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Criteria for identification of brain injury and disability
Hello, the answers to your question about the appraisal standard of brain injury disability are as follows: first-degree disability (1), brain, spinal cord and peripheral nerve injury: 1, vegetative; 2. Extreme mental retardation (IQ below 20) or mental disorder, and daily life is completely unable to take care of itself; 3, quadriplegia (more than three limbs, muscle strength below level 3); 4, paraplegia (muscle strength below grade 2) with incontinence. (2) Head and face injury: 1, bilateral eyeball loss; 2. One eye is missing, the other eye is severely deformed, and the blindness is grade 5. (3) Thoracic injury of spine leads to serious abnormal healing and serious respiratory dysfunction. (4) Severe respiratory and swallowing dysfunction caused by neck injury. (5), chest injury: 1, lobectomy or extensive and severe adhesion of bilateral pleura or severe chest deformity, severe respiratory dysfunction; 2, cardiac insufficiency, cardiac function IV; Or cardiac insufficiency, cardiac function grade III with obvious organic arrhythmia. (6) Abdominal injury: 1, partial resection of stomach, intestine and digestive gland. Serious obstacles to digestion and absorption, and daily life can't take care of itself at all; 2, bilateral nephrectomy or complete loss of function, daily life can not take care of themselves. (7) Limb injury: 1, loss of more than three limbs (above the wrist joint of the upper limb and above the ankle joint of the lower limb); 2. Two limbs are missing (the upper limb is above the elbow joint and the lower limb is above the knee joint), and the function of the other limb is lost by more than 50%; 3. Two limbs are missing (the upper limb is above the wrist joint and the lower limb is above the ankle joint), and the third limb completely loses its function; 4. One limb is missing (the upper limb is above the elbow joint and the lower limb is above the ankle joint), the second limb completely loses its function, and the third limb loses its function by more than 50%; 5. One limb is missing (the upper limb is above the wrist joint and the lower limb is above the ankle joint), and the other two limbs completely lose their functions. 6. Three limbs completely lose function. (8) Scar formation caused by skin injury reaches more than 76% of body surface area. Secondary disability (1), brain, spinal cord and peripheral nerve injury: 1, severe mental retardation (IQ below 34) or mental disorder, and need help at any time in daily life; 2. Complete aphasia; 3. Blindness in both eyes is Grade 5. 4 quadriplegia (muscle strength of more than two limbs is below grade 2); 5, hemiplegia or paraplegia (muscle strength below level 2). (2) Head and face injury: 1, one eye lost, the other eye was blind, grade 4; Or one eye is missing, and the other eye is severely deformed with blindness above grade 3; 2. Severe drooping of bilateral eyelids (or severe deformity) with blindness of both eyes above Grade 4; Or severe drooping of single eyelid (or severe deformity), one eye is blind for more than 4 grades, and the other eye is blind for 5 grades; 3, binocular blindness level 5; 4. Extreme hearing impairment in both ears with bilateral auricle loss (or severe deformity); Or extreme hearing impairment in both ears, one auricle is missing and the other auricle is severely deformed; 5. Total scar formation. (3) Severe deformity healing and respiratory dysfunction caused by thoracic spine injury. (4) Respiratory and swallowing dysfunction caused by neck injury. (5), chest injury: 1, lobectomy or extensive and severe pleural adhesion or thoracic deformity, respiratory dysfunction; 2, cardiac insufficiency, cardiac function grade III; Or cardiac insufficiency, cardiac function II with obvious organic arrhythmia. (six), abdominal trauma caused by one side of the kidney resection or complete loss of function, the other side of the renal function is seriously impaired. (7), limb injury: 1, two limbs missing (above elbow joint of upper limb and above knee joint of lower limb); 2. One limb is missing (the upper limb is above the elbow joint and the lower limb is above the knee joint), and the other limb completely loses its function; 3, more than two limbs completely lose function. (8) Scar formation caused by skin injury reaches more than 68% of body surface area. Third-grade disability (1), brain, spinal cord and peripheral nerve injury: 65,438+0, severe mental retardation or mental disorder, unable to live completely independently, requiring continuous supervision; 2. Severe traumatic epilepsy, drugs can not be controlled. The average major episode is more than once a month or the average local episode is more than four times a month or the average minor episode is more than seven times a week or the average psychomotor episode is more than three times a month; 3, bilateral severe facial paralysis, difficult to