关键词: 法医学, 颈总动脉, fisher精确检验, 颈内静脉, 人体损伤程度鉴定

Abstract: Objective To discuss the applicability of the clause of injury identification of cervical vascular rupture according to Standard for Assessment of Human Injury Degree. Methods 256 cases of human injury involving cervical vascular rupture taken by our center from 1986 to 2020 were analyzed. Among which, 219 were forensic pathological anatomy cases and 37 were forensic clinical examination cases. The anatomical cases were statistically analyzed by SPSS 22.0 software and the clinical examination cases were re-assessed in strict accordance with Standard for Assessment of Human Injury Degree. Results There were significant differences in the lethal types, rupture sites （unilateral or bilateral） and rupture degree （complete or partial） of cervical vascular rupture. Venous rupture and arterial rupture also had significant difference. On the other hand, there was no significant difference in sex or age. Conclusion Based on clinical treatment, case demonstration and practical application, we suggest that internal carotid artery and internal jugular vein rupture should be defined as grade II serious injury, external carotid artery rupture should be defined as grade I minor injury, and external jugular vein and vertebral artery rupture should be defined as grade II minor injury.

Key words: forensic medicine, common carotid artery, fisher exact test, internal jugular vein, assessment of human injury degree