![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=1738885517-6N9bd2atSwsHAQWRpGhtUKCS6QAMfBwc-0-64996fb7ec0865667c7be3f10da10c37)
表2-2 肛门失禁分级表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0052_0053.jpg?sign=1738885517-cG6RQMcuqWUM2wuooeY9Pu9L4DpJzVD5-0-38eb71cfba6bd8ed3ffb40ea8199a9a1)
表2-3 排尿障碍分级表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0052_0054.jpg?sign=1738885517-MogGetHiC1mCgiio7g2urS45Y6shw6ce-0-d98a0ab61089d7db6084c0dfe1f12bff)
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=1738885517-kiGWSsZOozMFK5O5JUhhU3Y7UbERBClm-0-2b8961997f0aca5528b5622ea6113170)
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=1738885517-gY9J04ZFGfziwJeJH9g7svN0yQwmaS5B-0-4875647988af48dc9984a136dca173f0)
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=1738885517-0zvUci4fHA3or6RNvK76fVXMbU807Em8-0-21126b89b67bbb557d8771d1bdb72466)
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=1738885517-80jL0ihIelhd11u1T78RRumLyAOZr1ua-0-04b96f2829c821095f814f9d95ddac4f)
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=1738885517-HuZbsIrX7eTl3ZWK9ri6ftXeBrwlELwB-0-88746fd92bb0e52b5037844e7772f6a6)
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=1738885517-cbTOmxd56G58T8xJekjFZKOCLqahnfVq-0-6e45413be3b30b6863c8abbdb01e8594)
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=1738885517-dOra2n8XIGRR8JpoS1TM4EWL0Mbc1o3q-0-df620e71fa991ac94d8b9502d9792f8e)
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=1738885517-ASgqvYOzchW3ku1GQaO6kNhcECAkqXaa-0-31e636be4eb97a558fd71f79decbbcf9)
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=1738885517-WBtLFYQM3cVi8nZbTis6ZKXOGvQW6aSU-0-2caa10a9bc0f7a3b2fe6d544c9588f0d)
表2-13 眼睑外翻分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0055_0066.jpg?sign=1738885517-mdrA37rR528AWAcEIWP3GR9ZSf8CM9Jv-0-0bb590b5dac80fb46be565cfd55fd4db)
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=1738885517-XQtOKj9XoBX21YUuHGZYogOo8XxDqbGK-0-35a4a8cbfb619b7812e7ca28a83e9ef4)
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=1738885517-3K8CFvoxfXWZOcITd2CBTn5SXIsYeUyO-0-35a9006933447d41e112cdccdbd57bef)
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=1738885517-Umnc5HocRG1fYIBVa60gwXPZEOde1nSk-0-cf8de8ebe58843711bb6f39afb6d6e8a)
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=1738885517-CxckrjMKCYx4eeTwfJGHV2phHJKXsPZ6-0-6fc4aa4bf623ab91c49d64efbba00c4e)
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=1738885517-G4VnKPv5OpvvA50JBeUYTyyhmKZGgtcF-0-392d3db9ae5b3d32557eea1977d5abef)
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=1738885517-Y1CBgIo7bt0E8KiaCsnCghFCvpKpLFop-0-e11a6b94587c438a49b4649e4a41ca28)
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=1738885517-a5JfOibcdcyYTV3Uc8CsxlQAJkMPfUT4-0-6f8a49428ce193cb502b0d0d95748ad8)
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=1738885517-edoSiwoTy8J64470Mmcz5ZL5jyUvqNBj-0-696b34739b5ad2381960d032f08d27e5)
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=1738885517-1p5Wcn7MxU5UHlCMiFaeUdbQkwpc3YlB-0-76d46feb7224397562aea99a8ad90249)
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=1738885517-eas8CNbRoqmhCjWnSxCxxjdpjgJmLoa2-0-61b6b96ce6fbae7f8c069795df9e76bb)
表2-24 张口困难分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0058_0078.jpg?sign=1738885517-OztnbGHmfc6xqXYTW9jrKDYYh7Pg23qN-0-fd007fc3e8e5fdf91a53bf8023a07bc2)
