![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=1739316364-R5taMw0fp7L8k0YKLsHrVV3GsObvEOsp-0-5eacfb6ca73e1190dc8f4e00092c01c8)
表2-2 肛门失禁分级表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0052_0053.jpg?sign=1739316364-aO9IgJfNMATysEvK8Lr59JHJpnvC8RLn-0-4695eee0f9148297cfa728bfe09a162d)
表2-3 排尿障碍分级表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0052_0054.jpg?sign=1739316364-oYf3qPvvhxwHAA8hIewHntZ30SGRZB4G-0-264d2cf0e17c76ba918c2a56044a53b5)
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=1739316364-c9SIkSTLujNZI9kqwMnu1WvnFNqwYwyA-0-2e5be5ac5b70bcb0670b9f3c01308188)
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=1739316364-dkztmJXtaFu3FxFIeITiiI2XajpfvaSN-0-4fd94eec14421c3d755c3b87a7ffac99)
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=1739316364-6EKBIaIkumxzKtJtnMJxIPlkJJ8ZsMFD-0-1777f393baf63b9e5708ab609295a29c)
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=1739316364-UGdSIU6CVzPVHQKB9GJh2405p5Y19WSj-0-978208e486e2420be5f6306719c3a945)
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=1739316364-tB4oOO3pIEsnv3YZJFUhfxvZnqVC2QQH-0-17cfd100700f6fe7aa4f5a1b331d45d6)
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=1739316364-sz7HymJOB4eBypSmOcBHIoRYVQE04qqq-0-db86ca52b6f2473af8b0e35b594e28d5)
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=1739316364-keOgNp0XEJvRyFmpfJSRd0oai7IFIfPf-0-e4e90c652ccd266d337fcd0cf29ffbf8)
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=1739316364-nfOcI6pnLqCCzdXZighwj0cJGb4KoqNR-0-f926545ecf962335c6f2a342649a3c71)
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=1739316364-ZHVqkmwY2bc5ZRJE1ZXueChfEAkIHH5X-0-8efff7ed03b86d6eeb56c41821d04ca8)
表2-13 眼睑外翻分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0055_0066.jpg?sign=1739316364-dA7GjstVh0Ods3gdo8osJkQuOKetZfyZ-0-f2e339c208b7f31d2029a770c85f216e)
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=1739316364-TvTdU1WvFRYJ79mkGKvxtiRGPeqfQMyg-0-c77af0cb487eafac0e74e0150ec2a828)
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=1739316364-cTbTqfvhVKSl5GupmWIKiHDuu9tiyH5R-0-e59635a948506ca8f9d8d06087e937a5)
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=1739316364-mqElQs5KId0pXU4dCHEf72P2K2SKKZen-0-08462f31ab40346eaec1f2645b8b88fe)
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=1739316364-KeWVCiik3jbBLSdX96HrsHys9iK2Qjxf-0-fa1ee188d29389436b37e2c075dbd3b6)
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=1739316364-wSm8BKj0aEfjjBsjo4dT31hcWsamzERQ-0-89af005ad4b89d922415c6692abcfc5b)
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=1739316364-abuTfQ6WESaGb8xRakcAgLO5kLh0PeYh-0-877dce5e877cd6b54d841f0f8243517f)
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=1739316364-KvGlnVA7seaYVd8R03STcPB8Bnj4tzzA-0-b705e6002f463abea6765a2d2f277a86)
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=1739316364-JkwsTVKm3gO8ESvSdC3LrMcOrcHKEHw4-0-c80b2484463cb80d5d207b865b084990)
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=1739316364-ZMagQl7PBXoQjo6jF9zsdn59LmQjbrRp-0-98e50810a299d4f6b4b930c2f1c5755d)
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=1739316364-4hxlcsXbYSU6cBPInvAGnPOExsnq0ubc-0-0fcd82500b4ef0c875887d5a40b29a61)
表2-24 张口困难分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0058_0078.jpg?sign=1739316364-p9Wnf0yEYjAAsXSiRRxqopbnhYzOFtY1-0-d0cfff49171ba5d9e254f535a725c6d7)
