新生儿医疗纠纷相关因素的初探

目的　从法医学和管理学的角度初步探讨新生儿科医疗纠纷的防范与处理。　方法　收集华中科技大学同济医学院法医学系 1994— 2 0 0 2年 8年间 2 7例新生儿尸体解剖案例 ,进行回顾性分析研究。　结果　 2 7例新生儿尸体解剖案例中 ,男性患儿 12名 ,女性患儿 15名 ,平均年龄 18.2 2天。其中围产期 10例。其家属要求均为查明死因。经过鉴定 ,其中医疗事故为 0例 (3 7.0 3 % ) ,不是医疗事故 17例 (62 .97% )。　结论　新生儿医疗纠纷的防范应从医方、患方以及国家与社会 3方面努力进行防范 ;在处理方面 ,及时的尸体解剖和病理检查是解决医疗纠纷一种行之有效的方法。

The Rudimental Discussion on neonate-related Medical Tangle.

Objective To discuss rudimentally the precaution and disposal the medical tangle occurring in neonate division from the point of forensic medical and medical management. Methods The 27 autopsy cases in neonate collected from the department of the forensic medicine in Tongji medical college were retrospectively analysed. Results There are twelve male and fifteen female in all autopsy cases, the average age is 18.22 days old. Ten cases is perinatal stage. The autopsy objectives is to find out the cause of death raised by victim's parents. By forensic pathological examination, only ten cases (37.03%) belongs to malpractice, other cases assisted with diseases. Conclusion The forensic pathological examination is one of effective method in resolve medical tangle, especially in neonate-related cases.