共 4 页第 1 页

XXXX法医临床司法鉴定所

对xxx伤残鉴定意见书

一、基本情况

委 托 人：XXXXXXXXX

委托鉴定事项：对XXX进行伤残程度评定

受理日期：20XX年X月XX日

鉴定材料：1、XXXXXXXXX委托书1份

2、XXXXXX人民医院住院病历复印件1份

3、DR、CT、MRI片共XX张

4、XXXXXX身份证复印件1份

在场人员：XXX XXX XXX XXX

鉴定地点：XXXXXXXXXX

鉴定日期：20XX年XX月XX日

被鉴定人：XXX、男、汉族、出生年月：19XX年XX月XX日

现住址：河南省XXXXXXXXXXXXXXXXXXXXXXXXX 身份证号：XXXXXXXXXXXXXXXXXX XX法［20xx］临鉴字第xx号

二、检案摘要

根据送检材料及委托书记载：20XX年X月XX日被鉴定人XXX因交通事故受伤，伤后到XXXX人民医院住院治疗。

共 4 页第 2 页 20XX年X月XX日我所接受XXXXXXXXXXX委托对XXX进行伤残等级鉴定，X月XX日对其进行活体检查。

三、检验过程

1、查阅XXXX人民医院住院病历（号：152342）记载：

入院日期：20xx年6月30日

主诉：外伤后头痛头晕并双下肢疼痛2小时

体格、专科检查摘要：T：36.3℃，P：86次／分，R：19次／分，BP：100／60mmHg；神志清，精神差，左枕部肿胀、压痛；胸廓无畸形、压痛；左小腿中段及右股部中上段肿胀、压痛，可触及骨擦感；左手背有一约9cm长纵形裂口，部分深达骨膜，皮肤挤皮下组织向两侧潜行剥离，宽约4cm，左腕部背侧约6×5cm大小范围内有多条不规则裂口，皮缘不整，部分伤口深达骨膜，皮肤与皮下组织有剥离，皮瓣厚薄不均，皮肤有部分缺失，创面污染重，有玻璃碎块及沙粒残留，手指活动尚好；四肢肌力、肌张力正常。头颅SCT：1、枕骨左侧骨折；2、蛛网膜下腔出血；3、左枕部头皮损伤。X线片：右侧胫腓骨骨折、左侧股骨骨折。

入院诊断：1、急性闭合性颅脑损伤：①脑挫裂伤；②蛛网膜下腔出血；③枕骨骨折；④左枕部头皮挫伤；2、右侧胫腓骨骨折；3、左侧股骨骨折；4、左手背皮肤撕脱伤；5、左腕部挫裂伤。

诊疗经过：入院后完善相关检查，左手及左腕部伤口给予清创缝合，抗生素应用，术前检查无手术禁忌症后在麻醉下行“左股骨骨折切开复位髓内钉内固定术、右胫骨骨折切开复位外固定架固定术”，

共 4 页第 3 页 术后预防感染、促骨折愈合药物应用。

出院日期：20xx年7月20日 实际住院：20天

出院诊断：1、右侧胫腓骨骨折；2、左侧股骨骨折；3、急性闭合性颅脑损伤：①脑挫裂伤；②蛛网膜下腔出血；③枕骨骨折；④左枕部头皮挫伤；4、左手背皮肤撕脱伤；5、左腕部挫裂伤。 2、20XX年X月XX日对被鉴定人XXX因车祸外伤治疗后法医学检查：神志清、精神可、查体合作、对答切题、略跛行步态；左大腿外侧可见有二处手术条形痕，分别长约12cm、7cm，轻压痛，周径测量左大腿较右侧长约1cm；右小腿前侧可见一约8cm长手术条形痕及四处手术遗留疤痕，轻压痛，周径测量右小腿较左侧长约1cm；双下肢长度测量左侧较右侧短缩约1cm；左手背部可见一约12×1×2cm不规则疤痕区；余功能检查无明显异常。

四、分析说明

根据XXX基本病史及检查情况，20XX年X月XX日因车祸致右侧胫腓骨骨折、左侧股骨骨折，并行“左股骨骨折切开复位髓内钉内固定术、右胫骨骨折切开复位外固定架固定术”，其外伤史及手术治疗史明确。

