中药治疗后患者死亡原因及相关因素分析

Analysis of cause of death and related factors in patients after therapy by traditional Chinese drug

目的分析中药治疗后患者的死亡原因及相关因素,为合理使用中药及处理相关纠纷提供参考。方法回顾性分析18例中药治疗后死亡病例。结果 16例为自身疾病死亡,2例为乌头碱中毒死亡。结论中药中毒往往是中药炮制方法不正确所致;多数患者非中药直接引起死亡,但存在诊断不清,对病情严重程度估计不足,普遍存在误诊误治;尸体解剖有助于明确死亡原因及相关责任。

Objective To provide references for the rational use of traditional Chinese drug （TCD） and dealing with related disputes by analyzing the causes of death and related factors of patients after therapy by TCD .Methods A total of 18 cases of death after therapy by TCD were analyzed retrospectively .Results 16 patients died of primary diseases and 2 patients died of aconitine poisoning .Conclusion Poisoning caused by TCD might be related with in-correctly processing methods .The direct causes of death of most patients could not be related to TCD ,but there might be misdiagnosis and mistreatment .Postmortem examination could be helpful for identifying the cause of death and related responsibilities .