法医学杂志

法医学杂志 ›› 2019, Vol. 35 ›› Issue (3): 300-303.DOI: 10.12116/j.issn.1004-5619.2019.03.007

• 案例分析 • 上一篇    下一篇

22例耳鼻咽喉科疾病死亡相关医疗损害法医学鉴定分析

杨智曦1， 胡华2， 张建华3   

  1. 1. 重庆市人口和计划生育科学技术研究院 国家卫生计生委出生缺陷与生殖健康重点实验室 重庆市正鼎司法鉴定所，重庆 400020； 2. 上海交通大学附属上海市第一人民医院 耳鼻咽喉头颈外科，上海 200080； 3. 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
  • 发布日期:2019-06-25 出版日期:2019-06-28
  • 通讯作者: 胡华，博士，主治医师，主要从事耳鼻咽喉科临床工作；E-mail：hua.hu@outlook.com 张建华，主任法医师，主要从事法医病理学鉴定与研究；E-mail：zhangjh@ssfjd.cn
  • 作者简介:杨智曦（1983—），男，主检法医师，主要从事法医病理学、法医临床鉴定；E-mail：iamyangzhixi@163.com

Analysis of the Forensic Identification of Medical Disputes Related to 22 Cases of Death from Otolaryngology Diseases#br#

YANG Zhi-xi1, HU Hua2, ZHANG Jian-hua3   

  1. 1. Chongqing Zhengding Judicial Identification Institute, Chongqing Population and Family Planning Science and Technology Research Institute, Key Laboratory of Birth Defects and Reproductive Health of National Health and Family Planning Commission, Chongqing 400020, China; 2. Department of Otorhinolaryngology Head and Neck Surgery, Shanghai General Hospital, Shanghai Jiaotong University, Shanghai 200080, China; 3. Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China
  • Online:2019-06-25 Published:2019-06-28

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摘要： 目的 通过对22例耳鼻咽喉科疾病死亡案例进行分析，探讨相关医疗损害风险的成因及防范措施。 方法 选取司法鉴定科学研究院及重庆市正鼎司法鉴定所2008—2018年间受理的涉及耳鼻咽喉科疾病死亡相关医疗损害司法鉴定案件共22例进行回顾性分析。 结果 22例案例中，男女性比例3.4∶1。死亡年龄1.3~76岁，平均年龄45.3岁。涉及医疗机构28家，其中三级医疗机构占比71.4%。死亡原因统计显示呼吸道窒息死亡占比50%。 结论 法医学鉴定为耳鼻咽喉科疾病相关医疗损害案件提供重要的科学依据，同时对医疗机构优化耳鼻咽喉科疾病诊疗工作流程，提高诊疗质量具有重要参考价值。

关键词: 法医病理学, 耳鼻咽喉科学, 死亡, 医疗损害

Abstract: Objective To discuss the causes and precautionary measures of the risks of relevant medical disputes by analyzing 22 cases of death from otolaryngology diseases. Methods A retrospective analysis of 22 judicial expertise cases of medical disputes related to death from otolaryngology diseases accepted by Chongqing Zhengding Judicial Appraisal Institute and Academy of Forensic Science during 2008-2018 were made. Results Of the 22 cases, the male to female ratio was 3.4∶1. The age of death was from 1.3 to 76 years old, with an average age of 45.3 years. There were 28 medical institutions involved, of which 71.4% were tertiary medical institutions. Statistics for death causes showed that respiratory asphyxia accounted for 50%. Conclusion Forensic identification provides an important scientific basis for medical disputes cases related to otolaryngology diseases. It also has an important reference value for medical institutions to optimize the work procedure of diagnosis and treatment of otolaryngology diseases and improve the quality of diagnosis and treatment.

Key words: forensic pathology, otolaryngology, death, medical disputes