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=1739316364-mkzti4BRsfd9ut7ZcU6cwk1f2bqWpkP2-0-55a7e9c497f019bbcf94db67534644df)
表2-26 眼球缺失认定表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0059_0080.jpg?sign=1739316364-DGpH8fRnRzvRgUxGrga0MEoJvA7VevWC-0-6a17d233667e2ee295315e4d38ef72a7)
表2-27 眼球萎缩认定表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0059_0081.jpg?sign=1739316364-SNZ2fLn9j4rbhyPby0SD6Z3ngxodd5J2-0-e47886d4737b3f9607d3b560a90f52ad)
表2-28 前房出血分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0059_0082.jpg?sign=1739316364-3jYGUcVSFzMRJyyyT5e6luCHMRXpGYae-0-0af4507311fe2705b026e2806d206272)
表2-29心功能分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0059_0083.jpg?sign=1739316364-QYYhuaCF7xNxYhFF7M8mJTwd65vgcg01-0-f0d5ee3bc2a8d0f2baabadbd3581367b)
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=1739316364-6tcMissdw0Iil65hXbkyMEqWaBnX9mgZ-0-b34bbb7300fa5ad2fe11ba1033428804)
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=1739316364-lS366i7qdEK0Za17jx1eDNAWHpQeuSpY-0-440320bcf6e7d78d67a38c767aa5857d)
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=1739316364-pxMfXvvm6UElG7xfRtxIyTNy5L5DEwWD-0-226a6a35876826d62e9cadc14955632d)
表2-33 呼吸困难分级表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0060_0087.jpg?sign=1739316364-NStNgrUu0qMUiTMeIptGtUaaxfBMDLGb-0-508b260b9ddb831efff5517e539e3a7c)
表2-34 休克分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0060_0088.jpg?sign=1739316364-Lfa8aBlm2JZiFjKsrS4xDIxasEzZmcPW-0-e363dbdc7632bc708e1ee2b46cff58e6)
表2-35 烧伤深度分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0061_0089.jpg?sign=1739316364-heudRbdvt2u363GXoWGo45RyeAYjc9to-0-d846933a53dd849b224a8d19c80ce30f)
表2-36 电击伤分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0061_0090.jpg?sign=1739316364-bF81zKB39pLJKx6yYeTncwGLqmNKfykU-0-da1189d27bfaf922ccb6f2719117a8b3)
表2-37 溺水分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0061_0091.jpg?sign=1739316364-uaAJWAfEr2dvfYqinrBitsHf1syLkORA-0-455a24ff9e6a7b17cd5de3d3644bd014)
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=1739316364-JnHuPcXwpHfWqVs84uqYxiD3Nm9Gk84P-0-8d6ca3d7694b30021c996b66150dd9af)
表2-39 脂肪栓塞分型表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0062_0093.jpg?sign=1739316364-cB9JJOWbG8vBYR99jrL3cf988RZCDSdM-0-e8208e88e3c5d4b16beaad1f2b762cab)
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=1739316364-AwjEtf47KlFfUkBO8vL1IJT65YXa1tUM-0-965da39d0bed1396a36e05c384189328)
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=1739316364-dkgVONCjabroHibPrlAiy4bMP5y4gyET-0-9e4b3e8597c93f117f60a245db609bd0)
表2-42 营养不良分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0062_0096.jpg?sign=1739316364-NvmALJB5hrJEW1gzZWfe9gqJL5O2e9hz-0-f82984b9fb325d3e0dfd1a7232a4a321)
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=1739316364-BnszbMIQd0iru7ynzmiEthK1tcjjztxp-0-9e6aef1122c596355b0f0da53fc546de)
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=1739316364-N16FztFbj0ALnwyUfwW2cWY5UPUuu3fc-0-5ffb521d9c11ebba4896a965960b5199)
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=1739316364-XwlHiHEOMwL8IhCUSMpPkjBILL4NasRB-0-d973cafce9e2fa4984d37841b7446153)
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=1739316364-fJA3GhlzjL6lWRMhy91sHh5QqoOobM30-0-ef093c9e5154f92cb062d0539ff4a286)
表2-47 阴道狭窄分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0063_0101.jpg?sign=1739316364-U3WA4DefAJRRDFzrxEoxluY57CZl9MAE-0-bb7300a689c2fcc1ffdfe584c7bddc43)
