【作者】 张金响； 霍克钧； 刘协和； 张伟； 李焱； 陈敏； 张钦廷；

【Author】 ZHANG Jinxiang, HUO Kejun, Liu Xiehe et al. Forensic Psychiatry Department, Forensic Medicine, School Sichuan University, 610041.

【机构】 四川大学华西基础医学与法医学院司法精神病学教研室； 四川大学华西医院心理卫生中心；

【摘要】 目的探讨交通事故所致颅脑损伤患者的智能和记忆损害及相关因素。方法对1999年1月1日至1999年12月31日间成都市公安交通管理局事故处理大队提供的成都市因交通事故造成颅脑损伤的444例幸存者的心理测验、脑电图及脑影象学资料进行统计分析。结果研究组平均智商为75.23±15.87,32.8%的患者智商低于70;56.1%的记忆商低于51。智力损害与文化程度、脑干损伤、左颞叶损伤、硬膜下的血肿/出血、≥3个脑叶损伤以及脑电图异常明显相关;记忆损害与文化程度、损伤和鉴定检查的间隔时间、脑干损伤、左颞叶损伤、硬膜下血肿/出血明显相关。结论交通事故造成颅脑损伤的患者多有不同程度的智力和记忆损害,且与左颞叶损伤、硬膜下的血肿/出血、脑干损伤、文化程度等因素有关。更多还原

【Abstract】 To study the intelligence and memory impairment of patients with craniocerebral injury during traffic accident and its correlated factors, Methods Data psychological tests、eletroencepalograph (EEG) and brain image information of 444 subjects with traumatic brain injury who survived from traffic accident in chengdu from Jan. 1,1999 to Dec. 31,1999 were collected and analysed.Results The average intelligence quotient(IQ)of patients in patients group was 75.23±15.87. 32.8% patients’s IQ was lower than 70. 56.1% patients’s memory quotient (MQ) waslower than 51. The intelligence impairment was correlat with education level, brain stem injury、left temporal lobe injury、subdural hematoma/hemorrhage、three or more lobes of the brain injuried and EEG abnormality. Memory impairment was correlated with education level、interval between injury and evaluation、brain stem injury、Left temporal lobe injury、subdural hematoma/ hemorrhage. Conclusion These results suggested that impairment to intelligence and memory in different degrees were observed in most patients with traumatic brain injury during traffic accident. Intelligence and memory impairment was correlated with left temporal lobe injury、subdural hematoma/hemorrhage、brain stem injury、education level.更多还原