医疗纠纷案例的法医病理学研究

目的探讨与死亡有关的医疗纠纷发生的原因及特点,为医疗纠纷的调解处理及防范提供科学依据。方法选择华中科技大学同济医学院法医病理学教研室1999年1月至2008年12月受理的586例涉及死亡的医疗纠纷尸检案例,对其临床资料进行回顾性分析。结果涉及死亡的医疗纠纷案例中89.76%是非医疗事故;引起猝死或病死的疾病中以心血管系统疾病最多(196例,37.26%);最易发生医疗纠纷案例的科室是妇产科(121例,31.35%)。结论绝大部分医疗纠纷尸体检验案例是非医疗事故。尸体解剖是查明死因、划分责任、调解、处理和审判医疗纠纷的前提和重要依据。

Forensic pathology study of autopsied cases of medical tangle

Objective To study the characteristics and reasons of autopsied cases of medical tangle in order to offer some references for reasonable medicating medical tangle. Methods The data of 586 autopsied cases in file of Department of Forensic Medicine,Tongji Medical College, Huazhong University of Science and Technology from January 1999 to December 2008 were analyzed retrospectively. Results The most autopsied cause of medical tangle （ 89.76% ） was not medical malpractice. The disease led to death or sudden unexpected natural death was mostly cardiovascular diseases（ 196 cases,37.26% ）. The majority of cases happened in obstetrics and gynecology（ 121 cases ,31.35% ）. Conclusion The most autopsied cause of medical tangle is non-malpractice. Forensic pathological autopsy and identification can provide important scientific basis for identifying the cause of death, dividing responsibility and mediating medical tangle fairly and reasonably.