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=1738885517-cmGtxfWvIMgKroL6ssPcJcTqZHOyp8pR-0-0622e1146c92e71de5522705f6389902)
表2-26 眼球缺失认定表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0059_0080.jpg?sign=1738885517-Ej927MDrnH1awXRb9pYXSgo8xLJkPalN-0-3709cfdbcb5b04c8ef628190c98b091e)
表2-27 眼球萎缩认定表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0059_0081.jpg?sign=1738885517-FiJUIrHHt0Xv236UqeZ4u8lZLWqsmGZK-0-29c78d17b2c7d5b790754ff5c07fc9ed)
表2-28 前房出血分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0059_0082.jpg?sign=1738885517-97ysgAGr6PCftiZG33mOkx9vQANVpkvR-0-15d0b6cfbb0edf2cb3e7dee1ea7fe991)
表2-29心功能分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0059_0083.jpg?sign=1738885517-VtoyEFy94ZaJX0yg2LkOiZaYr9HWZplK-0-d55707feea8a4771b9bfb995271f0e7a)
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=1738885517-lzD4m21St7v7A48EfPpEP6TGaOc5klTN-0-e1b95d113e91cb7c600a2b0006fde217)
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=1738885517-FQo8iPNzDPp7pk3pLi84Oekxfwsrpb8I-0-0fee50c19367f12cdef2fa4a796a8901)
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=1738885517-CJyTMwfXCenSCozKR6Y3dRofxYINYXvF-0-2570175e1443cb4ca0a0278f9387c68a)
表2-33 呼吸困难分级表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0060_0087.jpg?sign=1738885517-V8jjjvi0FWi02W2Flp35HjkZzT9Y4qPL-0-801b4d6b0df566217865747648d4d8bb)
表2-34 休克分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0060_0088.jpg?sign=1738885517-YxOvIikWsR5LCk1tFCQ5xLXPCL1yplkl-0-52c034bbefc9c111904aaaa8525a2189)
表2-35 烧伤深度分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0061_0089.jpg?sign=1738885517-KOcuE2XVCc57TxQNhq59fVJrbb0o9O8e-0-7b9fdb405be702f4094bdb8a336d8838)
表2-36 电击伤分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0061_0090.jpg?sign=1738885517-2vKRIBEmxK6PKgGAC3OTnIfvmr7kf4PX-0-0052fe69dbd50bafb2fe3bb54fedb3f5)
表2-37 溺水分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0061_0091.jpg?sign=1738885517-ffQYhWceVko1OGLnMhu5yi8IIpvh3EVC-0-38af609f2e34a892999127c52346c38e)
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=1738885517-ne3IoxpNDrpeS6rCmzEKSnIepKOvmHS4-0-d9fb164fe4f24e26a1a103acebe57c6f)
表2-39 脂肪栓塞分型表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0062_0093.jpg?sign=1738885517-NnsGFcQsXbOfiOdbLpcFwiZmeVYU5VmM-0-3db7176cd82abd742f7a42174c2d4d35)
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=1738885517-bTmy1mSyRZKACbQt4PtDO6R98PfL8bKN-0-7bf259251e018a73f5c375300cba0e84)
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=1738885517-cRhUOJ58k4TJilSNzvLjdE4MeUepAn7R-0-2b56f66fd98fe5b5e850ca95eb509008)
表2-42 营养不良分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0062_0096.jpg?sign=1738885517-N2MumHDGmUmlRub7sshIiWpFVSujgALB-0-89d616df91157d79df1b31125cb646c4)
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=1738885517-vPVsBH9cb6VL7E8E25jo9ewjpKtRQNcy-0-1edc6c955696c3c24ac6596b8860100e)
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=1738885517-XUHH6mE5lUXXWm9NBKuCklLIQT0cyTtZ-0-777de14f90c78aec631cc5a95a1b5a38)
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=1738885517-oLq46N3EAZJ2BhijbX6OeqTiVlP5MThC-0-95dc37608e69af1fa2aa65c195d5fecc)
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=1738885517-rbT5CY7QOgRKoeSs288PbX83zQtJi4kZ-0-9fb5ab8842da3fdb185b126fab8228f3)
表2-47 阴道狭窄分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0063_0101.jpg?sign=1738885517-BbIl4Z9WEi6EBu0U9NIQ7zX641HWoAqv-0-4f723d2f526a8adc53bc219bb0535b6d)
