摘要
目的探讨羊水栓塞死亡案例的医疗损害司法鉴定,并与医疗事故技术鉴定进行比较分析。方法统计分析南方医科大学司法鉴定中心自2010—2015年期间共10例羊水栓塞死亡医疗损害司法鉴定案例,并与其中3例进行了医疗事故技术鉴定的案例进行比较分析。结果 10例羊水栓塞死亡医疗损害司法鉴定中,医方的诊疗行为不构成医疗侵权的有3例,构成医疗侵权的有7例,其中原因力大小属轻微因素3例,原因力大小属次要因素4例。10例中进行过医疗事故技术鉴定的有3例,均不构成医疗事故,但其中2例在分析意见中指出医方的诊疗行为存在一定过失。结论羊水栓塞属于难以预见且难以避免的并发症,医疗事故技术鉴定往往认定其不构成医疗事故,但医疗损害司法鉴定羊水栓塞致死仍有可能构成医疗侵权,且根据过错情况其原因力大小也不同。
Objective To discuss forensic examination of medical injury in amniotic fluid embolism death cases, and to make comparative analysis with technological examination of medical malpractice. Method Ten cases of amniotic fluid embolism death that were assessed by our center for medical injury from 2010 to 2015 were analyzed. The forensic examination results were compared with those of technological examination of medical malpractice in three typical cases. Result In the ten cases, three ended in non-medical tort and seven ended in medical tort. Among the seven cases, three cases belonged to slight factor and the other four belonged to secondary factor. Among the three cases, which also went through technological examination and ended in non-medical malpractice, two were identified as having some fault in medical behavior. Conclusion Amniotie fluid embolism is an unpredictable and unavoidable syndrome. The results of technological examination of medical malpractice often ended in non-medical malpractice. However, through analyzing the major factors, such as prenatal examination, full information of the situation to the patient, medical behavior in delivery process, timely and quick treatment to amniotic fluid embolism, etc., it can be assessed whether the injury belongs to medical tort or not, and the degree of the factor.
作者
陈莉坚
李丽增
宋健文
王尧
谭晓辉
龙玲
王慧君
李冬日
CHEN Li-jian LI Li-zeng SONG Jian-wen WANG Rao TAN Xiao-hui LONG Ling WANG Hui-jun LI Dong-ri(Forensic Medical Centre of the Southern Medical University, Guangzhou 510515, China Guangdong Justice Police Vocational College, G~angzhou 510520, China The Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, China)
出处
《中国司法鉴定》
2017年第2期46-51,共6页
Chinese Journal of Forensic Sciences
关键词
医疗侵权
羊水栓塞
医疗损害司法鉴定
医疗事故技术鉴定
法医病理学
medical tort
amniotic fluid embolism
forensic examination of medical injury
technological examination ofmedical malpractice
forensic pathology