20XX年X月XX日法医学检查：略跛行步态；左大腿外侧可见有二处手术条形痕，分别长约12cm、7cm，轻压痛，周径测量左大腿较右侧长约1cm，稍肿胀；右小腿前侧可见一约8cm长手术条形痕及四处手术遗留疤痕，轻压痛，周径测量右小腿较左侧长约1cm，稍肿胀；双下肢长度测量左侧较右侧短缩约1cm；目前情况XXXX因交通事故

共 4 页第 4 页 受伤致左侧股骨骨折、右侧胫腓骨骨折，并行手术治疗，遗留双下肢功能活动方面存在一定障碍，其在运动、负重、着力等方面均受到一定限制，依据《道路交通事故受伤人员伤残评定》GB18667-2002国家标准伤残等级4.10.10（i）条和附则5.1条综合评定左下肢及右下肢分别构成十级、十级伤残。

五、鉴定意见

根据被鉴定人xxx基本病史、检查情况及分析说明，其目前情况遗留两处伤残，分别构成十级、十级。

司法鉴定人签名及盖章：

《司法鉴定人执业证》证号：xxxxxxxxxxxx

司法鉴定人签名及盖章：

《司法鉴定人执业证》证号：xxxxxxxxxxxx

XXXXXX法医临床司法鉴定所

二○一四年三月二十日

 

第二篇：报告书模板

沈阳理工大学课程实践（论文） 封面

成绩评定表

任务书

此三页按学校统一规定

沈阳理工大学课程实践（论文） 目 录

1 前言 ······························································································································· 1

1.1 作业背景 ················································································································· 1

1.2 选题说明 ················································································································· 1

1.2.1 基本思路 ········································································································ 1

1.2.2 作业目标 ········································································································ 1

1.3 工作业绩 ················································································································· 1

1.3.1 个人主要工作 ·································································································· 1

1.3.2 主要收获 ·········································································································· 1

1.3.3 自我评定 ·········································································································· 1

1.3.4 小组成员任务分工情况 ·················································································· 2 2 章名称 ··························································································································· 3

2.1 节名称 ····················································································································· 3

2.1.1 目名称 ·············································································································· 3

2.1.2 目名称 ·············································································································· 3 3 章名称 ··························································································································· 4

3.1 节名称 ····················································································································· 4

3.1.1 目名称 ·············································································································· 4

3.1.2 目名称 ·············································································································· 4 N 章名称 ···························································································································· 5 N.1 节名称 ···················································································································· 5

N.1.1 目名称 ············································································································· 5 N.1.2 目名称 ············································································································· 5 结束语 ································································································································· 6 参考文献 ····························································································································· 7

沈阳理工大学课程实践（论文） 1 前言

1.1 作业背景

本文根据《管理信息系统开发实践》课程要求而做。 课程作业要求如下：

具体内容??????????????

1.2 选题说明

具体内容??????????????

1.2.1 基本思路

1.2.2 作业目标

1.3 工作业绩

1.3.1 个人主要工作

1.3.2 主要收获

1.3.3 自我评定

□优 □良 □中 □及格 □不及格

沈阳理工大学课程实践（论文） 1.3.4 小组成员任务分工情况

本组为本次课程设计第××组，组长为：×××，小组所有成员分工如下：

学号 姓名 任务 备注

沈阳理工大学课程实践（论文） 2 章名称

2.1 节名称

2.1.1 目名称

详细内容????????????????。

2.1.2 目名称

详细内容????????????????。 ??

??

沈阳理工大学课程实践（论文） 3 章名称

3.1 节名称

3.1.1 目名称

详细内容????????????????。

3.1.2 目名称

详细内容????????????????。 ??

??

沈阳理工大学课程实践（论文） N 章名称

N.1 节名称

N.1.1 目名称

详细内容????????????????。 N.1.2 目名称

详细内容????????????????。

??

沈阳理工大学课程实践（论文） 结束语

????????????????。

沈阳理工大学课程实践（论文） 参考文献

参考文献可以是：具体书名;具体论文和具体网址

文献书写格式如下：

参考文献题头用黑体四号字居中排写。其后空一行排写文献条目。

参考文献书写格式：按论文引用顺序编排，文献编号顶格书写，加括号“[ ]”，其后空一格写作者名等内容。文字换行时与作者名第一个字对齐。常用参考文献编写规定如下：

图书类文献——[序号]□作者．书名．译者．版次．出版者，出版年： 学术刊物类文献——[序号]□作者．文章名．学术刊物名．年，卷（期）： 学术会议类文献——[序号]□作者．文章名．会议名称，年份．出版者，出版年：

学位论文类文献——[序号]□学生姓名．学位论文题目．学校