GB 18667-2002 Disability assessment for persons injured in road traffic accidents
Some standard content:
ICS 13.100
National Standard of the People's Republic of China
GB 18667 -2002
Assessment for body impairment of the injured in road traffic Issued on March 11, 2002
General Administration of Quality Supervision, Inspection and Quarantine of the People's Republic of China
Implementation on December 1, 2002
GB18667—2002
All technical contents of this standard are mandatory
This standard was drafted on the basis of fully summarizing and absorbing the experience of implementing the industry standard of the People's Republic of China for public security enterprises (GA35-1992) issued by the Ministry of Public Security in 1992 and the latest research results at home and abroad. This standard further improves the 10-level classification method for disability levels. While comprehensively regulating the degree of human disability, it also establishes a comprehensive calculation mathematical method for multi-level disability and loss of limb function, introduces the concept of shoulder joint complex and establishes a calculation method for function loss, providing a basis for solving the calculation of multiple disabilities and loss of body function and the assessment of disability with swelling. From the date of implementation, this standard replaces GA 3.—1992.Appendices A and C of this standard are normative appendices, and Appendix B is an informative appendix. This standard was proposed by the Ministry of Public Security of the People's Republic of China. This standard was issued by the Technical Committee on Traffic Management Standardization of the Ministry of Public Security. The originator of this standard: Traffic Management Bureau of Qingdao Public Security Bureau: and the main drafters of this standard: Zhang Zhiwei, Zhao Xincai, Huang Xiaoqi, Gong Shiqi, and Song Hong. 1 Scope
Disability assessment of persons injured in road traffic accidents This standard specifies the principles, methods and contents of disability assessment of persons injured in road traffic accidents. This standard applies to the assessment of the degree of disability of persons injured in road traffic accidents. 2 Terms and definitions
The following terms and definitions apply to this standard. 2.1
The injured in road traffic accidents aceident Persons injured by violence and violence in road traffic accidents, 2.2
impairtnent
Human disability caused by road traffic accident injuries. GB18667—2002
Including abnormalities of mental, physiological functions and body structures and the resulting loss of different degrees of life, work and social activities.
assessment
The process of evaluating and determining the degree of disability of persons injured in road traffic accidents on the basis of objective examination. 2.4
Assessor
A person who meets the qualifications of an assessor and is appointed or employed by the case handling agency in accordance with the law to assess the disability of persons injured in road traffic accidents, 2.5
Assessment conclusion The comprehensive judgment drawn by the assessor based on the examination results and the disability assessment standards and using specialized knowledge to analyze. 2.6
Assessment report
A written document in which the assessor makes the test results, analysis opinions and assessment conclusions. 2.7
Treatment finality
Stability of clinical effect recognized by general medical principles. 3 General principles of assessment
3.1 Assessment principles
Disability assessment should be based on the post-treatment effect of the human body, carefully analyze the relationship between disability and accidents and injuries, and make realistic assessments. 3.2 Timing of assessment
Timing of assessment should be based on the termination of treatment of injuries directly caused by accidents or complications caused by injuries. GB 18667--2002
When there is disagreement on the termination of treatment, the case handling agency can organize relevant professionals to conduct an appraisal to determine whether the treatment is terminated. 3.3 Qualifications of assessors
Assessors shall be persons with forensic medical qualifications. 3.4 Rights and obligations of assessors
3.4.1 Rights of assessors
1) Have the right to learn about the case and other materials relevant to the assessment;2) Have the right to ask the parties questions related to the assessment;3) Have the right to conduct physical examinations on persons injured in road traffic accidents in accordance with medical principles and request necessary special instrument examinations;4) Have the right to refuse assessment due to limitations of specialized knowledge or inadequacy of assessment materials. 3.4.2 Obligations of the assessor
a) Conduct comprehensive, detailed, scientific and objective inspection and record of the injured persons in road traffic accidents; b) Make accurate and timely assessment conclusions;
