法医学杂志

法医学杂志 ›› 2018, Vol. 34 ›› Issue (5): 508-511.DOI: 10.12116/j.issn.1004-5619.2018.05.014

• 案例分析 • 上一篇    下一篇

49例产前检查相关医疗损害法医学鉴定分析

杨小萍1，陈  芳1，刘  霞1，周晓蓉2   

  1. 1. 司法鉴定科学研究院 上海市法医学重点实验室 上海市司法鉴定专业技术服务平台，上海 200063； 2. 迪安鉴定研究院 上海迪安司法鉴定有限公司，上海 200051
  • 发布日期:2018-10-25 出版日期:2018-10-28
  • 通讯作者: 周晓蓉，女，副主任法医师，主要从事法医临床学鉴定与研究；E-mail：50373233@qq.com
  • 作者简介:杨小萍（1968—），女，主任法医师，主要从事法医临床学鉴定与研究；E-mail：yangxp@ssfjd.cn
  • 基金资助:
    中央级公益性科研院所基本科研业务费资助项目（GY2016G-3）；“十三五”国家重点研发计划资助项目（2016YFC0800700）；上海市法医学重点实验室资助项目（17DZ2273200）；上海市司法鉴定专业技术服务平台资助项目（16DZ2290900）

Analysis on Forensic Expertise of 49 Medical Disputes in Prenatal Examination

YANG Xiao-ping1, CHEN Fang1, LIU Xia1, ZHOU Xiao-rong2   

  1. 1. Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Science Platform, Academy of Forensic Science, Shanghai 200063, China; 2. Di’an Institute of Forensic Science, Shanghai Di’an Forensic Science Limited Company, Shanghai 200051, China
  • Online:2018-10-25 Published:2018-10-28

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摘要： 目的 从法医学鉴定的角度对涉及产前检查的医疗损害案例进行分析，探讨相关医疗损害风险及防范措施。 方法 对司法鉴定科学研究院及上海迪安司法鉴定有限公司2010—2017年鉴定的涉及产前检查的医疗损害共49例鉴定资料进行回顾性分析。 结果 近年来涉及产前检查的医疗损害鉴定案件有逐年增多的趋势。经过鉴定，有35例存在医疗过错，常见原因有未告知或告知不充分（20例），对三维、四维超声的宣传和应用不规范（14例），超声检查和血清学筛查过程不规范（12例），没有进行产前咨询（2例）等。 结论 医院或相关协会应通过规范化管理和操作，规避产前检查的相关风险，以便尽可能减少此类医疗损害的发生。

关键词: 法医学；超声检查, 产前；产前诊断；医疗损害；案例分析

Abstract: Objective To analyze the cases of medical disputes involving prenatal examination from a point of view of forensic expertise, and to discuss the risk of medical disputes and the preventive measures. Methods A retrospective analysis was conducted on 49 forensic expertise cases of medical disputes in prenatal examination which were identified in Academy of Forensic Science and Shanghai Di’an Forensic Science Limited Company from 2010 to 2017. Results In recent years, the number of medical disputes involving prenatal examination showed an increasing trend year by year. The common causes of medical disputes were: uninformed or insufficiently informed disclosure （20 cases）; the propaganda and application of three-dimensional, four-dimensional ultrasound were not standardized （14 cases）; ultrasound examination and serological screening process were not standardized （12 cases）; no antenatal counseling （2 cases）, etc. Conclusion In order to minimize the occurrence of such medical disputes, hospitals or related associations should avoid the risk of prenatal examination through the standardization of management and operation.

Key words: forensic medicine, ultrasonography, prenatal, prenatal diagnosis, medical disputes, case analysis