颅脑损伤后出现精神障碍跳河溺死的案例少见 ,是颅脑损伤致死或是“自杀”溺死 ,关系到案件的定性。本文报告一例 ,并复习文献进行死因分析。案　例李某 ,男 ,36岁 ,已婚 ,干部。某日上午 11时许驾驶一辆两轮摩托车与一辆大客车相撞 ,李某被摔离车 ,头部 (顶额右 )撞在客车的右 Brain injury occurs after brain injury jump river drowning rare cases of death or brain injury or “suicide” drowning, relates to the qualitative case. This article reports a case, and review the literature for the cause of death analysis. Case Lee, male, 36 years old, married, cadre. One day at 11 am driving a two-wheeled motorcycle collided with a bus, Lee was dropped from the car, head (top right) hit the right of the bus