法医学杂志

法医学杂志 ›› 2010, Vol. 26 ›› Issue (3): 192-195.

• 论文 • 上一篇    下一篇

肿瘤患者医疗纠纷法医病理学鉴定74例分析

郭亚东;蔡继峰;常云峰;官鹏;文继舫;   

  1. 中南大学基础医学院法医学系;四川大学华西基础医学与法医学院;
  • 发布日期:2010-06-25 出版日期:2010-06-28

Forensic Analysis of 74 Tumor Related Medical Malpractice Cases

GUO YA-DONG1,CAI JI-FENG1,CHANG YUN-FENG1,GUAN PENG2,WEN JI-FANG1(1.DEPARTMENT OF FORENSIC MEDICINE,SCHOOL OF BASIC MEDICAL SCIENCE,CENTRAL SOUTH UNIVERSITY,CHANGSHA 410013,CHINA;2.WEST CHINA SCHOOL OF PRECLINICAL AND FORENSIC MEDICINE,SICHUAN UNIVERSITY,   

  • Online:2010-06-25 Published:2010-06-28

被引次数

6

摘要： 目的从法医学角度分析肿瘤患者医疗纠纷的发生原因,明确医疗责任并提出相关应对措施。方法对2000—2009年在四川华西法医学鉴定中心进行法医病理学检验的74例肿瘤患者医疗纠纷案例资料进行回顾性分析。结果近年来肿瘤患者医疗纠纷有明显增多的趋势。常见医疗责任有漏诊、误诊、不合理的化疗、并发症的未预见等。不同级别医疗机构肿瘤相关医疗纠纷成因有所区别。外科、妇产科等科室所占比例较高。结论通过法医病理学尸体解剖查明死亡原因,明确医疗责任,已成为肿瘤患者医疗纠纷的重要解决手段。增强服务意识,获取患者信任;加强硬件建设,改善医疗条件;重视法律法规,强化注意与告知义务,能够减少与防范医疗纠纷的发生。

关键词: 法医病理学, 肿瘤, 医疗纠纷

Abstract: Objective To analyze the causes of medical malpractice in patients with tumor,to determine the medical responsibility,and to recommend the related preventions.Methods Seventy four medical malpractice cases,which were involved in tumor and collected from 2000 to 2009 in medicolegal expertise center of west China,were analyzed retrospectively.Results The medical malpractice cases in the patients with tumor showed an increasing tendency in recent years.The main causes are missed diagnosis,misdiagnosis,improper chemotherapy and neglect of complications.The causes of medical malpractice were different in the different levels of medical services.The occurrence of medical malpractice in surgery and OB-GYN showed more frequent than the others.Conclusion Forensic pathology autopsy is important to resolve medical malpractice of tumor patients by finding out the cause of death and clarifying the medical responsibility.The occurrence of medical malpractice could be reduced by the clinical doctors through improving serve consciousness,obtaining the patients’ trust,improving the medical treatment,following related laws and rules,fulfiling duty of medical careness.

Key words: forensic pathology, neoplasms, medical malpractice