法医学杂志

法医学杂志 ›› 2012, Vol. 28 ›› Issue (3): 201-203.DOI: 10.3969/j.issn.1004-5619.2012.03.011

• 案例分析 • 上一篇    下一篇

12例外伤后死亡医疗纠纷鉴定分析

张运楼1，陈益民1，王立新2，吴  建3，赵春连4   

  1. （1. 杭州明皓司法鉴定所，浙江 杭州 311100； 2. 余杭临平地区检察院，浙江 杭州 311100； 3. 杭州市萧山区人民法院，浙江 杭州 311100； 4. 杭州求正司法鉴定所，浙江 杭州 311100）
  • 发布日期:2012-06-25 出版日期:2012-06-28
  • 作者简介:张运楼（1965—），男，河南南阳人，主检法医师，主要从事法医临床学与法医病理学鉴定工作；E-mail：z.ylou@163.com

Analysis of 12 Death Cases of Medical Tangles after Trauma

ZHANG YUN-LOU1, CHEN YI-MIN1, WANG LI-XIN2, WU JIAN3, ZHAO CHUN-LIAN4   

  1. （1. Hangzhou Minghao Forensic Judical Appraisal Institute, Hangzhou 311100, China; 2. Linping People’s Procuratorate of Yuhang, Hangzhou 311100, China; 3. People’s Court of Hangzhou Xiaoshan District, Hangzhou 311100, China; 4. Hangzhou Qiuzheng Forensic Judicial Appraisal Institute, Hangzhou 311100, China）
  • Online:2012-06-25 Published:2012-06-28

被引次数

5

摘要： 目的 探讨外伤后患者死亡医疗纠纷案件的主要问题及鉴定思路。 方法 选取某鉴定机构6年来受理的涉及患者外伤后住院治疗过程中死亡的案例12例，分别从致伤情况、医疗过错以及过错在损害后果中的参与度等进行归纳分析。 结果 致伤原因为意外和故意伤害，医方存在过错的有10例，医疗过错多为次要作用（7例）。 结论 入院诊断、观察和抢救环节是外伤后死亡医疗纠纷鉴定的关键之处。

关键词: 法医病理学, 创伤和损伤, 医疗纠纷

Abstract: Objective To explore the main problems and ideas in the death cases of medical tangles after trauma. Methods Twelve death cases of medical tangles after trauma were selected from a forensic science institute during recent six years. Traumatic conditions, medical malpractices and contribute degree of malpractice were estimated and analyzed. Results The reasons of trauma included accidents and intentional injury. Among these cases, there were 10 involved in malpractice, of which 7 cases played secondary role. Conclusion Diagnosis, symptom observation and emergency therapy are the important keys for determining the responsibility in death cases of medical tangles after trauma.

Key words: forensic pathology, wounds and injuries, medical tangle

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