本文選題：道路交通事故 + 顱腦損傷��； 參考：《昆明醫(yī)學院》2006年碩士論文

【摘要】：目的：研究道路交通事故顱腦損傷的流行病學特點和顱腦損傷機制；探討道路交通事故顱腦損傷傷情鑒定、后期傷殘評定及相關因素，為預防、控制道路交通事故和臨床法醫(yī)學應用提供依據(jù)。方法：應用統(tǒng)計學方法和法醫(yī)學理論技術對2004年昆明地區(qū)道路交通事故346例顱腦損傷臨床法醫(yī)鑒定資料進行系統(tǒng)性分析研究。結果：本組交通事故顱腦損傷案例年齡分布呈正態(tài)分布，25～64歲占事故人數(shù)的61.8％。事故發(fā)生的時間分布以19～22時最高，占27.2％，兒童或青少年事故時間以13—14時最高，占33.3％；老年人事故時間以19～22時最高，占38.9％。機動車肇事占肇事車輛總數(shù)的80.9％，損傷人員中行人和自行車駕駛員占事故損傷總數(shù)的65.3％。交通事故形成的顱腦損傷中重傷占42.6％，兒童、青少年顱腦損傷輕傷占43.3％，老年人顱腦損傷重傷占56％。交通事故顱腦損傷傷殘評定Ⅷ～Ⅹ級占傷殘評定的89％，后期傷殘評定時間傷后6月～1年占評定總數(shù)54.6％。建立了道路交通事故傷殘構成與顱腦原發(fā)損傷和后遺癥的logistic回歸方程，傷殘構成的相關因素依次為智力缺損、精神障礙、腦神經(jīng)損傷、腦組織腫脹。結論：道路交通事故顱腦損傷年齡分布以25～64歲人群事故發(fā)生率最高，兒童、青少年事故時間以13～14時最高，老年人事故時間以19～22時最高；不同車輛導致顱腦損傷的特點有所不同，機動車肇事最多見，機動車與摩托車造成損傷較重；行人、自行車駕駛員顱腦損傷多見，重傷較多；人員顱腦損傷機制以碰撞傷為主，其次是摔跌傷；兒童以輕型顱腦損傷多見，老年人以重型顱腦損傷最多；后期傷殘評定時間以傷后6月～1年評定較合適，顱腦損傷以輕度傷殘為主；建立傷殘構成與原發(fā)性顱腦損傷和后遺癥的logistic回歸方程，，傷殘的構成因素以智力缺損、精神障礙為主。
[Abstract]:Objective: to study the epidemiological characteristics and the mechanism of craniocerebral injury in road traffic accidents, to explore the identification of craniocerebral injury in road traffic accidents, the later stage disability evaluation and the related factors, in order to prevent,Control of road traffic accidents and clinical forensic application to provide the basis.Methods: the data of 346 cases of craniocerebral injury in Kunming in 2004 were analyzed and studied systematically by using statistical method and forensic theory.Results: the age distribution of traffic accident craniocerebral injury cases was normal distribution.The distribution of the time of the accident was the highest in the range of 19 ~ 22:00 (27.2cm), the highest in children or adolescents (13-14), and the highest in the elderly (19- 22:00), accounting for 38.9%.Motor vehicle accidents accounted for 80.9 percent of the total number of vehicles involved, and pedestrian and bicycle drivers accounted for 65.33percent of the total number of accidents.Among the craniocerebral injuries caused by traffic accidents, severe injuries accounted for 42.6%, minor injuries for children and adolescents accounted for 43.3%, and severe brain injuries for the elderly accounted for 56%.Grade 鈪

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