涉及医疗纠纷的围产儿死亡243例临床病理分析

回顾性分析涉及医疗纠纷的243例围产儿尸检资料．整理尸体解剖记录、尸检结果和相关病历资料．总结其常见死亡原因及医疗纠纷的发生原因。结果发现在同期所有医疗纠纷尸检中围产儿尸检占40．9％．常见死亡原因依次为窒息性疾病、感染、出血性疾病、畸形及产科因素．纠纷发生的原因以临床不能确诊死亡原因或家属无法接受临床死因诊断最常见。男外，涉及医疗纠纷的围产儿尸检中仅有少数为医疗事故．随着医疗质量的提高及医学和法律知识的普及．尸检量正在逐渐减少。

Clinicopathologic study of 243 perinatal autopsies involved in medical tangle

A total of 243 perinatal period autopsies involved in medical tangle in the Pathology Department of Changhai Hospital during 1979 to 2001 were retrospectively reviewed. Of the total deaths autopsied during the corresponding period, 40. 9% were of pediatric patients. The common causes of death in turns were asphyxiant disease,infections,hemorrhagic disease, malformation and obstetrics factors. Medical tangle often occur because the cause of death cannot be diagnosed by clinicians or accepted by the family. Among all the autopsies only a few were medical accident. With the improvement of medical techniques and the popularization of medical knowledge and related law,the cases of autopsy are decreasing gradually.