羊水栓塞医疗纠纷案件中司法鉴定的效力与思考

Amniotic Fluid Embolism in Medical Malpractice Cases and Thinking the Effectiveness of Forensic

目的了解司法鉴定在羊水栓塞医疗纠纷案件中的效力。方法在百度和Google中输入"羊水栓塞,医疗纠纷,医闹"等关键词进行检索,将羊水栓塞医疗纠纷案件认真阅读后摘录、编号并列表统计分析。结果①羊水栓塞医疗纠纷案件共78起,网上发表时间为1986年10月25日至2009年3月18日,其构成比随年度增长而增加。②35.90%案件使用诱发或加强宫缩措施,其中42.86%案件使用两种以上方法、两次以上使用缩宫素静脉滴注及肌内注射。③78.20%案件提及孕产妇结局,孕产妇病死率88.52%。④50.00%案件经过医疗事故技术鉴定,35.90%构成医疗事故。⑤10.26%案件经过司法鉴定,100%责任界定在医方。⑥46.15%案件通过诉讼途径解决医疗纠纷,83.33%案件患方起诉,70.00%案件法院判决医方或卫生局以各式各样的名义赔偿或补偿患方损失;赔偿金在7000元至52万元不等;判决追究医方刑事责任3起,责任人5人,判处有期徒刑1～8年。⑦运用法律文件有《医疗事故处理条例》、《中华人民共和国民法通则》、《最高人民法院关于审理人身损害赔偿案件适用法律若干问题的解释》。结论司法鉴定100%对患方有利,100%判决医方有罪。切实提高产科医疗护理质量,加强产科病历质量管理,是减少或杜绝羊水栓塞医疗纠纷的有效错施。

Objective To investigate forensic medical dispute cases in the amniotic fluid embolism in effect.Methods In Baidu and Google,type ＂amniotic fluid embolism,medical malpractice,medical trouble＂ and other keyword search,the amniotic fluid embolism after medical malpractice cases read excerpts,number and a list of statistical analysis.Results ① Amniotic fluid embolism were 78 cases of medical malpractice,published online time is October 25,1986 to March 18,2009,its composition than with the annual growth increase.② 35.90% of cases using the contractions induced or strengthened measures,more than 42.86% of cases using two methods,using two or more intravenous oxytocin and intramuscular injection.③ 78.20% of cases referred to maternal outcome,maternal mortality 88.52%.④ 50.00% after Medical Malpractice cases,35.90% constitute medical malpractice.⑤ 10.26% of cases after a judicial appraisal,100% responsibility for defining the medical side.⑥ 46.15% of cases to resolve medical disputes through litigation,prosecution of patients in 83.33% cases,70.00% of the cases the court or the Health Department doctors in the name of the variety of damages or compensation for the loss suffered;7 thousand dollars in damages to ranging from 520,000 yuan;decision held criminally medical side 3,the responsible persons 5 persons,sentenced to 1 year to 8 years.⑦ use of legal documents,＂Medical Malpractice Bill＂,＂General Principles of Civil Law＂,＂Supreme Court case on compensation for personal injury trial law applicable to a number of issues of interpretation.＂ Conclusions 100% of forensic patients be viable,100% guilt verdict medical side.Effectively improve the quality of obstetric health care,strengthen the quality of obstetric medical records management,reduce or eliminate the amniotic fluid embolism is a valid medical malpractice wrong facilities.