摘要
目的探讨因胎儿畸形产生医疗纠纷的主要原因,分析法医学鉴定的切入点以及鉴定思路。方法参照相关法律、法规与临床诊疗规范,分析本组因胎儿畸形所致12例医疗纠纷法医学鉴定案例中的医疗过错及其参与度划分。结果本组案例中,存在医疗过错的为5例,其中未履行告知义务的2例,对异常结果未进行综合分析的2例,医疗技术水平有限并报告表述不规范1例。医院承担责任的4例,2例应承担次要责任,2例应承担轻微责任。结论法医学鉴定中应关注医院在实施产前检查、产前筛查与产前诊断时是否严格遵循法律、法规与临床诊疗规范的要求,医院是否注意到超声检查的局限性,是否尽到知情告知义务。
Objective To explore the main reasons of medical malpractice of fetal abnormalities and to analyze the key points and the ideas in judicial appraisal. Methods According to the related laws, regulations and clinical practice guidelines, the medical faults and the contribution degree in 12 medical malpractice cases about fetal abnormalities were analyzed. Results There were medical faults in five cases. Among them, the doctors did not fulfill the duty of inform in 2 cases, did not analyze the abnormal results com- prehensively in 2 cases, did not have qualified medical conditions and normative reports in l ease. The hospitals needed to take the minor responsibility in 2 cases and slight responsibility in 2 cases. Conclu- sion The key points in the judicial appraisal are whether the doctors abide by the related laws, regula- tions and clinical practice guidelines in prenatal examination, screen and diagnosis, and whether the doc- tors realize the limitations of ultrasonic testing and fulfill the obligation of inform.
出处
《法医学杂志》
CAS
CSCD
2011年第4期282-285,共4页
Journal of Forensic Medicine
关键词
法医学
胎儿
畸形
医疗纠纷
forensic medicine
fetus
abnormalities
medical malpractice
