90例医疗纠纷尸检分析.pdfVIP

ofForensic Journal 2009，V01．25，No．4 ·274· Medicine，August ．案例分析· 90例医疗纠纷尸检分析 喻林升，叶光华，伊吉普。张益鹄 (温州医学院法医学系，浙江温州325035) 摘 要： 目的分析、讨论医疗纠纷中法医病理学尸体解剖的重要性。方法收集温州医学院法医学系 2001—2008年涉及医疗纠纷尸体解剖案例90例。按照死者年龄、性别、死亡原因及临床诊断和法医病理诊 断等要素进行分类整理和分析。 结果死者年龄从新生儿至72岁，男女比例为l：l，医院级别以县级医院 结论尸体解剖对涉及死亡的医 较多(30例，33．33％)，临床诊断与法医病理死因诊断符合率为33．33％。 疗纠纷的正确处理和防范有重要作用。 关键词：法医病理学；尸体解割；医疗纠纷 中图分类号：DF795．4文献标志码：A doi：10．3969／j．issn．1004—5619．2009．04．010 文章编号：1004—5619(2009)04—0274—02 of90 CasesinMedical AnalysisAutopsy LegalDispute YU NG Lin-sheng,YEGuang-hua,YI五-pu,ZHAYi-gu Forensic Medical (Departmentof Medicine，Wenzhouco如伊，Wenzhou32503China) Abstract： To the offorensic inmedical Ninety Objectiveanalyzesignificance autopsy tangle．Methods casesofmedical were fromthedatabaseofour autopsy legaldisputeretrospectivelyanalyzed department from2001to2008．Allcaseswere andclassifiedbasedon ofdeath，clinic analyzed age，sex，cause diag- nosisandforensic The from1 to72 theratiosofmaleto diagnosis．Resultsageranged day years，and femaleis1：1．Themostcommonhealthcarefacilitiesinvolvedwere cases，33．33％)．The countyhospitals(30 was The coincidenceratebetweenclinical and 33．33％．Conclusion diagnosespathologicaldiagnoses forensic isvaluabletosolveorevenavoidtheoccurrenceofmedical autopsy legaldispute． wo