猝死致医疗纠纷269例临床病理分析

目的 分析猝死致医疗纠纷的原因、特点及疾病分布.方法 收集涉及医疗纠纷的猝死尸检病例269例,进行病理组织学检查,部分做了法医学的毒物分析.结果 269例中男性明显多于女性且高发年龄段为15～60岁.其死亡原因以心血管系统疾病占首位,但其中以肺栓塞多见;其下依次为消化系统疾病、呼吸系统疾病、中枢神经系统疾病、泌尿生殖系统疾病和一些其它系统(如内分泌、免疫等)疾病.病例多发生于二、三级医院且临床与病理诊断符合率偏低.结论 引起医疗纠纷的主要原因是未能对致死疾病作出准确的诊断和合理解释,而尸体解剖对于明确死亡原因及准确鉴定医疗纠纷具有重要意义.另外,引起医疗纠纷的猝死病例在年龄、性别和死因的疾病分布方面有其特殊性.

Medical dispute and sudden death:a clinicopathologic analysis of 269 cases

Purpose To analyze the cause,characteristics and distribution of diseases of sudden-death in medical disputes.Methods 269 autopsy cases of sudden death associated with medical disputes were collected and analyzed by histopathologic examinations,some of which were toxicologically detected by forensic methods.Results Among the 269 cases,the male was significantly higher than female,and the high risk population was from 15 to 60 years old.Cardiovascular system diseases were the most common diseases,in which th...