表2-48 骨盆骨折分型表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0064_0102.jpg?sign=1738885517-l6F5BtDQy50YUZxpQCkFLTU3YKNyCX69-0-53314a1f1bf7a90cef1409b528f24894)
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=1738885517-bXSgGiVw29NTmQETFsH63wsOYNEqqESL-0-391aa131bca200900db5b6d35d714dcf)
(续表)
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0065_0104.jpg?sign=1738885517-d3UOkNF4zLfuYN5pY4dRFsDTxzqW0oNL-0-db8990bbcd7ed73ff49ca45312a54a88)
(续表)
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0066_0105.jpg?sign=1738885517-Gr7BQRmC21OLOFW0MpH7TmBe1pKfRbuO-0-1e7f9fda7e08901e538a977b8c561aa8)
(续表)
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0067_0106.jpg?sign=1738885517-Grc1RAkJsv2eohOmGnQc0hnz7a70bjct-0-37f6e25d531d54cb330fa648d200e5a8)
(续表)
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0068_0107.jpg?sign=1738885517-9xR8NtU6Nz7Q9ahn3ZzxqasrUnFsxQcf-0-0f450fb35f04fdaf8f54cc831ef29e5b)
(续表)
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0069_0108.jpg?sign=1738885517-HQ7GDuGIlTxc4DOLCzXs5UEdrQf6fPas-0-c4331ce15d21dc6645cfa9d1e98b85b9)
(续表)
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0070_0109.jpg?sign=1738885517-roLKUpQpbWAD1OsJv1Xx62WMjIsAQTRR-0-81b1a52adef426aaa22c05879eeb146d)
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=1738885517-m4YrJq3h9ZTq14ewXskeLjfZtV0O7qgl-0-70db48179ea904ad1faa13318c4d4211)
(续表)
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0071_0111.jpg?sign=1738885517-kZRA74Bzk6FDLSKkou2LIHDU3fTvd8TX-0-14492e607c63b983297cdbe1b0a9a9a4)
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=1738885517-xee4qiEpmqZZjIzUH92GeYva7c5y0jXe-0-1c23139020e2816dc9a4da31b1f6f7f6)
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=1738885517-JsJTBNCTnbJXRtLQKXxrmqsa1uZ3mmJt-0-3498bb52f1b442ec74caf5635ae87c52)
(续表)
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0073_0114.jpg?sign=1738885517-kz7HLFUstxgAJRlKHrzt7OE5pavF04Bt-0-b498f5ecae01e0aa4f068316535ce7ab)
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=1738885517-CsBcio12edYN6pgCsRycf9muRCgJ4hty-0-fc2398d1c40448bce22e48395bd5552c)
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=1738885517-ZX661ooCw8xzEFqz5bdGJ7GPv4OKvdMY-0-4b8df4c36ac904d614abc909efd8a109)
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=1738885517-2uWL31zyv7EAEmbmy3j8VGPHwsPEqclh-0-d38cdfe3494aeb38f4d72a77aff8295f)
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=1738885517-XHuqsRxR1zfk7AFaoYk5LO9qUEa6Ft4G-0-91e1ab1f4a7f7af68deba4bb8c2bdd01)
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=1738885517-2rlkpGIlVQhFlbehMqleVvGZ70WYjcOq-0-ca9df1b7761e2bd025fdbc9ee07bc11a)
表2-58 休克分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0076_0121.jpg?sign=1738885517-GZnGhI5ehe2j3b1edtmXL5wExSTSxS2Q-0-07b0bd0da6867bd0231b408ba2d34b48)
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=1738885517-j9IvD3mfkvga6vzXoS7A7aGhah9aPVj4-0-f6f50aa7c314a428f6c402d20b7287ef)
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=1738885517-PeVuEZ7dg1nt6NE2o0ZwvJEkMaYn5x7W-0-5b741a8eb095b50d152ee5c85215b190)
表2-61 尿道狭窄分度表
![](https://epubservercos.yuewen.com/38C67E/16914439605952606/epubprivate/OEBPS/Images/figure_0077_0125.jpg?sign=1738885517-BFnuEA8TcuFXHGbEp0ROazzm8tTrqE18-0-5e0834a623f385e0a7c2a91448ccdce6)
[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。