|) Answer questions related to the assessment raised by the case handling agency; d1 Keep the case confidential t
e) Strictly abide by national laws and regulations and relevant provisions of the principle of recusation; f) Take good care of the items and materials submitted for assessment. 3.5 Assessment report
3.5.1 After the assessment, the assessor shall prepare an assessment report and entrust it to the police. 3.5.2 The assessment report shall include the unit situation, case introduction, medical record excerpts, test results, analysis opinions and conclusions. 3.6 Disability classification
This standard classifies the disability of injured persons in road traffic accidents into 10 levels, from level 1 (100%) to level X (10%), with a difference of 10% for each level. The basis for the classification of injury levels is shown in Appendix A: 4 Disability Levels
4.1 Disability Levels
4. 1.1 Injury to the brain, spinal cord and peripheral nerves results in: a) vegetative state; h) extreme intellectual disability (temporary quotient below 20) or mental disorder, completely unable to take care of oneself in daily life; c) limb paralysis (= limbs with muscle strength below level 3); d) paralysis (muscle strength below level 2) with incontinence of stool and urine. 4.1.2 Head and face injuries result in: a) bilateral eyeball loss; h) one eyeball loss, severe deformity of the other eye with speech level 5. 4.1.3 Thoracic spine injury results in severe malformation and severe respiratory dysfunction. 4.1.4 Neck injury results in severe respiratory and swallowing dysfunction. 4.1.5 Chest injury resulting in:
) Lung resection or extensive and severe adhesion of bilateral pleura or severe chest deformity, severe respiratory dysfunction; b) Heart failure, heart function level 4 or heart failure, heart function level ■ accompanied by obvious organic arrhythmia. 4.1.6 Abdominal injury caused by:
a) Partial removal of stomach, intestines, digestive glands, etc., serious impairment of digestion and absorption function, and complete inability to carry out daily life; h) Bilateral nephrectomy or complete loss of function, and complete inability to carry out daily life; 4.1.7 Limb injury caused by:
a) Loss of more than three limbs (one limb is above the pelvic joint, and the lower limb is above the ankle joint.), GB 18667-2002
h) Loss of two limbs (upper limb is above the elbow joint, lower limb is above the knee joint), and the other limb loses more than 50% of its function; r) Loss of two limbs (upper limb is above the wrist joint, lower limb is above the joint), and the third limb loses its function completely! d) Loss of one limb (upper limb above the elbow joint, lower limb above the knee joint), complete loss of function of the second limb, and loss of more than 50% of the function of the third limb:
e) Loss of one limb (upper limb above the wrist joint, lower limb above the ankle joint), complete loss of function of the other limb: f) Complete loss of function of three limbs.
4.1.8 Skin damage resulting in scar formation covering more than 76% of the body surface area:. 4.21 Level of disability
4.2.1 Injury to the brain, spinal cord and peripheral nerves resulting in: a) severe intellectual disability (IQ below 34) or mental disorder, requiring help from others at all times to complete daily life; b) complete aphasia,
c) speech impairment of both eyes to level 5;
d) quadriplegia (muscle strength of one or more limbs below level 2); e) hemiplegia or paraplegia (muscle strength below level 2) 4.2.2 Injury to the head and face resulting in:
a) missing one eye and the other eye is grade 4; or missing one eye and the other eye is severely deformed with vision of grade 3 or above; b) severe ptosis (or severe deformity) of both eyes with vision of grade 4 or above; or severe ptosis (or severe deformity) of one eye, the eye is grade 4 or above, and the other eye is blind for more than grade 5; c) blindness of both eyes for more than grade 5
d) Extreme hearing impairment in both ears with bilateral auricle loss (or severe deformity); or extreme hearing impairment in both ears with one auricle loss and the other auricle severe deformity;
e) Full facial scarring.
4.2.3 Thoracic spine injury leading to severe malformation and respiratory dysfunction. 4.2.4 Neck injury leading to respiratory and swallowing dysfunction. 4.2.5 Chest injury leading to:
a) Lobectomy or extensive severe pleural adhesion or chest deformity, respiratory dysfunction; b) Heart failure, heart function subgrade: or heart failure, heart function grade 1 with obvious organic arrhythmia. 4.2.6 Abdominal injury resulting in the removal of one kidney or complete loss of function, and severe impairment of the other kidney. 4.2.7 Limb injury resulting in:
) limb loss (upper limb above the elbow joint, lower limb above the knee joint); b) limb loss (one limb above the elbow joint, lower limb above the joint), and the other limb completely loses function; r) two limbs completely lose function.
