自行车交通事故125例损伤特点分析.doc

自行车交通事故 125 例损伤特点分析 尚万兵，王克杰，李 莉 ( 1． 新乡医学院法医学综合实验室，河南 新乡 453003; 2． 新乡医学院法医物证学教研室，河南 新乡 453003; 3． 卫辉市公安局法医门诊，河南 卫辉 453100) 摘要: 目的 探讨自行车交通事故中当事人的受伤特点。方法 回顾性分析 125 例自行车交通死亡事故中在各种碰撞方式下人体受伤情况。结果 自行车撞击行人 4 例，导致四肢骨2 例，颅脑损伤 1 例，脏器破裂 3 例，其中1 例因颅脑损伤死亡，3 例因脏器破裂致失血性休克死亡。骑行自行车时侧面被机动车碰撞 81 例，导致四肢长骨骨折62 例，颅脑损伤 74 例，脏器破裂 7 例，其中 74 例因颅脑损伤死亡，7 例因脏器破裂致失血性休克死亡。骑行自行车时后方被机动车碰撞 31 例，导致四肢长骨骨折 8 例，颅脑损伤 27 例，脏器破裂 6 例，其中 25 例因颅脑损伤死亡，4 例因脏器破裂致失血性休克死亡，2 例颅脑损伤并失血性休克死亡。推行自行车被机动车碰撞 7 例，导致四肢长骨骨折 6例，颅脑损伤 6 例，脏器破裂 4 例，其中 4 例颅脑损伤死亡，2 例因脏器破裂致失血性休克死亡，2 例颅脑损伤并失血性休克死亡。自行车碰撞 2 例，导致四肢长骨肢体骨折 1 例，颅脑损伤 2 例，均因颅脑损伤死亡。结论 自行车与机动车碰撞是自行车事故损伤中最常见、最严重的一种类型，常因颅脑损伤及脏器破裂导致的失血性休克而死亡。 关键词: 自行车; 交通事故; 法医学鉴定 中图分类号: R89 文献标志码: A 文章编号: 1004-7239( 2011) 03-0366-03 Damage characteristics analysis of one hundred and twenty-five cases in bicycle traffic accidents SHANG Wan-bing 1 ，WANG Ke-jie 2 ，LI Li 3 ( 1． Consolidated Forensic Laboratory，Xinxiang Medical College，Xinxiang 453003，Henan Province，China; 2． Department of Fo- rensic Science，Xinxiang Medical College，Xinxiang 453003，Henan Province，China; 3． Forensic Outpatient Service，Weihui Mu- nicipal Public Security Bureau，Weihui 453100，Henan Province，China) Abstract: Objective To discuss the damage characteristics of injured parties in bicycle traffic accidents． Methods One hundred and twenty-five cases of human damnification during a variety of collision situations in bicycle traffic accidents were analyzed retrospectively． Results There were 4 cases of bike crash pedestrian，it leads to extremities fractures in 2 ca- ses，craniocerebral injury in 1case，and viscera rupture in 3 cases，in which 1 case died of craniocerebral injury and 3 cases died of hemorrhagic shock induced by viscera rupture． There were 81 cases of bicycle crashed by motor vehicle in side，it leads to extremities fractures in 62 cases，craniocerebral injury in 74 cases，and viscera rupture in 7 cases，in which 74 cases died of craniocerebral injury and 7 cases died of hemorrhagic shock induced by viscera rupture． T