术后死亡引发医疗纠纷14例尸检分析  

Autopsy Analysis of Medical Disputes Caused by 14 Cases of Postoperative Death

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

机构地区：[1]武警四川总队医院病理科,四川乐山614000

出　　处：《临床误诊误治》2014年第4期84-87,共4页Clinical Misdiagnosis & Mistherapy

摘　　要：目的探讨术后死亡引发医疗纠纷的原因及防范对策。方法对14例术后死亡引发医疗纠纷的尸检资料进行回顾性分析。结果本组对治疗结果不满意7例,对处置方案不满意5例,对医方态度不满意、对医疗条件不满意各1例。本组临床死因诊断与尸检死因诊断符合5例(35.71%),临床死因诊断与尸检死因诊断不符2例(14.29%),无临床死因诊断7例(50.00%)。尸检报告发出后,6例行医疗事故鉴定;6例医方主动承担责任与患方协商解决;2例患方自动终止投诉,不再追究医方责任。结论尸检对明确患者的死因及解决医疗纠纷起到了十分重要的作用,医院应通过强化防范意识有效减少医疗纠纷。Objective To explore the causes and preventive measures of medical disputes caused by postoperative death. Methods Autopsy data of 14 cases of postoperative death in medical disputes was retrospectively analyzed. Results There were 7 cases of unsatisfied treatment outcomes, 5 cases of unsatisfied treatment schemes, 1 case of unsatisfied doctors attitude and 1 case of unsatisfied medical conditions. Five cases of clinical death causes were consistent with autopsy diagnosis （ 35.71% ） , 2 cases of clinical death causes were not consistent with autopsy diagnosis （ 14.29% ） , and 7 cases had no clini- cal diagnosis of death causes （50.00%）. After the autopsy reports were sent out, 6 cases took malpractice identification; doctors were willingly responsible for medical disputes of 6 cases, and negotiated with family numbers ; family numbers of 2 ca- ses willingly ceased complaint. Conclusion Autopsy is important to identify death causes and solve medical disputes, so ad- ministrative staff in hospitals should be more preventive to reduce medical disputes rate.

关 键 词：外科手术 死亡 医疗纠纷 尸体解剖 

分 类 号：R-051[医药卫生]