recover; 4. Serious involuntary movement or ataxia; 5, quadriplegia (muscle strength of more than two limbs below level 3); 6. Hemiplegia or paraplegia (muscle strength below level 3); 7, fecal or urinary incontinence, difficult to recover. (2) Head and face injury: 1, one eye lost and the other eye was blind, grade 3; Or one eye is missing, the other eye is severely deformed with low vision level 2, and the eyelids of both eyes are severely drooping (or severely deformed) with blindness level 3 or above; Or severe drooping of single eyelid (or severe deformity), one eye is blind for more than 3 grades, and the other eye is blind for more than 4 grades; Blind eyes above grade 3.4; 4. The binocular visual field is close to complete defect (diameter less than 5); 5, maxillary and mandibular defects, missing more than 24 teeth; 6. Extreme hearing impairment in both ears with unilateral auricle loss (or severe deformity); 7. Extreme hearing impairment in one ear, severe hearing impairment in the other ear, loss (or severe deformity) in one ear and loss (or deformity) in the other ear by more than 50%; 8. Severe hearing impairment in both ears with bilateral auricle loss (or severe deformity); Or severe hearing impairment in both ears with loss of one auricle and severe deformity of the other auricle; 9, facial scar formation more than 80%. (3) Thoracic injury of spine leads to serious abnormal healing, which seriously affects respiratory function. (4) Neck injury: 1, scar formation, complete loss of neck mobility; 2, seriously affect the breathing and swallowing function. (5), chest injury: 1, lobectomy or extensive pleural adhesion or thoracic deformity, seriously affecting respiratory function; 2, cardiac insufficiency, cardiac function II with organic arrhythmia; Or cardiac function grade I with obvious organic arrhythmia. (6) Abdominal injury: 1, partial resection of stomach, intestine and digestive gland, and dysfunction of digestion and absorption; 2. One side of the kidney is removed or completely lost, and the other side has moderate renal dysfunction; Or severe bilateral renal insufficiency. (7), pelvic injury: 1, female bilateral ovaries are missing or completely atrophied; 2, incontinence, difficult to recover. (8) Bilateral testicular loss or complete atrophy caused by perineal injury. (9), limb injury: 1, two limbs missing (above the wrist joint of the upper limb and above the ankle joint of the lower limb); 2. One limb is missing (the upper limb is above the elbow joint and the lower limb is above the knee joint), and the function of the other limb is lost by more than 50%; 3. One limb is missing (the upper limb is above the wrist joint and the lower limb is above the ankle joint), and the other limb completely loses its function; 4. One limb completely loses its function, and the other limb loses its function by more than 50%. (10) Scar formation caused by skin injury reaches more than 60% of body surface area. Fourth-grade disability (1), brain, spinal cord and peripheral nerve injury: 1, moderate mental retardation (IQ below 49) or mental disorder, severely limited ability of daily living, and sometimes need help; 2. Severe motor aphasia or severe sensory aphasia; 3, quadriplegia (muscle strength above the limbs is below level 4); 4. Hemiplegia or paraplegia (muscle strength below level 4); 5. Complete loss of penile erectile function. (2) Head and face injury: 1, one eye lost, and the vision of the other eye was poor by grade 2; Or one eye is missing, the other eye is severely deformed with low vision 1 2 grade, and the eyelids of both eyes are drooping (or severely deformed) with low vision of both eyes above grade 2; Or severe drooping (or severe deformity) of single eyelid, with one eye with low vision of more than 2 grades and the other eye with low blindness of more than 3 grades; 3. Blindness of both eyes is above Grade 3; 4. Extreme binocular vision defect (diameter less than10); 5. Extremely impaired hearing in both ears; 6. Extreme hearing impairment in one ear and severe hearing impairment in the other ear with unilateral auricle loss (or deformity) of more than 50%; 7. Severe hearing impairment in both ears with unilateral auricle loss (or severe deformity); 8. Moderate and severe hearing impairment in both ears, bilateral auricles missing (or severe deformity); Or moderate or severe hearing impairment in both ears, with one auricle missing and the other auricle severely deformed; 9, facial scar formation more than 60%. (3) Thoracic injury of spine leads to serious abnormal healing and affects respiratory function. (4), neck injury: 1, scar formation, loss of neck mobility more than 75%; 2, affect the function of breathing and swallowing. (5), chest injury: 1, lobectomy or pleural adhesion or thoracic deformity, affecting respiratory function; 2. Obvious organic arrhythmia. (6) Abdominal injury caused severe renal dysfunction on one side and moderate renal dysfunction on the other