43例心脏外科手术后死亡医疗纠纷法医学分析

目的 探究心脏外科手术后死亡引起医疗纠纷的原因及特点,重点分析心脏外科手术后病理改变及法医学解剖要点,为心脏外科手术临床诊治及司法鉴定提供病理学证据,为此类案件医疗纠纷防范提供参考.方法 收集中山大学法医鉴定中心2013—2018年受理的心脏外科手术后死亡引发医疗纠纷的法医病理学案件,从死亡原因、病理诊断、手术情况和医...

Forensic Analysis of 43 Medical Disputes Caused by Death after Cardiac Surgery

Objective To explore the causes and characteristics of medical disputes caused by death after cardiac surgery and to analyze the pathological changes after cardiac surgery and the key points of forensic anatomy,thus to provide pathological evidence for clinical diagnosis and treatment of cardiac surgery and judicial appraisal as well as reference for the prevention of medical disputes in such cases.Methods Forensic pathological cases of medical disputes caused by death after cardiac surgery which were accepted by the Center for Medicolegal Expertise of Sun Yat-Sen University from 2013 to 2018 were analyzed retrospectively from aspects such as causes of death,pathological diagnosis,surgery condition,medical misconduct,and so on.Results The causes of death after cardiac surgery of 43 patients were abnormal operation,low cardiac output syndrome,postoperative infection,postoperative thrombosis,and other diseases.Among the 43 cases,there were 18 cases without medical fault while 25 cases had medical fault.Conclusion The medical disputes caused by death after cardiac surgery are closely related to the operative technique and postoperative complications.The causes of medical faults include defects in diagnosis and treatment technique,as well as unfulfillment of duty of care.