4.2.8 Skin joint injury resulting in cancer scar formation reaching more than 68% of the body surface area. 4.31 Disability level
4.3.1 Injury to the brain, spinal cord and peripheral nerves resulting in: a) severe intellectual disability or mental disorder, unable to live completely independently and requiring constant supervision; ) severe traumatic epilepsy, which cannot be controlled by drugs, with an average of more than one ulnar seizure per month, an average of four sectoral seizures per month, an average of more than seven minor seizures per week, or an average of more than three psychomotor seizures per month; c) severe bilateral facial spasms, which are difficult to recover;
) severe involuntary movement or its coordination; e) quadriplegia (muscle strength of more than two limbs is less than Grade 3); f) hemiplegia or paraplegia (muscle strength is less than Grade 3); g) incontinence of stool and urine, which is difficult to recover. GB18667--2002
4.3.2 Head and face injuries:
a) One eyeball is missing and the other eye is blind for more than grade 3; or one eyeball is missing and the other eye is severely deformed with visual acuity grade 2; b) Both eyes are severely ptotic (or severely deformed) with vision of more than grade 3 in both eyes; or one eye is severely droopy (or severely deformed), with the other eyeball being blind for more than grade 3 and the other eyeball being blind for more than grade 4; c) Both eyes are blind for more than grade 4; d) The visual field of both eyes is almost completely lost (the diameter is less than 5mm); The jaw and lower jaw bones are missing, and more than 24 teeth have been lost: f) Extreme hearing impairment in both ears with missing auricle on one side (or severe deformity); ) Extreme hearing impairment in one ear, severe hearing impairment in one ear, with missing auricle on one side (or severe deformity), and missing tip of auricle on the other side (or deformity of more than 50%;
h) Severe hearing impairment in both ears with missing auricle on both sides (or severe deformity); or severe hearing impairment in both ears with missing auricle on one side, and severe deformity of auricle on the other side;
i) More than 80% of facial scars are formed.
4.3.3 Thoracic spine injury causes severe deformity of healing, seriously affecting respiratory function. 4.3.4 Collar injury causes:
) Scars or complete loss of neck mobility; b) Severe impact on respiratory and swallowing functions.
4.3.5 Chest injury causes:
a) Pulmonary lobectomy or extensive pleural adhesion or chest deformity. Severely affecting respiratory function: b) Heart failure, heart function level 1 with organic arrhythmia, or heart function level 【 with obvious organic arrhythmia, 4.3.6 Waist injury causes:
a) Partial resection of stomach, intestines, digestive glands, etc., digestion and absorption dysfunction; b) One kidney is removed or completely lost, the other kidney has moderate dysfunction; or bilateral kidney has severe dysfunction. 4.3.7 Pelvic injury causes:
) Female bilateral ovarian apex is missing or completely atrophied: b) Fecal and urinary incontinence, which can be recovered. 4.3.8 Perineal injury causes bilateral testicular loss or complete atrophy. 4.3.9 Body injuries resulting in:
a) loss of two limbs (upper limbs above the wrist joint: lower limbs above the ankle joint); 5) loss of one limb (upper limbs above the elbow joint, lower limbs above the knee joint), and the other limb loses 50% of its function; c) loss of one limb (upper limbs above the pelvic joint, lower limbs above the ankle joint), and the other limb loses 50% of its function. 4.3.10 Skin injuries resulting in scarring of more than 60% of the body surface area. 4.4 N-level disability
4. 4.1 Injury to the brain, spinal cord and peripheral nerves causing: a) moderate intellectual disability (IQ below 49) or mental disorder, severe limitation of daily living ability, occasional need for help; h) severe motor aphasia or severe sensory aphasia; e) quadriplegia (muscle strength below level 4 for two or more limbs); d) hemiplegia or paraplegia (muscle strength below level 4); r) complete loss of penile erectile function,
4.4.2 Injury to the head and face causing:
a) loss of one eyeball and low vision of the other eye of level 2; or loss of one eyeball and severe deformity of the other eye with low vision [ b) Severe ptosis (or severe deformity) of both eyes, the active eye has low vision of more than 2 levels, or one eyelid has severe ptosis (or severe deformity), the eye has low vision of more than 2 levels, and the other eye has low vision of more than 3 levels c) Blindness of more than 3 levels in both eyes;
d) Extreme visual field loss in both eyes (the first diameter is less than [0\): c) Extreme hearing impairment in both ears;
f) Extreme hearing impairment in one ear, severe hearing impairment in the other ear and loss of more than 50% of the auricle on one side (or deformity); g) Severe hearing impairment in both ears and loss of one auricle (or severe deformity): GB 18667--2002
1) Moderately severe hearing impairment in both ears with bilateral auricle loss (or severe deformity); or moderately severe hearing impairment in both ears with one side auricle loss and the other side auricle severe deformity;
1) Facial scars or more than 60%.
