90例医疗纠纷尸检分析

Analysis of 90 Autopsy Cases in Medical Legal Dispute

目的分析、讨论医疗纠纷中法医病理学尸体解剖的重要性。方法收集温州医学院法医学系2001—2008年涉及医疗纠纷尸体解剖案例90例,按照死者年龄、性别、死亡原因及临床诊断和法医病理诊断等要素进行分类整理和分析。结果死者年龄从新生儿至72岁,男女比例为1∶1,医院级别以县级医院较多(30例,33.33%),临床诊断与法医病理死因诊断符合率为33.33%。结论尸体解剖对涉及死亡的医疗纠纷的正确处理和防范有重要作用。

Objective To analyze the significance of forensic autopsy in medical tangle. Methods Ninety autopsy cases of medical legal dispute were retrospectively analyzed from the database of our department from 2001 to 2008. All cases were analyzed and classified based on age, sex, cause of death, clinic diagnosis and forensic diagnosis. Results The age ranged from 1 day to 72 years, and the ratios of male to female is 1：1. The most common healthcare facilities involved were county hospitals（30 cases, 33.33%）. The coincidence rate between clinical diagnoses and pathological diagnoses was 33.33%. Conclusion The forensic autopsy is valuable to solve or even avoid the occurrence of medical legal dispute.