昆明地区医疗争议死亡事件的流行病学和法医学鉴定研究

发布时间：2018-04-09 12:23

本文选题：医疗争议死亡事件　切入点：流行病学　出处：《中国司法鉴定》2008年S1期

【摘要】：目的回顾性分析研究昆明地区涉及医疗争议死亡事件的流行病学特点,探讨医疗争议死亡事件的法医学鉴定问题,为有效预防医疗纠纷、医疗争议死亡事件的法医学鉴定和相关立法提供重要的实践和理论依据。方法收集昆明医学院司法鉴定中心1998年至2003年间受理的昆明地区涉及医疗争议的死亡事件160例(包括医疗纠纷和非法行医死亡案件)的法医病理鉴定资料进行统计学分析研究,应用法医病理学死因分析理论,对医疗争议死亡事件的司法鉴定问题进行探讨。结果昆明地区医疗争议死亡事件呈逐年上升趋势,其中以育龄妇女发生死亡所占比率最高;其次是5岁以下小儿发生死亡;分娩中或分娩后胎儿迅速死亡居第三位;在后两者中男性死亡发生率高于女性。在非法行医死亡案件中,医疗过错参与死因构成的比率为88.89%。结论昆明地区医疗争议死亡事件的临床诊断符合率和医疗过错发生率与国内外相关报道基本一致。法医学鉴定采用"六等九级法"对医疗争议死亡事件中医疗过错对死亡发生的作用及其参与度进行分析和评价,具有较强的可操作性和实用性。
[Abstract]:Objective to study the epidemiological characteristics of death events involving medical disputes in Kunming, and to discuss the forensic identification of medical disputes in order to prevent medical disputes effectively.Forensic identification and related legislation of medical dispute death events provide important practical and theoretical basis.Methods the forensic pathological data of 160 cases of medical disputes (including medical disputes and illegal medical deaths) accepted by the judicial identification center of Kunming Medical College from 1998 to 2003 were analyzed and analyzed statistically.Using the theory of forensic pathological cause of death, the problem of forensic identification of medical dispute death events is discussed.Results the death rate of women of childbearing age was the highest in Kunming, followed by death of children under 5 years old, and the third place was the rapid death of fetus in labor or after delivery, the death rate of medical disputes in Kunming area was increasing year by year, and the death rate of women of childbearing age was the highest.In the latter two cases, the mortality rate of males was higher than that of females.In the death cases of illegal medical practice, the proportion of medical fault involved in the cause of death was 88.89.Conclusion the coincidence rate of clinical diagnosis and the incidence of medical fault in Kunming area are consistent with those reported at home and abroad.The application of "sixth grade and ninth grade method" in forensic identification is an analysis and evaluation of the effect of medical fault on death and its participation in medical disputes, which has strong operability and practicability.
【作者单位】：昆明医学院法医学院;
【分类号】：R-051;D919.4

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