脑外伤所致精神障碍与道路交通事故伤残评定

脑外伤所致精神障碍与道路交通事故伤残评定 【摘要】 目的探索道路交通事故伤残评定中脑外伤所致精神障碍的临床症状特点、影响因素及鉴定中应注意的 问题。 方法 回溯即往一年半的鉴定资料，根据md一3器质性精神障碍的症状分类对被鉴定人临床表现进行 归纳。被鉴定人颅脑受伤的类型，统计分析评定时机及评定结论。 结果 65例样本纳入本研究，平均评定时机 102372个月，临床主要表现为智能和记忆损害，人格改变和神经症样综合征占有较大的比例，精神病性障碍和情感 障碍较少，未见意识障碍和癔症样障碍，logistic回归分析显示智能损害的严重程度及精神病性障碍与伤残等级负相关。 结论智能和记忆障碍在脑外伤所致精神障碍的道路交通事故伤残评定中具有重要的地位，一般应在伤后六个月才 宜进行伤残评定。 【关键词】道路交通事故；脑外伤所致精神障碍；伤残 【】d9193；r7491 【】a 【】10079297(20xx)02 014903 research on mental disorders with brain damage and impairment assessment in road traffic aidentzhang qinting， huangfuyin，tang tao。et a1institute offorensic science，ministryof justice，prchina，shanghai，20xx63 【abstract】 objective to explore the clinical character，affect factor and some attention about mental disorders with brain damage in impairment assessment in road trafic aident m ethod 65 cases were collected from asessed data during 20xx120xx6，the clinical symptoms was clasified by md一3。the type of cerebral injury，asessment time and conclu slon were retrospectively and statistically analyzed results mean asessment time is 102372 monthsthe major clinical sym ptoms in mental disorders with brain damage by traffic aident were intellectual and memory deficiencyperso nality change and neurosislike syndrome were found in considerable proportion，however，psychos is symptom and mood diso rder is rare，the consciousness disorders and hysterialike syn drome was unseen the regresion analysis by logistic indicated that there are negative dependence between impairm ent degree and both severity of intellectual deficiency and psychos is conclusion in tellectual and memory deficiency have impo rtant role in the impairm ent asessm ent in roa d traffic aidentin generally，the as sessment should be held 6 months after the aident 【key words】mental disorders with brain damage；i