主管：中华人民共和国司法部
主办：司法鉴定科学研究院
ISSN 1671-2072  CN 31-1863/N
中国司法鉴定

中国司法鉴定 ›› 2021 ›› Issue (1): 39-47.DOI: 10.3969/j.issn.1671-2072.2021.01.005

• 鉴定综述 • 上一篇    下一篇

脑震荡后综合征伤残评定研究进展

张钦廷，李豪喆，张盛宇，陈琛   

  1. 司法鉴定科学研究院 上海市法医学重点实验室 上海市司法鉴定专业技术服务平台 司法部司法鉴定重点实验室，上海 200063
  • 收稿日期:2020-06-16 出版日期:2021-02-25 发布日期:2021-02-25
  • 作者简介:张钦廷(1975—)，男，主任法医师，博士，主要从事法医精神病学鉴定和科学研究。
  • 基金资助:
    国家自然科学基金资助项目(81801881)；十三五国家重点研发计划(2016YFC0800701)；中央科研院所公益专项基金资助项目(GY2018G-8,GY2018G-7) ；A海市“科教创新行动计划”社会发展科技攻关项目(20DZ1200300)；上海市法医学重点实验室资助项目(17DZ2273200)；上海市司法鉴定专业技术服务平台资助项目(19DZ2202700)

Progress on the Study of Post-concussion Syndrome and Psychiatric Impairment Assessment

ZHANG Qinting, LI Haozhe, ZHANG Shengyu， CHEN Chen   

  1. Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Science Platform, Key Laboratory of Forensic Science, Ministry of Justice, Academy of Forensic Scienc, Shanghai 200063, China
  • Received:2020-06-16 Published:2021-02-25 Online:2021-02-25

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摘要： 由于症状表现的主观性以及当前客观检查方法所能提供证据的匮乏，加之赔偿伴生的症状伪装和夸大等问题，脑震荡后综合征患者的伤残评定鉴定意见一致性不高。在人体损伤赔偿纠纷中，脑震荡后综合征患者的伤残评定成为法医精神病鉴定的争议点和难题。通过对脑震荡及相关术语变化、脑震荡后综合征的发生率、症状表现及诊断标准、脑震荡后综合征客观评价技术以及伤残评定的现状及未来发展方向进行综述，以期提高对脑震荡、脑震荡后综合征的认识，提高鉴定意见的一致性。

关键词: 法医精神病学；脑震荡后综合征；轻型创伤性脑损伤；精神伤残；评定

Abstract: Due to the subjectivity of symptoms and the lack of evidence provided by the current objective examination methods, as well as the problems of camouflage and exaggeration resulted from the compensation psychology, the opinions to the disability assessment of the patients with post-concussion syndrome are not consistent highly. In the dispute of compensation for human injury, the disability assessment of patients with post-concussion syndrome has become a controversial point and difficult items in forensic psychiatry assessment. This article reviews the changes of concussion and its related terms, the incidence, symptoms and diagnostic criteria of post-concussion syndrome, the status quo and future development direction of objective evaluation technology and disability evaluation, in order to improve the understanding of concussion and post-concussion syndrome and the consistency of the evaluation opinion to the psychiatric disability of the patient with post-concussion syndrome.

Key words: forensic psychiatry; post-concussion syndrome; mild traumatic brain injury; psychiatric impairment；assessment

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