药物不良事件及其法医学鉴定

目的研究药物不良事件的法医学鉴定原则及注意事项,为此类案件的法医学鉴定提供参考并积累基础资料。方法通过对33例药物不良事件法医学鉴定案件的回顾性分析,总结药物不良事件相关案件的法医学鉴定原则及注意事项。结果药物不良事件的法医学鉴定案件有增长趋势,患者以女性多见(20例,60.6%)。33例药物不良事件中,以医疗过错鉴定案件多见(21例,63.6%),21例医疗过错鉴定案件中,只有1例(4.8%)与医院过量使用药物有关,其他均未发现医院存在医疗过错;非法行医案8例(24.2%),均与使用药物不当有关。法医鉴定类型以活体鉴定为主(27例,81.8%),死亡案件6例(18.2%)。结论药物不良事件的法医学鉴定案例在不断增加并具有自身特点和复杂性,应引起鉴定人的重视。

Adverse drug events and its forensic medical identification

Objective To investigate the basic principles and important rules of forensic identification of adverse drug events and to accumulate basic data and to provide references for forensic identification of similar cases.Methods Thirty-three cases of adverse drug events in our forensic identification files were retrospectively reviewed,analyzed,and summarized.Results There were 27 live and 6 dead victims included in this study.Our study showed a gradually increasing numbers of adverse drug cases in forensic identification year by year with a slight female predominance(20/33 cases,60.6%).Of the 33 victims,nearly two-thirds(21/33,63.6%) were due to hospital errors including only one case of drug overdose(1/21,4.8%),whereas the rest were not related to the hospital errors.Eight cases(8/33,24.2%) were caused by illegal medical practitioners due to improper use of medication.Conclusion Investigators need to pay more attention to the characteristics and complexities of adverse drug events on a case by case basis encountered in increasing numbers of more and more such forensic identification.