![人身损害司法鉴定指引与实务](https://wfqqreader-1252317822.image.myqcloud.com/cover/663/31231663/b_31231663.jpg)
第五节
附表(常用人体功能分度/分级/分型表)
表2-1 肌肉瘫痪与肌力分级表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0052_0052.jpg?sign=1739233232-3MntVI9twGuepVhrzaVWMYfrYzG7Hc34-0-b859e906592ee497ecce24a46adc0156)
表2-2 肛门失禁分级表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0052_0053.jpg?sign=1739233232-lOoKzbzyOwiZQCHIveXwyOGqmnV3Whoi-0-e1e26783f0e50fe1a43513b227d75318)
表2-3 排尿障碍分级表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0052_0054.jpg?sign=1739233232-D2qpms5VNjFNIKzBc54i2JiSoVoypSmI-0-5a5034810262b0f9fb77b59a1a328965)
表2-4 (张力性)尿失禁分级(度)表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0052_0055.jpg?sign=1739233232-sQcTMwCP6ioch1dRicFlAikDjny3M2r5-0-3a22a2421c02f7b8c9dd88e7bfa93aef)
表2-5 智能障碍(减退)/智力缺陷分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0052_0056.jpg?sign=1739233232-VWgbMUf6CZRBCVvcT2MDYJ4WgQHhGZrT-0-37bc0caba16b63bd6cf0f75f77312fc9)
表2-6 纯音气导阈值的年龄修正值(GB7582-87)
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0053_0058.jpg?sign=1739233232-PBBotM6WITUXkCG7kEUimIWD8N0BUjWl-0-0a184df9e4814961b3314e5833ed79a5)
表2-7 盲及视力损害分级表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0053_0059.jpg?sign=1739233232-wHF1my25UoFgmPWiXc3BnypBmkRqIqRw-0-8d8f78de3e2fa3308d3f2771828ed6c3)
表2-8 视野有效值与半径的换算表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0053_0060.jpg?sign=1739233232-JHPG6HHA19BDHDPBfK9Sdy4mLVAfQYda-0-4170126ef539427d9b0ab21c43cc9c1c)
表2-9 视力小数记录结果换算表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0054_0061.jpg?sign=1739233232-B0VFPxpRIqIDVahNvqlSeC1yotWxBSEE-0-669a75865808107541ef48f1651026e7)
表2-10 视野有效值与残存视野半径、直径对照表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0054_0062.jpg?sign=1739233232-ZrS2oFA3WclsFnkoZbSrJLps34xSf5ic-0-7e8257dfa86454c8e6ef744747f6ddb1)
表2-11 视野缺损的程度分级表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0054_0063.jpg?sign=1739233232-j7aLjNlQsMsG9HhOSOOaMReKRNlK1enT-0-9789ab5fe0aec75513d9fff9c35f4a9c)
表2-12 视力障碍与视野缺损相应关系对照表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0055_0065.jpg?sign=1739233232-Nrdi6aRoWk6zNUjNabnl0UHiYwad837M-0-6bdb3ed916ce7dbf36c5d854b3fd1b0e)
表2-13 眼睑外翻分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0055_0066.jpg?sign=1739233232-1yRsIX8Y6s02zHIzzdq5aoGJuZgsvXHu-0-16ed8ba940d67f1ad0647d5e0d68c2d4)
表2-14 眼睑闭合不全分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0055_0067.jpg?sign=1739233232-xKUzvLixy0O1SXfJ6kpf0Y3aJtuCpjam-0-c2fc82c58691ca538577e41a6cf2b95b)
表2-15 外伤性白内障分类表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0055_0068.jpg?sign=1739233232-O4SH6fniivfcOoJMhPlelvCrV5Wt8uDA-0-429f17be804869b6ddb7d31f128f4f0f)
表2-16 外伤性低眼压分类表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0055_0069.jpg?sign=1739233232-nAclL2izBZKza7KblO8tvNuT0C6grADK-0-3c426dea924edd98539c2195d25529fc)
注:眼压降低提示存在隐匿的眼球壁不完整、睫状体功能障碍、视网膜脱离等。
表2-17 容貌重度毁损表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0056_0070.jpg?sign=1739233232-KDENtrh1tBj0tIMUTs07808WCIS0gHoG-0-ce8c8f96500a87a7fcd7e6dde91f178f)
