司法鉴定中不同程度颅脑损伤所致精神障碍的临床特征对照研究

发布时间：2019-04-23 12:10

【摘要】：目的探讨精神疾病司法鉴定中严重程度不同的颅脑损伤所致精神障碍的临床特征及鉴定工作须注意的相关问题。方法根据综合医院神经外科的诊断和格拉斯哥昏迷量表(GCS)评分,把118例被鉴定人分为重型颅脑损伤(A组)、中型颅脑损伤(B组)和轻型颅脑损伤(C组)3组,将被鉴定人及亲属提供的病史、社会功能受损状况同精神检查和社会调查进行对照分析。结果轻、中度颅脑损伤所致的精神障碍以神经症样综合征最多见,重度颅脑损伤所致的精神障碍以智能损害为多,3组间有显著性差异(P0．01)。3组中出现频度均较高的是躯体不适症状群和痴呆样症状群,3组间无著性差异(P0．05)。在鉴定时,被鉴定人及亲属均有过分描述精神症状和社会功能受损严重程度的倾象。结论在精神疾病司法鉴定中,不同严重程度的颅脑损伤所致的精神障碍既有不同的临床现象学特征,也有共同的社会-心理学特点,应予以注意。
[Abstract]:Objective to investigate the clinical features of mental disorders caused by craniocerebral injury of different severity in forensic identification of mental diseases and the related problems to be paid attention to in the identification of mental diseases. Methods according to the diagnosis of neurosurgery in general hospital and Glasgow coma scale (GCS), 118 patients were divided into three groups: severe craniocerebral injury (group A), moderate craniocerebral injury (group B) and mild craniocerebral injury (group C). The medical history and social impairment provided by the identified persons and relatives were compared with mental examination and social survey. Results Neurotic syndrome was the most common mental disorder caused by mild and moderate craniocerebral injury, and intelligence was the most common mental disorder caused by severe craniocerebral injury. There were significant differences among the three groups (P0.01). There was no significant difference among the three groups (P0.05). The frequency of physical discomfort symptoms and dementia-like symptoms were higher in the three groups than those in the control group (P 0.05). At the time of identification, both the identified person and his relatives had the tendency to overdescribe the severity of mental symptoms and social function impairment. Conclusion there are not only different clinical phenomenological features, but also common socio-psychological features in mental disorders caused by different severity of craniocerebral injury, which should be paid attention to in the forensic identification of mental diseases. [WT5 "HZ] [WT5" BZ] [WT5 "BZ]
【作者单位】：新疆精神卫生中心司法鉴定科新疆精神卫生中心护理部新疆精神卫生中心司法鉴定科新疆精神卫生中心司法鉴定科新疆精神卫生中心司法鉴定科
【分类号】：D919.3

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