表2-48 骨盆骨折分型表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0064_0102.jpg?sign=1739316364-eMQ3heTBR1V4Dd36wrX2iDHFhsvKopvn-0-6e251fbb099df9925e20e9bd32919ee3)
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=1739316364-VweKYnCJXu8xSQMPkHNHaJjRRvbWET5y-0-3775010f92a41edb98f5d505557e9ac2)
(续表)
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0065_0104.jpg?sign=1739316364-C5lbaHTOWzwnm5pKmqbl33WDh8LNVxq7-0-d6ff9cd8a12d0d7eec5b67da112ec418)
(续表)
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0066_0105.jpg?sign=1739316364-LwUZ9l1ewYxpXS8GndJA9TybcfR2plG6-0-f80343414a200afda503b559887c95c0)
(续表)
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0067_0106.jpg?sign=1739316364-vWz7wCBcgY7QpYwtAX1Q1r0blzFHeMfj-0-a661c8f52b2854f990c8e91e592d0021)
(续表)
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0068_0107.jpg?sign=1739316364-zpN2XhSnNrUCbNk10MGNCYsRdxrTcEx3-0-8fa25ae00e1e6d56953eeaf75fe9b0a6)
(续表)
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0069_0108.jpg?sign=1739316364-POsCui78rZJymQP50WZUNru7WOAkYRZR-0-88bce6ed14ebf122ad8854ba3a3d2c59)
(续表)
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0070_0109.jpg?sign=1739316364-it2xUXS8pYe1PHx3SPGDazChqu2xurH8-0-518e920c591f18cdcbfa9f0d195e579d)
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=1739316364-QqxtVkjxLmIQWQZEjrxaW4hDaKzwQKpt-0-60e212e77eba1ca43bc9505902bf9da1)
(续表)
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0071_0111.jpg?sign=1739316364-Yzu8cvLrz54kdAhVkUh244PpjUT9Aicx-0-513a7cf1c5d641d8c04eff5d572f3398)
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=1739316364-Ih90AyCsHHF1oXIsGbeJDqHwmqczh8zj-0-dcd5f99b965f3c7658c03e0f5de3b75c)
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=1739316364-QXYdYjrXRgcXVXkBRtYGOgwOBt8g3TWd-0-716451b9f4ed60c17095636dec84c4a7)
(续表)
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0073_0114.jpg?sign=1739316364-QwpLzI95lfKF7TaPO3qfKvXjzFFN0DwK-0-e9dc5bc927828ca3f0957a1fe8363bbe)
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=1739316364-xaqUjIFbXs7xgmBcHf6FESKMl2g5iWXs-0-eab9639b20de4f6c35be01c47f51ba43)
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=1739316364-Q8Eqy9T8XcFMa4vvDw5NHvnD1Td4OgoI-0-c0b195d15b0c496d4f3e8001fe70e1a5)
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=1739316364-yrdSZDlpTQGsFiP6bw8adrSpYOM8MnE4-0-14d738252d92aa7e4a462deff8d6fab8)
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=1739316364-8x0TuuZOuL9oJQMjlCdmMXG6VA77VEmN-0-4766013512a90d8a694f41633dd6fff5)
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=1739316364-ajuImiOKAXIsCl4oiSAsYM0DJMmMjwGA-0-c59dbb959fb31c57b24e943305f2cfca)
表2-58 休克分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0076_0121.jpg?sign=1739316364-RKlbVGg5sB6cpKtY993Ex4o8TDtdDDQp-0-d0f1a21779aa285c055852ba752b549f)
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=1739316364-RXP8gcNFG7y2W11PZ6BrYEEGn2aViOgB-0-544b6b38e9242f9ddf73884a10a81ceb)
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=1739316364-X274mblyzlhn3ygeMbvcm7rRqbWnY7ET-0-d2e8d50ed39a671ba34d8b875da068f1)
表2-61 尿道狭窄分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0077_0125.jpg?sign=1739316364-oplPxiKl09AWAbbL1OibWPANJFEkey81-0-f3d09eee4530e161744cc4e729378e6d)
[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。