side. (7) The penis body is completely missing or severely deformed due to perineal injury. (8) Vaginal atresia caused by vulvar and vaginal injuries. (nine), limb injury caused by complete loss of hands or loss of function. (10) Scar formation caused by skin injury reached more than 52% of body surface area. Grade 5 disability (1), brain, spinal cord and peripheral nerve injury: 1, moderate mental retardation or mental disorder, obviously limited ability of daily living, requiring guidance; 2, traumatic epilepsy, drugs can not be completely controlled, large seizures average more than once every three months or limited seizures average more than twice a month or small seizures average more than four times a week or psychomotor seizures average more than once a month 3, severe apraxia or agnosia; 4, unilateral severe facial paralysis, difficult to recover; 5. Hemiplegia or paraplegia (muscle strength of more than one limb is below level 2); 6. Paralysis (muscle strength below level 2); 7, fecal or urinary incontinence, difficult to recover. (2) Head and face injury: 1, loss of one eye and poor eyesight of the other eye:1; One eye is missing, one eye is severely deformed, and the vision is close to normal; 2. Severe bilateral blepharoptosis (or severe deformity) with low binocular vision 1; Or severe drooping of single eyelid (or severe deformity), with low vision in one eye 1 level or above, and low vision in the other eye1level or above; 3, binocular low vision level 2 or above; 4. Severe binocular visual field defect (diameter less than 20); 5, tongue muscle paralysis or tongue body loss (or severe deformity) more than 50%; 6. Maxillary and mandibular defects, with more than 20 teeth falling off. 7. Extreme hearing impairment in one ear and severe hearing impairment in the other ear; 8. Severe hearing impairment in both ears, with unilateral auricle loss (or deformity) above 50%; 9. Moderate and severe hearing impairment in both ears, unilateral auricle loss (or severe deformity); 10, bilateral auricles missing (or severe deformity); 1 1, the external nose is completely defective (or severely deformed); 12, facial scar formation was over 40%. (3) Injury of thoracic vertebra leads to abnormal healing and affects respiratory function. (4), neck injury: 1, scar formation, neck mobility loss of more than 50%; 2, affecting respiratory function. (5) Chest injury: 1, lobectomy or pleural adhesion or thoracic deformity, slightly affecting respiratory function. 2. Organic arrhythmia. (6) Abdominal injury: 1, partial resection of stomach, intestine and digestive gland, which seriously affected digestion and absorption function; 2, one side of the kidney resection or complete loss of function, the other side of the kidney function slightly damaged. (7) Pelvic injury: 1, bilateral ureter missing or atresia; 2. Cystectomy; 3. Urethral atresia; 4, fecal or urinary incontinence, difficult to recover. (8) Perineal injury causes most of the penis body to be missing (or deformed). (nine) vulva, vagina injury, resulting in serious vaginal stenosis, serious dysfunction. (10), limb injury: 1, hands missing (or losing function) more than 90%; 2. One limb is missing (the upper limb is above the elbow joint and the lower limb is above the knee joint); 3. One limb is missing (the upper limb is above the wrist joint and the lower limb is above the ankle joint), and the function of the other limb is lost by more than 50%; 4. One limb completely loses its function. (eleven), skin injury caused by scar formation reached more than 44% of the body surface area. Grade 6 disability (1), brain, spinal cord and peripheral nerve injury: 1, moderate mental retardation or mental disorder, limited ability of daily living, but partially compensated, and some people need help in daily life; 2. Severe alexia with alexia; Or moderate motor aphasia or moderate sensory aphasia; 3. Hemiplegia or paraplegia (muscle strength of one limb is below level 3); 4. Paralysis (muscle strength below level 3); 5. Severe erectile dysfunction. (2) Head and face injury: 1, one eye lost and the other eye's vision was close to normal; Or one eye is missing, and the other eye is seriously deformed; 2. Severe bilateral blepharoptosis (or severe deformity) with normal binocular vision; Or severe drooping of single eyelid (or severe deformity), the vision of this eye is close to normal, and the low vision of the other eye is above 1 level; 3, binocular low vision1; 4. Moderate defect in binocular vision (diameter less than 60); 5, temporomandibular joint rigidity, closed teeth 6, extreme hearing impairment in one ear, moderate and severe hearing impairment in the other ear; Or the hearing of both ears is severely impaired; 7. One auricle is missing (or severely deformed) and the other auricle is missing (or deformed) by more than 50%; 8, facial scar formation area of more than 20%; 9, a large number of small facial scars (or obvious changes in pigment) more than 75%. (3) Spinal