4.4.3 Severe deformity of healing caused by injury to the thoracic segment of the static column, affecting respiratory function, 4.4.4 Neck injury caused by:
a ) Pregnancy formation, loss of 75% or more of the activity of the limbs; h) affecting the breathing and swallowing functions.
4.4.5 Chest injury causing:
a) lobectomy or pleural adhesion or chest deformity, affecting the breathing function; b) obvious organic arrhythmia.
4.4.6 Abdominal injury causing severe impairment of renal function on one side and moderate impairment of renal function on the other side; 4.4.7 Injury to the esophagus causing complete loss of penis or Severe deformity 4.4.8 Vulvar and vaginal injuries leading to vaginal atresia. 4.4.9 Limb damage leading to complete loss of both hands or loss of apical function 4.4.10 Skin damage leading to scars that reach more than 52% of the body surface: 4.5 V-level disability
4.5.1 Brain, cerebral and peripheral nerve injuries leading to: a) moderate intellectual disability or mental disorder, with obvious limitation of daily living ability and need for guidance; h) traumatic epilepsy that cannot be completely controlled by drugs, with major seizures occurring more than once every three months on average, localized seizures occurring more than twice a month on average, minor seizures occurring more than four weeks on average, or psychomotor seizures occurring more than once a month on average; c) severe apraxia or agnosia;
d) unilateral severe facial paralysis that is difficult to recover;
) hemiplegia or paraplegia (muscle strength of one limb is less than 200); monoplegia (muscle strength is less than 200);
) fecal or urinary incontinence that is difficult to recover. 4.5.2 Head and face injuries resulting in:
a) Loss of one eye accompanied by low vision of one eye at level 1; Loss of one eye accompanied by severe deformity of the other eye and near-normal vision; 1) Severe ptosis (or severe deformity) of both eyes accompanied by low vision of both eyes at level 1; or Severe ptosis (or severe deformity) of one eye, with low vision of one eye at level 1 or above and the other eye at level 2 or above; 2) Low vision of both eyes at level 2 or above;
d) Visual field defect of both eyes (less than 20\ in diameter); e) Complete paralysis of tongue muscles or loss of more than 50% of the limbus (or severe deformity); [ ) Maxillary and mandibular bone defects, tooth loss of 20% or more F.) Extreme hearing impairment in one ear and severe hearing impairment in the other ear; h) Severe hearing impairment in both ears accompanied by loss of one auricle (or deformity) of 50% or more 1.i) Moderately severe hearing impairment in both ears accompanied by loss of one auricle (or severe deformity); ) Loss of both auricles (or severe deformity); GB18667-2002
k) Complete loss of the external bright part (or severe deformity); 1) Facial scarring of more than 40%;
4.5.3 The injury to the thoracic segment causes deformity of healing, affecting respiratory function. 4.5.4 Neck injury causes:
a) scar formation, loss of neck mobility of more than 50%; b) affecting respiratory function,
4.5.5 Chest injury causes:
R) lobectomy or pleural adhesion or chest deformity. Mildly affecting respiratory function; b) organic arrhythmia,
4.5.6 Abdominal injury causes:
) Partial resection of stomach, intestines, digestive glands, etc., seriously affecting digestion and absorption function; b) resection of one side or complete loss of function, and mild impairment of the other side's kidney function. 4.5.7 Pelvic injury causes:
a) bilateral ureteral loss or atresia;
b) cystectomy;
c) urethral atresia;
|) fecal or urinary incontinence, difficult to recover. 4.5.8 Perineal injury causes most of the vaginal base to be missing (or deformed). 4.5.9 Vulvar and vaginal injuries resulting in severe vaginal stenosis and severe functional impairment 4.5.10 Limb injuries:
a) Loss of both limbs (or loss of function) of more than 90%; b) Loss of one limb (above the wrist joint for upper limbs and above the knee joint for lower limbs); c) Loss of one limb (above the wrist joint for lower limbs and above the ankle joint for lower limbs), and loss of function of more than 50%; l) Complete loss of function of one limb.
