医疗纠纷尸检109例临床病理分析  

Autopsy findings in medical dispute: a clinicopathologic analysis of 109 cases

作　　者：沈无名[1] 梁鑫[1] 罗斌[2] 

机构地区：[1]南通大学附属常州市儿童医院病理科,江苏常州213003 [2]常州市公安局刑警支队技术大队,江苏常州213003

出　　处：《诊断病理学杂志》2016年第3期210-212,217,共4页Chinese Journal of Diagnostic Pathology

摘　　要：目的分析医疗纠纷尸检案例的病理学死因、特点及疾病分布。方法收集常州地区涉及死亡医疗纠纷尸体解剖材料109例进行回顾性比较分析。结果 109例中男性明显多于女性,高发年龄段为16～60岁中、青年组和〈7岁婴幼儿围产儿组,一、二级医疗机构医疗纠纷尸检发生率及误诊（漏）率较高,疾病分布以循环系统疾病和呼吸系统疾病居前,误（漏）诊率高,基层卫生医疗机构的药物不良反应现象不容忽视。结论尸体解剖对涉及死亡医疗纠纷案例死因的判定有重要意义,有利于临床总结经验,提高临床诊断的准确性,减少和预防医疗纠纷的发生。Objective To analyze the pathological cause of death,characteristics and the distribution of diseases in medical disputes. Methods A total of 109 autopsy cases of medical disputes during January 2000 to December 2013 from Changzhou district were analyzed and compared retrospectively. Results Among the 109 cases the male was significantly outnumbered the female,and the high risk population was from 35- 60 years old and 〈7 years children and perinatal infants; the incidence rate of autopsy as well as misdiagnosis in primary and secondary medical institutions were higher; cardiovascular system diseases were the most common diseases,followed by diseases of respiratory system; adverse drug reactions encountered in basic medical institutions were relatively higher. Conclusion Autopsy is of great importance in identifying the cause of death in the cases of medical disputes,and is helpful for clinicians learning experience and improving clinical diagnostic accuracy,decreasing or preventing the incidence of medical dispute.

关 键 词：医疗纠纷 尸体解剖 病理诊断 误诊 

分 类 号：R361.1[医药卫生—病理学]