injury leads to severe deformity healing of cervical or lumbar vertebrae, and the neck or waist is completely incapacitated. (4) The neck injury leads to scar formation, and the mobility of the neck is lost by more than 25%. (5) Abdominal injury caused severe renal dysfunction on one side and mild renal dysfunction on the other side; (6), pelvic injury: 1, bilateral fallopian tube loss or atresia; 2. Total hysterectomy. (7) Perineal injury leads to the absence or atresia of bilateral vas deferens. (8) Vaginal stenosis and dysfunction caused by vulvar and vaginal injuries. (9), limb injury: 1, loss of hands (or loss of function) more than 70%; 2. The feet above tarsometatarsal joint are missing; 3. One limb is missing (the upper limb is above the wrist joint and the lower limb is above the ankle joint). (10) Scar formation caused by skin injury reached more than 36% of body surface area. Grade 7 disability (1), brain, spinal cord and peripheral nerve injury: 1, mild mental retardation (IQ below 70) or mental disorder, and activities related to daily life are seriously limited; 2, traumatic epilepsy, drugs can not be completely controlled, with an average of more than once every six months or more than twice a year in February, or more than twice a week in February, or more than once a year in February; 3. Moderate apraxia or agnosia; 4. Severe dysarthria; 5, hemiplegia or paraplegia (one limb muscle strength level 4); 6. paralysis (muscle strength level 4); 7. Hemiplegia or hemiplegia. (2) Head and face injury: 1, losing an eyeball; 2. Severe drooping of bilateral eyelids (or severe deformity); 3, oral or temporomandibular joint injury, severe mouth opening restrictions; 4, maxillary and mandibular defects, tooth loss 16 or more; 5. Extreme hearing impairment in one ear and moderate hearing impairment in the other; Or severe hearing impairment in one ear and moderate hearing impairment in the other ear; 6. One ear is missing (or severely deformed) and the other ear is missing (or deformed) 10% or more; 7. Most of the external nose is defective (or deformed); 8, facial scar formation, covering an area of more than 24 square centimeters; 9, a large number of small facial scars (or obvious changes in pigment) more than 50%; 10, the scalp is hairless over 75%. (three), spinal injury caused by cervical or lumbar deformity healing, neck or waist mobility loss of more than 75%. (4) More than 75% of the scars in the anterior cervical triangle are caused by neck injuries. (5), chest injury: 1, female bilateral breast loss (or severe deformity); 2, cardiac insufficiency, cardiac function II. (6) Moderate bilateral renal insufficiency caused by abdominal injury. (7) Pelvic injury: 1, the pelvis is inclined, and the length difference of both lower limbs is greater than 8cm2. The female pelvis is severely deformed and the birth canal is destroyed; 3, one side of the ureter is missing or atresia, and the other side of the ureter is severely narrowed. (8), perineal injury: 1, penile body loss (or deformity); 2, penis foreskin injury, scar formation, dysfunction. (9), limb injury: 1, loss of hands (or loss of function) more than 50%; 2, the hands feel completely missing; 3. The double full arch structure is completely destroyed; 4. tarsometatarsal joint is missing one foot above; 5. The length difference of both lower limbs is greater than 8cm6, and the function of one limb is lost by more than 75%. (10) Scar formation caused by skin injury reached more than 28% of body surface area. Grade 8 disability (1), brain, spinal cord and peripheral nerve injury: 1, mild mental retardation or mental disorder, and limited activities related to daily life; 2. Moderate alexia with alexia; 3. Half-length or partial long-depth sensory loss; 4, penile erectile dysfunction. (2) Head and face injury: 1, monocular blindness above grade 4; 2. The visual field of one eye is close to complete defect (diameter less than 5); 3, maxillary and mandibular defects, tooth loss 12 or more; 4. The hearing in one ear is extremely impaired; Or severe hearing impairment in one ear and moderate hearing impairment in the other ear; Or moderate or severe hearing impairment in both ears; 5. One auricle is missing (or severely deformed); 6, nasal tip and one alar defect (or deformity); 7, facial scar formation area of 65438 08 square centimeters; 8, a large number of small scars on the face (or obvious changes in pigment) more than 25%; 9, scalp hairless more than 50%; 10, the defect of maxillofacial bone or soft tissue is more than 32 cubic centimeters. (3) Spinal injury: 1, abnormal healing of cervical or lumbar vertebrae, loss of motion of neck or waist by more than 50%; 2, thoracic or lumbar compression fracture. (4) More than 50% scars in the anterior triangle are caused by neck injuries. (5) Chest injury: 1, one side of female breast is missing (or severely deformed), and the other side is partially missing (or deformed); 2. Fracture of ribs above 12.