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一例颅脑损伤后不完全性运动性失语的法医鉴定案例

A Forensic Medical Identification Case of Incomplete Motor Aphasia Following Cranial Injury

社会科学进展 / 2024,6(4)：1046-1050 / 2024-08-30 50 56

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• 作者： 戴鹏      肖毅霖      罗方     
• 单位：

  江西中正司法鉴定中心，南昌

• 关键词： 颅脑损伤；运动性失语
• Cranial injury; Motor aphasia
• 摘要： 分析一例开放性重型颅脑损伤后不完全性运动性失语的法医鉴定案例，甘某因交通事故受伤，导致左侧额叶脑挫裂伤及多处创伤性出血。经过颅内血肿清除、开颅颅内减压及去骨瓣减压术等治疗后，甘某表现出不完全性运动性失语的症状，即能理解他人言语但表达困难，语句欠流畅，仅能缓慢、简短地吐露单个字或词。法医学鉴定时，详细分析了甘某的外伤史、损伤基础、既往疾病史，并结合临床表现、治疗过程及影像学动态表现，综合判断了损伤与不完全性运动性失语之间的伤残鉴定及其程度。
• This is a forensic medical case study focusing on a case of incomplete motor aphasia following an open severe craniocerebral injury. Gan was injured in a traffic accident, resulting in contusion and laceration of the left frontal lobe and multiple traumatic hemorrhages. After undergoing treatments such as intracranial hematoma removal, craniotomy intracranial decompression, and decompressive craniectomy, Gan exhibited symptoms of incomplete motor aphasia, characterized by an ability to understand others’ speech but difficulty in expressing oneself, with unfluent sentences and only being able to slowly and briefly utter single words or phrases. During the forensic medical examination, a detailed analysis was conducted on Gan’s injury history, injury basis, and past medical history. By combining clinical manifestations, treatment process, and dynamic imaging findings, a comprehensive judgment was made on the disability assessment and its degree between the injury and the incomplete motor aphasia.
• DOI： https://doi.org/10.35534/pss.0604105
• 引用： 戴鹏，肖毅霖，罗方．一例颅脑损伤后不完全性运动性失语的法医鉴定案例［J］．社会科学进展，2024，6（4）：1046-1050.