法医学杂志2024,Vol.40Issue(4) :359-364.DOI:10.12116/j.issn.1004-5619.2024.440509

20例泌尿外科死亡案例的医疗损害鉴定结果分析

Analysis of the Identification Results of Medical Damage in 20 Urological Death Cases

李霁伦 罗超 范颖 汪家文 张建华
法医学杂志2024,Vol.40Issue(4) :359-364.DOI:10.12116/j.issn.1004-5619.2024.440509

20例泌尿外科死亡案例的医疗损害鉴定结果分析

Analysis of the Identification Results of Medical Damage in 20 Urological Death Cases

李霁伦 1罗超 2范颖 3汪家文 4张建华3
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作者信息

  • 1. 贵州医科大学临床医学院,贵州 贵阳 550025
  • 2. 贵州医科大学附属医院泌尿外科,贵州 贵阳 550025
  • 3. 司法鉴定科学研究院 上海市法医学重点实验室 司法部司法鉴定重点实验室 上海市司法鉴定专业技术服务平台,上海 200063
  • 4. 贵州医科大学法医学院,贵州 贵阳 550025
  • 折叠

摘要

目的 通过对20例泌尿外科死亡案例的医疗损害鉴定结果进行分析,探讨相关医疗损害风险的成因及防范措施.方法 选取贵州医科大学法医学院司法鉴定中心和司法鉴定科学研究院2010-2023年受理的涉及泌尿外科诊疗死亡的医疗损害鉴定案例共20例进行回顾性分析.结果 20例案例中,男女性比例为1.5∶1.被鉴定人年龄为37~84岁,平均年龄59.2岁.涉及医疗机构21家,其中三级医疗机构占81.0%.死亡原因统计结果显示,因感染性休克或失血性休克死亡的占60.0%.结论 泌尿外科死亡案例的医疗损害原因力大小分析与自身疾病、损害后果(死亡)、医疗过错等均密切相关,对相关典型案例的特点进行分析可提高司法鉴定人对类似案件的综合分析能力,理解不同情境下医疗行为的合理性和合规性,进而作出更准确和全面的判断.

Abstract

Objective To explore the causes of related medical damage risks and preventive measures by analyzing the identification results of medical damage in 20 urological death cases.Methods A retro-spective analysis was conducted on 20 death cases of medical damage identification involving urology diagnosis and treatment accepted by the Judicial Appraisal Center,School of Forensic Medicine,Gui-zhou Medical University,and Academy of Forensic Science from 2010 to 2023.Results Among the 20 cases,the male-to-female ratio was 1.5∶1.The age of the identified persons ranged from 37 to 84 years old,with an average age of 59.2 years.There were 21 medical institutions involved,with 81.0%being tertiary medical institutions.The statistical results of the causes of death showed that 60.0%deaths were due to infectious shock or hemorrhagic shock.Conclusion The causative potency analysis of medical damage in urological death cases is closely related to the patients'diseases,the death con-sequences of medical damage,and medical errors.Analyzing characteristics of typical cases can im-prove the comprehensive analysis ability of forensic examiners in similar cases,help them understand the rationality and compliance of medical behaviors in different situations,in order to make more accu-rate and comprehensive judgments.

关键词

法医病理学/泌尿外科学/医疗损害/司法鉴定/案例分析

Key words

forensic pathology/urology/medical damage/forensic identification/cases analysis

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出版年

2024
法医学杂志
司法部司法鉴定科学技术研究所

法医学杂志

CSTPCDCSCDCHSSCD北大核心
影响因子:0.32
ISSN:1004-5619
参考文献量19
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