表2-18 容貌显著变形评定表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0056_0071.jpg?sign=1739233232-WwfDY8ePoiHcRMt87z7EC9NPH3pyBqZk-0-c958f07c8d3a41a49b49c59861189c93)
注:1.面部中心线:以鼻根点作眼耳平面的垂线所形成的直线。
2.眼耳平面:又称“法兰克福平面”。活体上相当于人体站立时,臀部和背部靠墙,两眼向前平视时颅骨的位置,与左右外侧耳门上缘点和左侧眶下缘点三点确定的一个平面。
表2-19 瘢痕分类表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0056_0072.jpg?sign=1739233232-VMLcfwqLQAsmruQiw0CcNBVmE26sKaZ3-0-1f7643d1ae080f6831f57e20d74c211a)
表2-20 面部条状瘢痕损伤程度分级表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0057_0074.jpg?sign=1739233232-ntPZVenD15IQrneaaPpKsD7AXosr01it-0-569c0f56c49f8808c30cc7cc2e1dc3a2)
表2-21 面部块状瘢痕损伤程度分级表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0057_0075.jpg?sign=1739233232-7cgXYRXIura9lHJXY5PzeMlQoPtlaHv4-0-ca2c091880778b86c82deffee214cf88)
注:线性瘢痕除外,涉及跨界瘢痕按照跨界原则计算。
表2-22 面部细小瘢痕损伤程度分级表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0057_0076.jpg?sign=1739233232-Vrfd5XgAVgwJLWX0jlLmrxO5cvBJgu73-0-99cd929cdc90c71ffba35f68a95a333f)
表2-23 外周性面瘫分级与症状体征表[1]
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0058_0077.jpg?sign=1739233232-VsA5P488fsr9VccqtJDseCjESiIy7OZg-0-aa118ef2ce496e259049519f6424e8f4)
表2-24 张口困难分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0058_0078.jpg?sign=1739233232-NbpBJsiDMJfbkZoik2INJ6VlJcQUq1Tn-0-ed4dc76027f8c3955f054c7eaf0e7d00)
表2-25 外伤性鼓膜穿孔与病理性鼓膜穿孔的鉴别表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0058_0079.jpg?sign=1739233232-hn7kIcBglcuPvbNeRzWshuIsd0RNyyiC-0-44ec5b28ed98233fba4105d3b15b053e)
表2-26 眼球缺失认定表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0059_0080.jpg?sign=1739233232-SZleLz7Wd93hUMnBsiWDh7OMczLZh0L7-0-a09c1c881f1ee26c9249520a5799a21d)
表2-27 眼球萎缩认定表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0059_0081.jpg?sign=1739233232-u0NkA2euhVZPwaMXfKexrmUjyk7IW9QY-0-aac57d0df8a96a3f02ab3c18d454bc74)
表2-28 前房出血分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0059_0082.jpg?sign=1739233232-4sksE1EeCcsyGSPVbKny7QxxLxL3S5Rv-0-e796a2a56fe54bdfbe60a763b3fb4f71)
表2-29心功能分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0059_0083.jpg?sign=1739233232-2inEVuDum0N3v3Y9fdaTdoTxHg7GRKe7-0-40b319fb45048b24d90b840825c0b4f6)
表2-30 肝功能损害分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0059_0084.jpg?sign=1739233232-yFv9hWenbTPIGCopbQhRAMoN4lgYFkPY-0-3ecc44b0882714a71080722ff70f884d)
表2-31 肾功能障碍分期分级表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0060_0085.jpg?sign=1739233232-HNGLsMt4B04X9hAkhK2vilZzrT4k7lqu-0-f5a04d55cefb6471d963eae70dce5ec6)
表2-32 急性呼吸窘迫综合征分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0060_0086.jpg?sign=1739233232-Aw1VVdCVhzo7TNnBxlEwgcnpjBEcWFhr-0-d3514382f84303d59c7501952db13cb1)
表2-33 呼吸困难分级表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0060_0087.jpg?sign=1739233232-bcLKLGiwqMfLVKtju7rIH2CG7RUOrBXn-0-1be9d39696245a8b511080130ecd20a6)
表2-34 休克分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0060_0088.jpg?sign=1739233232-O3Qis3TsXsam4bS9ARPZA2k5pjQb62ni-0-07bd9c14c8b3cb7598ec35cceb1e9ecc)
