112例外科医疗损害鉴定回顾分析  

Medical Negligence in Surgery:112 Cases Retrospective Analysis

作　　者：项剑[1] 常林[1] 王旭[1] 张凤芹[1] 

机构地区：[1]中国政法大学证据科学教育部重点实验室,北京100088

出　　处：《法医学杂志》2013年第3期193-195,共3页Journal of Forensic Medicine

基　　金："十二五"国家科技支撑计划项目(2012BAK16B02);教育部哲学社会科学重大课题攻关项目(06JZD0009)

摘　　要：目的分析外科医疗纠纷司法鉴定案例的一般特点,为此类鉴定提供借鉴。方法选取法大法庭科学技术鉴定研究所2008—2010年受理的112例外科医疗损害司法鉴定案例进行回顾性分析。结果外科医疗过失行为的常见表现形式为手术操作不当(28.57%)、告知与说明不充分(26.79%)和病情监测不力(22.32%)。损害结果以残疾或功能障碍最多见(61.61%),死亡次之(31.25%),一过性损害、未遗有明显不良后果少见(7.14%)。医疗过失行为在损害结果发生中起次要作用(26.79%)、同等作用(19.64%)、轻微作用(14.29%)多见。结论外科医疗损害鉴定应重点关注手术操作、医患沟通及病情监测等环节,在与损害结果因果关系的判定上慎用医疗过失参与度。Objective To explore the general characteristics of medical negligence in surgery in order to provide the reference for forensic practices. Methods One hundred and twelve cases of medical negli gence in surgical department were retrospectively analyzed in Fada Institute of Forensic Medicine and Science from 2008 to 2010. Results The common types of medical negligence cases in the surgery were improper operation procedure （28.57%）, failure of consent （26.79%）, and inadequate monitoring （22.32%）. The results of complications included disability or functional impairment （61.61%）, death （31.25%） and transient impairment with no obvious adverse reactions （7.14%）. The most common roles played by the medical negligence cases were minor role （26.79%）, equal role （19.64%）, and slight role （14.29%）. Con clusion Significant attention should be paid to the operation procedure, consent, and monitoring. It should be cautious to not make assessment on involvement degree of medical negligence.

关 键 词：法医学 外科 医院 医疗差错 案例分析 

分 类 号：DF795.1[医药卫生—法医学]