涉及死亡医疗纠纷的发生-27年医疗纠纷法医尸检回顾性研究之一
http://www.100md.com
法医学杂志 2000年第2期第16卷 论著
作者：张益鹄
单位：同济医科大学法医学系法医病理学教研室，湖北武汉 430030
关键词：医疗纠纷；法医尸检；发生
法医学杂志000204 摘 要：为了探讨医疗纠纷法医尸检的特点，回顾性研究了1972～1998年27年间318例医疗纠纷尸检资料。在这第一篇报告中，介绍与死亡有关医疗纠纷发生上的一些特点：医疗纠纷尸检的案例数从1972～1983年的23例上升到1984～1998年的295例；死者中男女性别无显著差别；年龄分布有两个高峰，10岁以下有104例(32.71%)，20～40岁组161例(50.63%)；发生在市(县)级中等大小医院的纠纷最多见，有195例，占61.32%，近年私人诊所的医疗纠纷明显增多；医疗纠纷尸检最常涉及外科(71例，22.33%)和产科(58例，18.24%)；也简略讨论了206例非医疗过失纠纷和99例医疗过失纠纷发生的原因。
, 百拇医药
分类号：DF795.4 文献标识码：A
文章编号：1004-5619(2000)02-0072-03
The incidence of medical tangles related to death-the first report of a retrospective study on 27 years forensic autopsy work of medical tangles
Zhang Yigu
(Department of Forensic Pathology, Tongji Medical University, Wuhan 430030, P. R. China)
Abstract：In order to investigate the characteristics of medical tangle autopsy, 318 autopsy cases of medical tangle from 1972-1998 were studied retrospectively, In the first report, the following conclusions were presented about the happening of medical tangles related to death: ( 1 ) The case number of medical tangle autopsy increased greatly from 23 in 1972-1983 to 295 in 1984-1998; (2) There was not much sexual difference in deaths; (3) There were two peaks in age distribution, 104 cases (37.21%) were below 1O years old, 161 cases (50. 63% ) were at the age of 20-49: (4) Most eases (195 eases, 61.32% ) happened in middle size hospitals of cities and counties, In recent years, disputes in private-owned clinics were increasing; (5) The surgery (71 cases, 22. 33% ) and obstetrics (58 cases, 18.24% ) were the most involved departments. The reasons resulting in medical tangles of 206 cases of non - malpractice and 99 cases of malpractice were discussed briefly.
, 百拇医药
Keywords：medical tangle; forensic autopsy; incidence
参考文献：
[1]王宁敏，刘长春. 法医工作介入医疗纠纷的意义[J].法律与医学杂志，1994，1(4)：170.
[2]程亦斌. 王少华. 医疗纠纷的法医临床学鉴定[J].法医学杂志，1998，14(4)：209.
[3]宋泽范.医疗事故鉴定之我见[J].中国法医学杂志, 1995.10(2)：120.
[4]张益鹄，王佐飞，黄光照.医疗纠纷的法医病理学鉴定-139例医疗纠纷尸检分析[J].中国法医学杂志. 1995，10(2)：105.
[5]陈阳，唐文章,程利宝.43例致死性医疗纠纷的病理学分析[J].法医学杂志,1999，15(2)：100.
, http://www.100md.com
[6]陈新山，铙广勋，黄光照，等.73例手术科室医疗纠纷的分析[J].法医学杂志，1999，15(2)：95.
[7]刘世沧，肖启亨，301例医疗事故法医学分析[J].中华医院管理杂志，1987，3(2)：101
[8]Murphy GK. Therapeutic misadvanture, an 11 - year study from a metropolian coroner's office[J]. Am J Forensic Med and Pathol, 1986,7(2): 115.
收稿日期：1999-08-15, http://www.100md.com
单位：同济医科大学法医学系法医病理学教研室，湖北武汉 430030
关键词：医疗纠纷；法医尸检；发生
法医学杂志000204 摘 要：为了探讨医疗纠纷法医尸检的特点，回顾性研究了1972～1998年27年间318例医疗纠纷尸检资料。在这第一篇报告中，介绍与死亡有关医疗纠纷发生上的一些特点：医疗纠纷尸检的案例数从1972～1983年的23例上升到1984～1998年的295例；死者中男女性别无显著差别；年龄分布有两个高峰，10岁以下有104例(32.71%)，20～40岁组161例(50.63%)；发生在市(县)级中等大小医院的纠纷最多见，有195例，占61.32%，近年私人诊所的医疗纠纷明显增多；医疗纠纷尸检最常涉及外科(71例，22.33%)和产科(58例，18.24%)；也简略讨论了206例非医疗过失纠纷和99例医疗过失纠纷发生的原因。
, 百拇医药
分类号：DF795.4 文献标识码：A
文章编号：1004-5619(2000)02-0072-03
The incidence of medical tangles related to death-the first report of a retrospective study on 27 years forensic autopsy work of medical tangles
Zhang Yigu
(Department of Forensic Pathology, Tongji Medical University, Wuhan 430030, P. R. China)
Abstract：In order to investigate the characteristics of medical tangle autopsy, 318 autopsy cases of medical tangle from 1972-1998 were studied retrospectively, In the first report, the following conclusions were presented about the happening of medical tangles related to death: ( 1 ) The case number of medical tangle autopsy increased greatly from 23 in 1972-1983 to 295 in 1984-1998; (2) There was not much sexual difference in deaths; (3) There were two peaks in age distribution, 104 cases (37.21%) were below 1O years old, 161 cases (50. 63% ) were at the age of 20-49: (4) Most eases (195 eases, 61.32% ) happened in middle size hospitals of cities and counties, In recent years, disputes in private-owned clinics were increasing; (5) The surgery (71 cases, 22. 33% ) and obstetrics (58 cases, 18.24% ) were the most involved departments. The reasons resulting in medical tangles of 206 cases of non - malpractice and 99 cases of malpractice were discussed briefly.
, 百拇医药
Keywords：medical tangle; forensic autopsy; incidence
参考文献：
[1]王宁敏，刘长春. 法医工作介入医疗纠纷的意义[J].法律与医学杂志，1994，1(4)：170.
[2]程亦斌. 王少华. 医疗纠纷的法医临床学鉴定[J].法医学杂志，1998，14(4)：209.
[3]宋泽范.医疗事故鉴定之我见[J].中国法医学杂志, 1995.10(2)：120.
[4]张益鹄，王佐飞，黄光照.医疗纠纷的法医病理学鉴定-139例医疗纠纷尸检分析[J].中国法医学杂志. 1995，10(2)：105.
[5]陈阳，唐文章,程利宝.43例致死性医疗纠纷的病理学分析[J].法医学杂志,1999，15(2)：100.
, http://www.100md.com
[6]陈新山，铙广勋，黄光照，等.73例手术科室医疗纠纷的分析[J].法医学杂志，1999，15(2)：95.
[7]刘世沧，肖启亨，301例医疗事故法医学分析[J].中华医院管理杂志，1987，3(2)：101
[8]Murphy GK. Therapeutic misadvanture, an 11 - year study from a metropolian coroner's office[J]. Am J Forensic Med and Pathol, 1986,7(2): 115.
收稿日期：1999-08-15, http://www.100md.com