表2-35 烧伤深度分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0061_0089.jpg?sign=1739233232-ahsocS4GDnuXKo3r1OghivH0xbdjL1yk-0-02fe140be67c8e2a79a67da67a507106)
表2-36 电击伤分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0061_0090.jpg?sign=1739233232-bOlg5Pg6eGneZNHTagEH3T1jKOjwAayD-0-46dae29b5b70ba3e502cab4db3797116)
表2-37 溺水分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0061_0091.jpg?sign=1739233232-akdrTmoo5P8uIIVlDt8ehLfgzwgb5zsq-0-38821ff5897ade337975626f7314ae6d)
表2-38 挤压综合征分级表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0061_0092.jpg?sign=1739233232-llyxcFAjqQIOZ2cuVXx7sIeVazaYdZsN-0-0ad26769d6112ceaded847bcebdbb47a)
表2-39 脂肪栓塞分型表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0062_0093.jpg?sign=1739233232-5iDgIgWDgfnY40QDaQm0NciXfp06k3VD-0-37dd37ef0ed9b21df566680d70c792bc)
表2-40 人体表面积的九分法表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0062_0094.jpg?sign=1739233232-jBskanhavRcHhkseNswK9nHefUZk6zr3-0-5212d2167573caafe7e0df3242615016)
表2-41 器质性阴茎勃起障碍分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0062_0095.jpg?sign=1739233232-X17V12NZ08ynuqQIN40ZBfluGZEXhhzC-0-c1655e6e9fbb6ccec1fc15cd6d382088)
表2-42 营养不良分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0062_0096.jpg?sign=1739233232-AcKkIAXCSmcE815AMnx8fKrNRxPVWsta-0-9d65b305bd6b39265d5d0063005bc69b)
表2-43 肩锁关节脱位分型表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0063_0097.jpg?sign=1739233232-8aW59FxsaW9hQ2jAKoD1qzz09JivEKi0-0-2d4865a386a696617ad85a2fd29ea03b)
注:习惯性肩锁关节脱位不属于本条规定的情形,除非有关节囊破裂、韧带损伤的损伤性改变存在。
表2-44 慢性脓胸分型表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0063_0098.jpg?sign=1739233232-z7bUiIL2KqqNsp4sBTifQsiWQpi5HCKm-0-c8263918a63554cae755f1db8888eff4)
表2-45 肾脏损伤分类分级表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0063_0099.jpg?sign=1739233232-k1mZPu5JOnglGJMNXu8mh4yencwexGmC-0-80dc171f824305c2142b2fe18e453513)
表2-46 会阴撕裂伤(创)分级表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0063_0100.jpg?sign=1739233232-EsYlRFZiSRzNmuH8N9tDopRb767WdWNN-0-24abe5c16989e3f8f7053a57a99ca9fe)
表2-47 阴道狭窄分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0063_0101.jpg?sign=1739233232-S7kchbuK6mHUbLHHwPYFcoZHpX0Lwiwy-0-6f7b2b07bc0d3fde21f8180ef7e32eb9)
表2-48 骨盆骨折分型表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0064_0102.jpg?sign=1739233232-IDtiFbSQx2ybPoNPiYLAIbziPaxtrDtL-0-577d7c4fd2ee221fdd5901abd65e9b98)
表2-49 关节活动检测方法汇总表[2]
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0064_0103.jpg?sign=1739233232-4MwDUPMovTZEaAkKbbyO8fNaV8RpkMNm-0-69f9f30f00903fc908e7455c38bf1a9e)
(续表)
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0065_0104.jpg?sign=1739233232-TLDBvJg0dFu2YxsqIiZ8vfjiyRLmick0-0-30a79a9fd289beef3cb26d341606cb72)
(续表)
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0066_0105.jpg?sign=1739233232-knDAEk6UkqNMw1OKBTdoUQkOSkEYVcje-0-c2208851d4313a6d68836949a4dad6e6)
(续表)
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0067_0106.jpg?sign=1739233232-bgGJ2a8FWebhy6OAoJKWgRO2iWrP4OH6-0-d93884ae55daadf1ffcc9e91e1d8c783)
(续表)
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0068_0107.jpg?sign=1739233232-I4iTZ2LA4s5DkFDfdqvrg97jUZXuSJbm-0-a8a6b8252a9406b20b858ad4f77e2f7b)
