新生儿死亡所致医疗纠纷六例尸检结果分析  

Analysis of Results of 6 Cases of Necropsy for Neonatal Death about Medical Dispute

作　　者：彭凤翔[1,2] 周建丽[1,2] 张继万[1,2] 徐海[1,2] 李永春[1,2] 王斌[1,2] 

机构地区：[1]武警四川总队医院病理科,四川乐山614000 [2]中国中医科学院中医临床基础医学研究所,北京100700

出　　处：《临床误诊误治》2012年第11期73-76,共4页Clinical Misdiagnosis & Mistherapy

基　　金：乐山市科委科研基金(20100511)

摘　　要：目的分析引起新生儿死亡的病因,探索解决医疗纠纷的最佳途径。方法回顾分析本院病理科近5年受理的因新生儿死亡致医疗纠纷6例的尸检资料。结果 6例均因新生儿死亡引发医疗纠纷,家属提出巨额赔偿诉求,由市卫生局推荐、家属自愿选择,提交死亡新生儿至我院病理科进行尸检。尸检病理诊断新生儿死亡原因分别为宫内窒息3例、新生儿肺透明膜病2例、内脏严重发育畸形1例。尸检报告发出后,3例家属自动撤诉;3例经医疗事故鉴定委员会鉴定为非医疗事故,家属不再追究医方责任。结论尸检是明确新生儿死亡病因的金标准,是合理解决医疗纠纷的有效手段。Objective To analyze the pathogeny of neonatal death in order to find out the best way approach solve the medical disputes. Methods Necropsy data of 6 cases of neonatal death involving medical disputes in the last 5 years in the department of pathology of our hospital were respectively analyzed. Results 6 obituary neonatus undertook necropsy by the department of pathology recommended by the local Health Bureau recommendation and agreed to by the family members out of freewill choice due to request of huge sum of reimbursement in the medical dispute. The causes of death included 3 cases of intrauterine asphyxia, 2 cases of the hyaline membrane diseases of newborn and 1 case of developmental deformity of the viscera. After the autopsy reports were issued, 3 families chose automatic withdrawal, and the other 3 families chose withdrawal when malpractice evaluation committee evaluated the cases as no malpractice. Conclusion Necropsy should be the gold standard for identifying the cause of neonatal death and reasonably solving the medical disputes.

关 键 词：婴儿 新生 死亡 尸体解剖 

分 类 号：R-051[医药卫生]