause⑥协同原因synergeticcause⑦联合原因combinedcause⑧无关因素irrelevantfactor损伤死亡的因果关系分析

Analysisofdeathcause致命伤Fatalinjury⑴absolutelyfatalinjury绝对致命伤⑵conditionalfatalinjury条件致命伤：?personalconditionalfatalinjury个体条件致命伤?accidentalconditionalfatalinjury偶然条件致命伤?personal-accidentalconditionalfatalinjury个体-偶然条件致命伤伤-病/伤-医的关系原则：⑴不能因医疗治愈而减轻原伤病程度；⑵不能因医疗损害而加重原伤病程度；⑶不能因原发病加重或特异体质而加重原伤病程度。分析：综合原发性伤情/合并症/后遗症、伤病史的病理过程和时间间隔，医疗情况。①根本原因：②中介原因：③直接关系：④辅助关系：⑤诱发关系：⑥协同关系：⑦无关因素(与医疗无关)：推断致伤物

Inference