(续表)
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0069_0108.jpg?sign=1739233232-vIGwMIXvY91cs2HifmiYLlrOIh5sCwRK-0-b3b4a5e00f8aabd32ac7be0e45b10c35)
(续表)
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0070_0109.jpg?sign=1739233232-yPDeWzr5O2ZKvSltR0sPqkuY5DR6mYlu-0-c066a2ae24b55fcfdb838e661c74b64e)
注:图中度数仅供参考,因为同一关节主动活动与被动活动的活动度是不同的,正常时被动大于主动,骨关节损伤以检查被动活动为主,神经损伤以检查主动活动为主,检查结果应注明。单侧损伤必须检查健侧,并以健侧检查结果为正常参考值,双侧均损伤一般引用参考值的平均值/上限。
表2-50 肩关节功能丧失程度表(%)
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0070_0110.jpg?sign=1739233232-1YODgvPn31yHyNNqULZsT0NpLnUHEK7x-0-340e3b6f1ddd5173b9b149114bfaf8f6)
(续表)
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0071_0111.jpg?sign=1739233232-nwV8b9CCRxxDcSxeFd3YOzjLhubIv16p-0-0af7594752b81610c475875c4601f95f)
表2-51 肘关节功能丧失程度表(%)
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0072_0112.jpg?sign=1739233232-bVZSjfJVO5YPiXpjFyEkjDc3GQL77Mjn-0-2738484bbd2d2de724ab6e6af7a2c3b9)
表2-52 腕关节功能丧失程度表(%)
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0072_0113.jpg?sign=1739233232-SSG9e14f98ye3scq4rXLHJNrFGm7Oig7-0-318c0ed1b2169ec5f05042162411dbed)
(续表)
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0073_0114.jpg?sign=1739233232-TMyyzYsOy4ss3qpPI9bx9WUG3vKqrO0D-0-c6d04eeb3c349719624239505543c1fa)
表2-53 髋关节功能丧失程度表(%)
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0073_0115.jpg?sign=1739233232-ZnVUTHylj4Zslc41dyL3DQ096f4bVS0C-0-d54434a1c339b6b474f747678b150380)
表2-54 膝关节功能丧失程度表(%)
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0074_0117.jpg?sign=1739233232-plFmj0kYEUXJ8xmaCHS7E7qrbXG8kKvW-0-6bf060b0d047db3fa0c9421271974e0e)
表2-55 踝关节功能丧失程度表(%)
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0075_0118.jpg?sign=1739233232-gmMbRDXU5feU8e9QM8BrdXpD4Np3kHas-0-dee4d5469440697d5afed69fbcf6634e)
表2-56 手部功能的占比表(%)
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0075_0119.jpg?sign=1739233232-DBAkpCELLV6WNLZEAvViLUUDww54cCcy-0-881b9cea2aa722b36065c68e8aab8a32)
表2-57 呼吸道烧伤分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0076_0120.jpg?sign=1739233232-qV71dGQOSyutIfYnriCvmh5Tg6Te2KlV-0-c7e1117d9ceee162e3310c949cbe4c57)
表2-58 休克分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0076_0121.jpg?sign=1739233232-h79G3d8ojSUe614y7pgKXfR6xIfajxti-0-c08622607c7b35629423c22ca578a62b)
表2-59 急性呼吸窘迫综合征分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0076_0122.jpg?sign=1739233232-JSVbuctMwjldw4iT0XM4GoBSiqJbjFUh-0-d340e686835bc6f1c7d7703389f60ffe)
表2-60 人体非致命伤损伤程度划分原则表[3]
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0076_0123.jpg?sign=1739233232-5nwbICVIGLHuE9mv1vjE7OWt75r8SEnI-0-fb857da2fffe014db68655e447fb9834)
表2-61 尿道狭窄分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0077_0125.jpg?sign=1739233232-dZYZFHHEssDnK3fz5uMrpeAaPw9HtGHL-0-bd7e25d7fadba5256558bbc409ca3b23)
[1] 参见崔永华等:《耳鼻喉、头颈外科疾病诊疗指南》,科学出版社2015年版,第129—130页。
[2] 改编自朱广友主编:《法医临床司法鉴定实务》,法律出版社2009年版,第71—83页。
[3] 提示:本表根据《人体损伤程度鉴定标准》附录A(规范性附录)整理而成,其中上下限和范围部分有个人对标准的理解性内容,供鉴定人参考。