医疗纠纷案法医尸解136例分析

Analysis of 136 Forensic Autopsy Cases Involved in Medical Dissension.

为了探讨医疗纠纷案的动态变化及防范对策 ,我们对中山医科大学法医学系 1986～ 1998年的 136例医疗纠纷案的尸检情况进行统计分析。结果发现 :医疗纠纷案呈逐年上升趋势 ,被投诉最多的是乡镇医院 ,个体及无牌诊所案上升幅度较大。医疗纠纷所发生的科室以手术科室为主 ,投诉的主要原因是误诊误治、医德医风 ,共占 5 9.6 %。其解决方式“私了”(协调解决 )占 6 2 .6 %。因此 ,如何妥善处理医疗纠纷是值得重视的社会热点问题。

To discuss the changes and preventive measures of medical dissension, the data of 136 forensic autopsy cases during the 1986~1998 years period from the faculty of forensic medicine, Sun Yat-sen University of Medical Sciences were analyzed. The results showed that the incidence of medical dissension cases was rising annually (8%~17%). Village and township hospitals counted the majority of the complaints, and the cases involved in private practice or doctors without license rose more rapidly. Most of medical dissension happened in department of operation. The main reasons of the complaints were wrong diagnosis, wrong treatment and medical ethics, and the proportion was 59.6% in the complaints. Most of the medical dissensions were handled by a privacy way that counted 62.6%. So how to handle medical dissension properly became a social hot point which need to be paid attention. Authors' address Sun Yat-sen University of Medical Sciences, Guangzhou, Guangdong Province, P.R.China.