本文關(guān)鍵詞： 足部 足弓結(jié)構(gòu) 破壞 傷殘鑒定 規(guī)范　出處：《華東政法大學(xué)》2013年碩士論文　論文類型：學(xué)位論文

【摘要】：根據(jù)《禮記》、《呂氏春秋》等的記載，早在春秋戰(zhàn)國(guó)時(shí)期對(duì)于損傷的程度及檢驗(yàn)方法已有了明文規(guī)定�，F(xiàn)場(chǎng)勘驗(yàn)、人身檢查、尸體檢驗(yàn)等方面已經(jīng)取得了一定的科學(xué)成就。唐朝時(shí)期，《唐律》中已明文規(guī)定了訴訟活動(dòng)涉及的傷亡病殘、人身識(shí)別等的檢驗(yàn)及處理�？梢�(jiàn)，在我國(guó)古代法醫(yī)臨床檢驗(yàn)技術(shù)已經(jīng)得到了一定的發(fā)展。 近年來(lái)，隨著人身?yè)p傷案件的日益增多，肢體損傷及損傷部位傷殘?jiān)u定在法醫(yī)臨床司法鑒定實(shí)務(wù)中非常多見(jiàn)。而肢體損傷中的下肢功能損傷由于其結(jié)構(gòu)的特殊性成為現(xiàn)行司法檢案實(shí)踐中的難點(diǎn)與焦點(diǎn)問(wèn)題。本文以日常檢案中收集的足弓結(jié)構(gòu)破壞案例為研究對(duì)象，首先描述足與足弓結(jié)構(gòu)及足弓結(jié)構(gòu)破壞的特征，分析目前足弓結(jié)構(gòu)破壞傷殘等級(jí)評(píng)定的現(xiàn)狀，提出當(dāng)前司法鑒定檢案中足弓結(jié)構(gòu)傷殘等級(jí)評(píng)定存在的問(wèn)題，以便能客觀、科學(xué)地修訂足弓結(jié)構(gòu)破壞傷殘等級(jí)評(píng)定標(biāo)準(zhǔn)，為司法鑒定、法院審判、保險(xiǎn)理賠工提供科學(xué)的依據(jù)。 第一章介紹足部與足弓的解剖學(xué)結(jié)構(gòu)。并對(duì)足部組成諸骨、韌帶、肌腱、各關(guān)節(jié)及肌肉等層面進(jìn)行詳細(xì)描述，著重對(duì)足弓（內(nèi)側(cè)弓、外側(cè)弓及橫弓）進(jìn)行概括性和功能性的描述。 第二章主要分析了足弓結(jié)構(gòu)破壞的形態(tài)學(xué)特征。分別從醫(yī)學(xué)影像學(xué)及臨床體征這兩個(gè)角度出發(fā)，，分析當(dāng)足弓三個(gè)結(jié)構(gòu)中任何一個(gè)弓遭到破壞時(shí)足部醫(yī)學(xué)影像學(xué)攝片資料及臨床體征的相應(yīng)改變。 第三章一是主要以表格形式概括論述了我國(guó)當(dāng)前足弓結(jié)構(gòu)破壞傷殘等級(jí)評(píng)定主要的法律依據(jù)。二是以華東政法大學(xué)司法鑒定中心及華山醫(yī)院收集的156例足弓結(jié)構(gòu)破壞案例為基礎(chǔ)，分析當(dāng)前足弓結(jié)構(gòu)破壞傷殘等級(jí)評(píng)定主要運(yùn)用的方法，結(jié)合收集的案例分析足弓結(jié)構(gòu)破壞傷殘等級(jí)評(píng)定的現(xiàn)狀。三是歸納分析提出目前足弓結(jié)構(gòu)破壞傷殘?jiān)u定中主要存在的問(wèn)題。 第四章是本文的重點(diǎn)，首先從鑒定、審判、理賠三個(gè)方面闡述本文的主要研究意義，其次從實(shí)事求是與科學(xué)客觀、鑒定人遵守行業(yè)規(guī)范以及鑒定最晚時(shí)機(jī)出發(fā)概括足弓結(jié)構(gòu)破壞傷殘鑒定應(yīng)遵循的基本原則，最后從鑒定標(biāo)準(zhǔn)、鑒定方法、鑒定人員角度系統(tǒng)總結(jié)規(guī)范我國(guó)足弓結(jié)構(gòu)破壞傷殘鑒定的可行性路徑。
[Abstract]:According to the records of the Book of Rites and Lu's Spring and Autumn period, as early as the Spring and Autumn and warring States period, there were clear provisions on the extent of the damage and the inspection methods. Some scientific achievements have been made in the field of cadaver examination. During the Tang Dynasty, "Tang Law" clearly stipulated the examination and treatment of death, injury, disability, personal identification, etc involved in litigation activities. The technique of forensic clinical examination has been developed in ancient China. In recent years, with the increasing number of personal injury cases, The evaluation of limb injury and injury site disability is very common in forensic clinical forensic practice. The functional injury of lower extremity in limb injury has become a difficult and focal point in the current judicial examination practice because of its special structure. In this paper, we take the cases of arch structure destruction collected in routine examination cases as the research object. This paper first describes the characteristics of foot and arch structure and foot arch structure damage, analyzes the present situation of foot arch structure damage and disability evaluation, and puts forward the problems existing in the evaluation of foot arch structure disability grade in the current judicial appraisal case so as to be objective. In order to provide scientific basis for judicial appraisal, court trial and insurance claim settlement, the evaluation standard of foot arch structure damage and disability grade is revised scientifically. The first chapter introduces the anatomical structure of foot and arch, and describes in detail the composition of foot, including bone, ligaments, tendons, joints and muscles. The lateral arch and transverse arch are described in general and functional terms. The second chapter mainly analyzes the morphological characteristics of arch structure destruction. From the two angles of medical imaging and clinical signs, The changes of medical imaging data and clinical signs of foot were analyzed when any one of the three arch structures was destroyed. The third chapter mainly discusses the main legal basis for evaluating the damage and disability of foot arch structure in our country in the form of table. Second, 156 cases of pedicle knot collected by judicial identification center of east china university of political science and law and Huashan hospital. On the basis of a case of destruction, This paper analyzes the main methods used in the assessment of the damage and disability grade of the arch structure at present. Combined with the collected cases, the present situation of the assessment of foot arch structure damage disability grade is analyzed. Thirdly, the main problems existing in the foot arch structure damage disability assessment are summarized and analyzed. Chapter 4th is the focal point of this paper. Firstly, it expounds the main research significance of this paper from three aspects: identification, trial and claim settlement. Secondly, it expounds the significance of this research from the aspects of seeking truth from facts and science and objectivity. The appraisers abide by the industry norms and the latest time to identify the basic principles that should be followed in the identification of foot arch structure damage and disability. Finally, from the standards and methods of identification, Appraisers systematically summarize and standardize the feasible path for the identification of foot arch structure damage and disability in China.
【學(xué)位授予單位】：華東政法大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類號(hào)】：D919.4

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本文編號(hào)：1528749