法医学杂志

法医学杂志 ›› 2011, Vol. 27 ›› Issue (4): 282-285.DOI: 10.3969/j.issn.1004-5619.2011.04.012

• 案例分析 • 上一篇    下一篇

胎儿畸形医疗纠纷法医学鉴定12例分析

李  影，庄洪胜，郭殊嘉   

  1. （北京华夏物证鉴定中心 法医室，北京 100089）
  • 发布日期:2011-08-25 出版日期:2011-08-28
  • 通讯作者: 通信作者：庄洪胜，男，主任法医师，主要从事法医临床、法医病理及法医物证的法医学司法鉴定；E-mail：zhuanghongsheng@ 126.com
  • 作者简介:李影（1982—），女，河北辛集人，法医师，主要从事法医临床、法医病理的法医学司法鉴定；E-mail：hxly139@163.com

Analysis of 12 Cases of Fetal Malformation in Forensic Medical Malpractice

LI YING, ZHUANG HONG-SHENG, GUO SHU-JIA   

  1. （Department of Forensic Medicine, Beijing Huaxia Evidence Identification Center, Beijing 100089, China）
  • Online:2011-08-25 Published:2011-08-28

被引次数

1

摘要： 目的 探讨因胎儿畸形产生医疗纠纷的主要原因，分析法医学鉴定的切入点以及鉴定思路。 方法 参照相关法律、法规与临床诊疗规范，分析本组因胎儿畸形所致12例医疗纠纷法医学鉴定案例中的医疗过错及其参与度划分。 结果 本组案例中，存在医疗过错的为5例，其中未履行告知义务的2例，对异常结果未进行综合分析的2例，医疗技术水平有限并报告表述不规范1例。医院承担责任的4例，2例应承担次要责任，2例应承担轻微责任。 结论 法医学鉴定中应关注医院在实施产前检查、产前筛查与产前诊断时是否严格遵循法律、法规与临床诊疗规范的要求，医院是否注意到超声检查的局限性，是否尽到知情告知义务。

关键词: 法医学, 胎儿, 畸形, 医疗纠纷

Abstract: Objective To explore the main reasons of medical malpractice of fetal abnormalities and to analyze the key points and the ideas in judicial appraisal. Methods According to the related laws, regulations and clinical practice guidelines, the medical faults and the contribution degree in 12 medical malpractice cases about fetal abnormalities were analyzed. Results There were medical faults in five cases. Among them, the doctors did not fulfill the duty of inform in 2 cases, did not analyze the abnormal results comprehensively in 2 cases, did not have qualified medical conditions and normative reports in 1 case. The hospitals needed to take the minor responsibility in 2 cases and slight responsibility in 2 cases. Conclusion The key points in the judicial appraisal are whether the doctors abide by the related laws, regulations and clinical practice guidelines in prenatal examination, screen and diagnosis, and whether the doctors realize the limitations of ultrasonic testing and fulfill the obligation of inform.

Key words: forensic medicine, fetus, abnormalities, medical malpractice

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