4.5.11 Skin injuries resulting in scarring of more than 11% of the body surface area. 4.Grade 6 disability
4.6.1 Damage to the brain, spinal cord and peripheral nerves resulting in: a) moderate intellectual disability or mental disorder, with partial limitation of daily living ability, but able to partially compensate, and requiring partial help for daily life; b) severe alexia with agraphia; or moderate motor aphasia or moderate sensory aphasia; c) hemiplegia or paraplegia (muscle strength of one limb is less than level 3); d) monoplegia (muscle strength is less than level 3);
c) severe erectile dysfunction.
4.6.2 Head and face injuries resulting in:
a) Loss of one eyeball with near-normal vision; or loss of one eyeball with severe deformity of the other eye; h) Severe ptosis (or severe misalignment) of both eyelids with near-normal vision of both eyes; or severe ptosis (or severe deformity) of one eyelid with near-normal vision of the eye and lower vision of the other eye of more than 1 degree; c) Low vision of both eyes of 1 degree;
d) Moderate visual field loss of both eyes (front diameter less than 60\); e) Mandibular joint ankylosis, trismus:) Extreme hearing impairment in one ear, moderate to severe hearing impairment in the other ear; or severe hearing impairment in both ears: g) Loss of auricle (or severe deformity) on one side, loss of auricle (or deformity) of 50% or more on the other side; h) Scarring of more than 20% on the face: i) A large number of small scars on the face (or obvious color change) of more than 75%. 14.6.3 Spinal injury resulting in severe malformation of cervical or lumbar vertebrae, complete loss of neck or waist mobility. 4.6.4 Neck injury resulting in scar formation, loss of neck mobility of more than 25%. 4.6.5 Abdominal injury resulting in severe renal dysfunction on one side, mild renal dysfunction on the other side. 4.6.6 Body injury resulting in:
a) Bilateral fallopian tube apex defect or atresia:
b) Complete uterus.
4.6.7 Injury to the perineum resulting in loss or atresia of both vas deferens; 4.6.8 Injury to the vulva or vagina resulting in vaginal stenosis and dysfunction. 4.6.9 Limb injuries resulting in:
a) loss of effective hand (or loss of function of more than 70%; b) loss of both feet above the metatarsal joints;
c) loss of one limb (above the wrist joint for upper limbs and below the ankle joint for lower limbs). 4.6.10 Skin injuries resulting in scars covering more than 36% of the body surface area. 4.7 Disability Level
4. 7. 1 Damage to the brain, spinal cord and peripheral nerves causing: GB 18667-2002
a) Mild intellectual disability (IQ below 70) or mental disorder, with severely limited ability to carry out activities related to daily life; b) Traumatic epilepsy, which cannot be completely controlled by drugs, with major seizures occurring on average more than once every six months, or localized seizures occurring on average more than twice a month, or minor seizures occurring on average more than twice a week, or psychomotor seizures occurring on average more than once every two months; c) Moderate apraxia or moderate agnosia;
d) Severe dysarthria;
e) Hemiplegia or paresis (muscle strength of one limb at level 4); unilateral apraxia (muscle strength at level 4)
g) Complete sensory loss of one or both sides of the body. 4.7.2 Head and face injuries resulting in:
a) loss of one eyeball;
h) severe ptosis (or severe deformity) of both eyes; c) injury to the oral cavity or mandibular joints. Severe limitation of mouth opening; d) loss of maxillary bones and mandibular arms, or loss of more than 16 teeth; e) extreme hearing impairment in one ear and moderate hearing impairment in the other ear; or severe hearing impairment in one ear and moderately severe hearing impairment in the other ear; f) loss of one ear corridor (or severe deformity) and loss of the other ear auricle (or deformity) more than 10%; 4.7.3 Spinal injury resulting in malformation of cervical or lumbar vertebrae, with loss of cervical or lumbar mobility of more than 75%. 4.7.4 Neck injury resulting in scarring of the anterior cervical triangle area of more than 75%. 4.7.5 Chest injury resulting in scarring of more than 75% in the anterior cervical triangle area. Abdominal injury causes:
a) Female bilateral breast loss (or severe deformity); b) Heart failure, heart function level.
