法医学杂志

法医学杂志 ›› 2010, Vol. 26 ›› Issue (4): 276-278.DOI: 10.3969/j.issn.1004-5619.2010.04.011

• 案例分析 • 上一篇    下一篇

冠心病介入治疗后死亡所致医疗纠纷51例分析

孔素丽1，刘振山1，张文忠2，肖兴国3，宁险峰2   

  1. （1. 青岛正源司法鉴定所，山东 青岛 266071； 2. 青岛大学 医学院附属医院，山东 青岛 266003； 3. 山东瑞康律师事务所，山东 青岛 266071）
  • 发布日期:2010-08-25 出版日期:2010-08-28
  • 作者简介:孔素丽（1978—），女，河南兰考人，法医师，主要从事临床法医学鉴定；E-mail：xxmczwz@163.com

Analysis of 51 Cases of Medical Disputes in Death after Percutaneous Coronary Intervention

KONG SU-LI1, LIU ZHEN-SHAN1, ZHANG WEN-ZHONG2, XIAO XING-GUO3, NING XIAN-FENG2   

  1. （1. Qingdao Zhengyuan Forensic Judical Appraisal Institute, Qingdao 266071, China; 2. Affiliated Hospital of Medical College, Qingdao University, Qingdao 266003, China; 3. Shandong Ruikang Law Office, Qingdao 266071, China）
  • Online:2010-08-25 Published:2010-08-28

被引次数

6

摘要： 目的 探讨冠状动脉粥样硬化性心脏病行经皮冠状动脉介入（percutaneous coronary intervention，PCI）治疗所致医疗纠纷形成的原因及其特点，从而为此类案件的法医学司法鉴定和医疗纠纷的防范提供参考性意见。 方法 从死亡原因以及知情选择、医疗技术环节等方面，对PCI术后死亡引发纠纷的51件案例进行回顾性分析。 结果 本组全部案例中，存在医疗过失行为的有35例，其中属医疗技术缺陷或医疗过失行为的28例，属医疗管理缺陷的2例，兼有医疗技术和医院管理缺陷的5例。 结论 PCI医疗过失的主要原因是操作技术水平低下、违反诊疗规范、知情告知不够充分。

关键词: 法医学, 血管成形术,经腔,经皮冠状动脉, 死亡, 医疗纠纷

Abstract: Objective To investigate the causes and features of medical disputes in percutaneous coronary intervention（PCI） in the cardiology and to provide references for forensic expert testimony and medical disputes prevention. Methods Fifty one disputed fatal cases in PCI were analyzed in terms of the cause of death, informed consent and medical operations retrospectively. Results Thirty five cases were due to medical negligence, 28 due to defect technical operation, 2 due to mistake medical management and 5 due to both defect technical operation and mistake medical management. Conclusion The causes of PCI medical negligence are defect medical operation, violate medical disciplines and insufficiency of informed consent.

Key words: forensic medicine, angioplasty, transluminal, percutaneous coronary, death, medical disputes

中图分类号: