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

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.

The incidence of medical tangles related to death--the first report of a retrospective study on 27 years forensic autopsy work of medical tangles

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 10 years old, 161 cases (50 63%) were at the age of 20-49; (4) Most cases (195 cases,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