摘要
《人体损伤程度鉴定标准》中失血性休克的鉴定一直存在争议,争议焦点集中在休克分度上。该标准附录B.8.7仅依靠血压、脉搏、全身状况3个临床指标区分休克程度,显然不科学也不全面,在实际检案过程中如何区分轻度休克和中度休克一直是法医鉴定的难点。以两例典型案例展开论述,梳理失血性休克的概念、发生机制、临床诊断及法医学鉴定,旨在为失血性休克争议案件提供一个合理的处理办法。
The identification of hemorrhagic shock in the "Standards for Identification of Human Injury Degree" has always been controversial.The focus of the controversy is on the scale of shock.Appendix B.8.7 of the "Standards" only relies on blood pressure,pulse,and general conditions.The three clinical indicators to distinguish the degree of shock are obviously unscientific and not comprehensive.How to distinguish between mild shock and moderate shock in the actual investigation process has always been a difficult point in forensic identification.This article discussed with two typical cases,combed the concept,mechanism,clinical diagnosis and forensic identification of hemorrhagic shock,aiming to provide a reasonable solution for controversial cases of hemorrhagic shock.
作者
许青
王森
Xu Qing;Wang Sen(Hubei Zhongzhen Forensic Laboratory,Wuhan,430000,China;Department of Forensic Medicine,School of Basic Medicine,Guangxi Medical University,Nanning 530021,China)
出处
《中国卫生法制》
2022年第2期116-119,共4页
China Health Law
关键词
法医临床学
损伤
失血性休克
休克分度
综合评定
Forensic clinical medicine
Injury
Hemorrhagic shock
Shock scale
Comprehensive assessment
