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 ›› 2020 ›› Issue (5): 33-37.DOI: 10.3969/j.issn.1671-2072.2020.05.005

• 鉴定科学 • 上一篇    下一篇

外伤性玻璃体积血的法医学鉴定

王元兴1，姚博2，刘健3，徐进宝4，陈智会4   

  1. 1.北京市海淀区公安司法鉴定中心，北京100142； 2.厦门市公安局海沧分局刑事侦查大队，福建 厦门361026； 3.中国中医科学院眼科医院，北京100040； 4.张家口市公安局万全分局，河北 张家口076250
  • 收稿日期:2019-02-28 出版日期:2020-10-25 发布日期:2020-10-25
  • 通讯作者: 刘健，E-mail：309188907@qq.com
  • 作者简介:王元兴（1979—），男，副主任法医师，主要从事法医临床学、法医病理学鉴定及命案现场勘查。

Forensic Identification of Traumatic Vitreous Hemorrhage

WANG Yuanxing1, YAO Bo2, LIU Jian3, XU Jinbao4, CHEN Zhihui4   

  1. 1. Forensic Science Service of Haidian Branch of Beijing Public Security Bureau, Beijing 100142, China; 2. Criminal Investigation Brigade of Haicang Branch of Xiamen Public Security Bureau,Xiamen 361026, China; 3. Eye Hospital China Academy Of Chinese Medical Sciences, Beijing 100040, China; 4.Wanquan Branch of Zhangjiakou Municipal Public Security Bureau, Zhangjiakou 076250, China
  • Received:2019-02-28 Published:2020-10-25 Online:2020-10-25
  • Contact: LIU Jian，E-mail：309188907@qq.com

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摘要： 目的 探讨外伤性玻璃体积血的特点及法医学鉴定要点。方法 选择2013年6月—2018 年6月期间，某省级眼科医院76例（共76眼）有明确眼外伤史的玻璃体积血案例资料进行回顾性研究，所有案例均常规行全面的视力、屈光度、裂隙灯、眼压、眼B超、VEP、ERG、彩色眼底照相、OCT、视野、FFA、UBM、眼部CT（或MRI）等眼科检查。结果 玻璃体积血的多少，依据玻璃体混浊程度分为四级，在眼B超图像上分为少量、中量及大量积血；积血有自行吸收的可能，积血量的多少以及有无并发症直接影响视力的恢复情况；视力下降通常可得到一定程度的恢复，据此确定的损伤程度可为轻伤二级、轻伤一级、重伤二级。结论 外伤性玻璃体积血具有一定特征性，由玻璃体积血引起的视力下降可以影响鉴定结果，鉴定时限为3～6月，可依具体伤情延长至满6个月，眼B型超声诊断是重要的检查手段。

关键词: 法医临床学；玻璃体积血；法医学鉴定

Abstract: Objective To investigate the characteristics of traumatic vitreous hemorrhage and the key points of forensic science. Methods From June 2013 to June 2018, 76 cases (76 eyes) of vitreous hemorrhage with a clear history of ocular trauma in a provincial ophthalmic hospital were retrospectively studied. All cases underwent detailed routine visual acuity, diopter, slit lamp, intraocular pressure, B-mode ultrasonography, VEP, ERG, color fundus photography, OCT, visual field, FFA, UBM, and ocular CT (or MRI) and other eye examinations. Results The amount of vitreous hemorrhage was divided into four grades according to the degree of vitreous turbidity. The amount of vitreous hemorrhage was divided into a small amount, a medium amount and a large amount of hemorrhage on B-mode ultrasonography images. Hemorrhage could be absorbed by itself. The amount of hemorrhage and complications directly affected the prognosis of visual acuity. Visual acuity decline was likely to improve. The degree of injury to a minor two, minor one, injured two. Conclusion Traumatic vitreous hemorrhage has certain characteristics. The visual acuity deterioration caused by vitreous hemorrhage can affect the identification conclusion. The identification time is 3-6 months and can be extended to 6 months according to the specific condition of the injury. Eye B-mode ultrasound diagnosis is an important means of examination.

Key words: forensic clinical medicine; vitreous hemorrhage; forensic identification

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