法医学杂志

法医学杂志 ›› 2000, Vol. 0 ›› Issue (2): 72-74+1.

• 论文 • 上一篇    下一篇

涉及死亡医疗纠纷的发生——27年医疗纠纷法医尸检回顾性研究之一

张益鹄   

  1. 同济医科大学法医学系法医病理学教研室!湖北武汉430030
  • 发布日期:2000-04-25 出版日期:2000-04-28

The incidence of medical tangles related to death —the first report of a retrospective study on 27 years forensic autopsy work of medical tangles

ZHANG YIGU (DEPARTMENT OF FORENSIC PATHOLOGY, TONGJI MEDICAL UNIVERSITY, WUHAN 430030, P R CHINA)   

  • Online:2000-04-25 Published:2000-04-28

摘要： 为了探讨医疗纠纷法医尸检的特点 ,回顾性研究了 1972～ 1998年 2 7年间 318例医疗纠纷尸检资料。在这第一篇报告中 ,介绍与死亡有关医疗纠纷发生上的一些特点 :医疗纠纷尸检的案例数从 1972～ 1983年的 2 3例上升到 1984～ 1998年的 2 95例 ;死者中男女性别无显著差别 ;年龄分布有两个高峰 ,10岁以下有 10 4例(32 71% ) ,2 0～ 4 0岁组 16 1例 (50 6 3% ) ;发生在市 (县 )级中等大小医院的纠纷最多见 ,有 195例 ,占 6 1 32 % ,近年私人诊所的医疗纠纷明显增多 ;医疗纠纷尸检最常涉及外科 (71例 ,2 2 33% )和产科 (58例 ,18 2 4 % ) ;也简略讨论了 2 0 6例非医疗过失纠纷和 99例医疗过失纠纷发生的原因。

关键词: 医疗纠纷, 法医尸检, 发生

Abstract: In order to investigate the characteristics of medical tangle autopsy, 318 autopsy cases of medical tangle from 1972-1998 were studied retrospectively In the first report, the following conclusions were presented about the happening of medical tangles related to death: (1) The case number of medical tangle autopsy increased greatly from 23 in 1972-1983 to 295 in 1984-1998; (2) There was not much sexual difference in deaths; (3) There were two peaks in age distribution, 104 cases (37 21%) were below 10 years old, 161 cases (50 63%) were at the age of 20-49; (4) Most cases (195 cases,61 32%) happened in middle size hospitals of cities and counties In recent years, disputes in private-owned clinics were increasing; (5) The surgery (71 cases,22 33%) and obstetrics (58 cases,18 24%) were the most involved departments The reasons resulting in medical tangles of 206 cases of non-malpractice and 99 cases of malpractice were discussed briefly

Key words: medical tangle, forensic autopsy, incidence