4.7.6 Abdominal injury causes bilateral moderate renal dysfunction. 4.7.7 Pelvic injury causes:
a) Pelvic tilt, the length of the two lower limbs differs by more than 8cm; b) Female pelvic deformity, birth canal damage: GB18667-2002
c) One ureter is missing or atretic, and the other ureter is atretic. 4.7.8 Injury to the perineum:
a) Partial missing tip of penis (or deformity); 6) Skin damage to the penis, scar formation, functional impairment. 4.7.9 Injury to the limbs:
) Loss of both hands (or loss of function) 50% or more;
c) Complete loss of sensation in both hands;
d) Loss of the foot above the metatarsal joint;
e) Difference in length of both lower limbs by cm f) 75% or more loss of function of one limb
4.7.10 Skin injury resulting in scars covering a body surface area of 28 or more. 4.8 Disability
4.81 Injury to the brain, spinal cord and peripheral nerves; 4) Mild weakness or spermatorrhea, partial limitation of activities related to daily life; h) Moderate alexia with aphasia; c) Hemiplegia or hemiplegia of deep sensation; d) Erectile dysfunction, 4.8.2 Head and face injury: a) Eyesight level 4 or more.| |tt||1) Nearly complete loss of visual field (less than 5 cm in diameter); c) Loss of the paramarginal and submarginal bones; - More than 12 teeth lost; - Extreme hearing impairment in one ear or severe hearing impairment in one ear, moderate hearing impairment in the other ear; or moderate to severe hearing impairment in both ears; e) Loss of one auricle (or severe deformity); f) Loss of the tip and one side of the nose wing (or deformity); ) Facial chondrodysplasia, with an area of more than 18 cm2 (1 hour) and a large number of small scars (or obvious pigmentation changes) of more than 25%; 1) Loss of scalp hair of more than 50%;
J Loss of maxillofacial or soft tissue of more than 32 cm2. 4.8.3 Injury to the vertebral column causing:
a) Malformation of the cervical or lumbar spine, loss of cervical or lumbar mobility of more than 5%; h) Compression fracture of the thoracic or lumbar spine, 4.8.4 Injury to the neck causing scarring of more than 50% of the anterior cervical triangle; 4.8.5 Injury to the chest causing:
a) Loss of one breast (or severe deformity) of a female, and partial loss (or deformity) of the other breast; h) Fracture of more than 12 mm.
4 .8.6 Abdominal injury:
a) Partial resection of the stomach, intestines, digestive glands, etc., affecting digestion and absorption functions; b〉splenectomy; bzxZ.net
c) Unilateral renal resection or severe renal dysfunction. 4.8.7 Partial injury:
a) Pelvic tilt, the length of the two lower limbs differs by more than 6cm; h) Severe ureteral stenosis on both sides; or one ureter is missing (or blocked), and the other ureter is stenotic; c) Severe urethral stenosis. ||t t||4.8.8 Injury to the perineum:
t) loss of the glans penis (or deformity);
b) damage to the foreskin of the genitals and scar formation, which seriously affects the function. 4.8.9 Injury to the vulva and vagina causes vaginal stenosis, which seriously affects the function. 4.8.10 Injury to the limbs:
a) loss of both hands (or loss of function) 30% or more;
c) complete destruction of the foot structure, The structure of the other foot is destroyed by more than 1/3; l) Both toes are completely missing or have lost their function; e) The length of the two lower limbs differs by more than 6 cm:
) The function of one leg is lost by more than 50%
4.8.11 Skin damage causes scarring that reaches more than 20% of the body surface area. 4.9X-level disability
4.9.1 Damage to the brain, spinal cord and peripheral nerves causes: a) Mild intellectual disability or mental disorder, partial limitation of daily activities: GB 18667-2002
b) Traumatic epilepsy, which cannot be completely controlled by drugs, with more than one major attack per year or more than three limited attacks per six months or more than four minor attacks per month or more than two psychomotor attacks per six months; c) Severe alexia or severe agraphia;
d) Bilateral mild facial paralysis, which is difficult to recover;
) Hemiplegia or hemiplegia of superficial sensory loss;
f) Serious impact on penile erectile function.
