[an error occurred while processing this directive]
法医学杂志
  首页 | 期刊介绍 | 编 委 会 | 投稿指南 | 欢迎订阅 | 广告合作 | 获奖情况 | 检索库收录情况 | 联系我们 | 友情链接 | 过期信息
法医学杂志 2018, Vol. 34 Issue (4) :389-391,395    DOI: 10.12116/j.issn.1004-5619.2018.04.009
案例分析 最新目录 | 下期目录 | 过刊浏览 | 高级检索 << | >>
52例心脏性死亡相关医疗损害的法医学分析
鲁  佳,张运楼,罗  林
杭州明皓司法鉴定所萧山分所,浙江 杭州 311200
Forensic Analysis on 52 Medical Malpractice Cases of Cardiac Death
LU Jia, ZHANG Yun-lou, LUO Lin
Xiaoshan Branch Office, Hangzhou Minghao Forensic Judical Appraisal Institute, Hangzhou 311200, China

摘要
参考文献
相关文章
Download: PDF (631KB)   [ HTML ]   Export: BibTeX or EndNote (RIS)      Supporting Info
文章导读  
摘要 目的 综合分析涉及医疗损害的心脏性死亡法医学鉴定案例,探讨其死亡原因、医疗过错及参与程度评定的共性与特点。 方法 收集2015年1月—2018年4月杭州明皓司法鉴定所萧山分所受理的涉及心脏性死亡的医疗损害案例52例,对案件一般情况、医疗机构、住院情况、死亡原因、医疗过错行为及过错参与程度评定进行回顾性分析。 结果 52例中,男女性比例为2.25∶1,年龄以>50~60岁居多。高血压性心脏病及冠心病所引起的心脏性死亡占首位(67.3%),其次为病毒性心肌炎和心肌病(13.5%)。涉及手术的有24例,术后至死亡时长为1 h~118 d,中位数为7 d。医疗损害涉及医疗机构63所,多数医院存在不同程度的医疗过错行为,参与程度多为>20%~30%。 结论 法医学鉴定有助于确定死亡原因,为医疗损害案件评定提供了科学的依据,有助于医疗部门进一步提高诊疗水平。
Service
把本文推荐给朋友
加入我的书架
加入引用管理器
Email Alert
RSS
作者相关文章
鲁佳
张运楼
罗林
关键词法医病理学   死亡原因   心脏性死亡   医疗损害   案例分析     
Abstract: Objective To synthetically analyse the medical malpractice cases of cardiac death in forensic identification, and to explore the generality and characteristic of cause of death, medical malpractice and assessment of participation degree. Methods Totally 52 medical malpractice cases of cardiac death examined in the Xiaoshan Branch Office, Hangzhou Minghao Forensic Judical Appraisal Institute, from January 2015 to April 2018 were collected. The general information of cases, medical institutions and situations of hospital stay, cause of death, medical malpractice and assessment of participation degree were retrospectively analysed. Results In 52 cases, the male to female ratio was 2.25:1, and most subjects aged >50-60. Cardiac death caused by hypertensive heart disease or coronary heart disease was most common (67.3%), followed by viral myocarditis and cardiomyopathy (13.5%). There were 24 cases involved surgery, and the survival time after surgery was from 1 h to 118 d with a 7 d medium value. There were 63 medical institutes involved in these medical malpractices. Medical malpractice presented in most hospitals more or less, and the participation degree was >20%-30%. Conclusion Forensic appraisal contributes to determine causes of death, which not only provides scientific evidence for medical malpractice identification, but also improves diagnosis and treatment levels of medical institutions.
Keywordsforensic pathology   cause of death   cardiac death   medical malpractice   case analysis     
Fund
Corresponding Authors: 张运楼,男,副主任法医师,主要从事法医临床学和法医病理学鉴定;E-mail:871062625@qq.com   
About author: 鲁佳(1984—),女,主要从事法医临床学和法医病理学鉴定;E-mail:281181859@qq.com
引用本文:   
鲁佳,张运楼,罗林.52例心脏性死亡相关医疗损害的法医学分析[J]  法医学杂志, 2018,34(4): 389-391,395
LU Jia, ZHANG Yun-lou, LUO Lin.Forensic Analysis on 52 Medical Malpractice Cases of Cardiac Death[J]  法医学杂志, 2018,34(4): 389-391,395
Copyright 2010 by 法医学杂志