非致残性卒中超时间窗静脉溶栓后致残医疗损害鉴定一例  

A medical damage case by progression of non disabled stroke after intravenous thrombolysis over time window

作　　者：褚建欣 魏伟[2] 拱忠影[3] 苏少波[2] 汪志云[3] Chu Jianxin;Wei Wei;Gong Zhongying;Su Shaobo;Wang Zhiyun(Management Office of Tianjin Medicine and Pharmacy association,Tianjin 300050,China;Tianjin First Central Hospital,Tianjin 300110,China;Tianjin Medical University General Hospital,Tianjin 300052,China)

机构地区：[1]天津市医药学(协)会管理办公室,天津300050 [2]天津医科大学总医院,天津300052 [3]天津市第一中心医院,天津300110

出　　处：《中国卫生法制》2021年第6期132-135,共4页China Health Law

摘　　要：卒中作为全球第二大死亡原因,其中70%左右的患者为缺血性脑血管病事件。我国已经成为全球缺血性脑血管病危害最严重的国家,因其发病较急、致残率较高、病情多变、诊疗较为困难等特点极易引发医疗纠纷。通过简要分析非致残性卒中超时间窗静脉溶栓后病情进展引发医疗纠纷一例,分析案例中医方存在的过失,总结经验教训,供临床医务人员参考借鉴,从而减少此类医疗纠纷的发生。Stroke is the second leading cause of death in the world,about 70% of the patients had ischemic cerebrovascular disease,China has also become the country with the most serious damage of ischemic cerebrovascular disease in the world,because of its acute onset,high disability rate,changeable condition and difficult diagnosis and treatment,it is easy to cause medical disputes.In this paper,we briefly analyzed a case of medical dispute caused by the progress of non disabled stroke after intravenous thrombolysis over time window,analyze the fault of the case doctor,to sum up the experience and lessons,for clinical medical staff reference,so as to reduce the occurrence of such medical disputes.

关 键 词：缺血性卒中 误诊 医疗损害鉴定 医疗纠纷 

分 类 号：D902[政治法律—法学理论]