4. 9.2 Head and face injuries;
a) One eye is grade 3 or above:
b) Bilateral eyelid drooping (or deformity); or one eye is severely drooping (or severely deformed); c) Extreme visual field defect (diameter less than 10°); d) Maxillary and mandibular dorsal defects, more than 8 teeth lost; d) Oral injury, 16 teeth lost More than one ear; f) Oral or mandibular joint injury, moderate mouth opening limitation; g) Nocturnal defect (or deformity);
h) Severe hearing impairment in one ear; or - moderate to severe hearing impairment in one ear, and -.Moderate hearing impairment;) Loss of one ear (or deformity) of more than 50%; J) Defect (or deformity) of the lateral nose wing;
k) Facial acne with an area of more than 12 cm or facial linear scars of more than 20 cm; 1) Small facial scars (or obvious pigment changes) with an area of more than 30 cm; m) Scalp hairlessness of more than 25%;
n) Maxillofacial bone or soft tissue defect of more than 16 cm2; 4.9.3 Spine injuries caused by:
a) Malformation of the cervical or lumbar vertebrae, loss of cervical or lumbar mobility of more than 25%; h) Comminuted fracture of a vertebral body of the thoracic or lumbar vertebrae. 4.9.4 Neck injuries caused by:
a) Severe hoarseness;
b) Scar formation of more than 25% in the anterior cervical triangle. GB 18667—2002
4.9.5 Chest injury causes:
A) Loss of one breast (or severe deformity) in females; b) Fracture of more than 8 ribs or loss of more than 4 ribs; c) Lung lobectomy; d) Heart failure, heart function grade 1.
4.9.6 Abdominal injury causes:
e) Partial resection of stomach, intestine, digestive tract, etc.; h) Gallbladder resection;
|) Partial resection of spleen; d) Partial resection of one side or moderate renal function disorder. 4.9.7 Injury to the sphincter causes:
a) Bone tilt, with a difference of more than 4cm in length between the two lower limbs;
b) Severe pelvic healing;
c) Urethral stenosis;
d) Partial bladder removal;
e) Absence or occlusion of one ureter;
f) Partial removal of the uterus;
|) Injury to the rectum or anus, with the remaining permanent sigmoid colostomy. 4.9.8 Injury to the perineum:
\) More than 50% of the glans penis is missing (or deformed); b) Injury to the scrotum, scarring of more than 75%
4.9.9 Injury to the limbs:
a) More than 10% of the hands are missing (or have lost their kinetic energy); b) More than 50% of the hands have lost their sensation;
c) Complete loss of forearm rotation function of both upper limbs; d) More than 50% of the ten toes of both feet are missing (or have lost their function); e) Destruction of the arch structure of one foot;
f) More than 10cm difference in the length of the two limbs;
g) More than 4cm difference in the length of the two lower limbs;
h) Comminuted fractures above the plate of the long bones of the limbs: 1) More than 25% of the function of one limb is lost.
4.9.10 Injury to the skin resulting in scarring of more than 12% of the body surface area. 4.10X level disability
4.10.1 Injury to the brain, spinal cord and peripheral nerves causing: a) Neurological dysfunction code: Mild limitation of normal activities; b) Traumatic epilepsy, which can be controlled by drugs, but with moderate or above changes in the electroencephalogram; c) Mild aphasia or dysarthria; d) Unilateral mild facial paralysis, which can be recovered; e) Mild ataxia or ataxia; strabismus, diplopia, visual illusion, nystagmus and other visual disorders; g) Hemiplegia or partial body type superficial sensory dissociation loss; h) Complete sensory loss of one limb; 1) Segmental complete sensory loss;
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