82例婴幼儿医疗纠纷法医尸检分析

A Forensic Autopsy Study on 82 Infant Cases of Medical Tangle

目的 分析探讨婴幼儿的死因及其医疗纠纷的特点和原因 ,为有关部门提供处理医疗纠纷的科学依据。 方法 回顾性总结分析 1987～ 2 0 0 2年 15年间本教研室档案资料中 82例 (男 5 4例 ,女 2 8例 ,年龄 0～ 3岁 ) ,婴幼儿医疗纠纷尸检案例。 结果 82例婴幼儿医疗纠纷占同期医疗纠纷尸检数的 3 8.1% ,多见于出生后 7d内的新生儿( 4 3 .9% ) ;非医疗事故 80例 ( 97.6% ) ,医疗事故 2例 ( 2 .4% ) ;肺炎在各年龄组死亡原因中均占首位 ( 4 5例 ,占 5 4.9% )。 结论 婴幼儿医疗纠纷很常见 ,非医疗事故明显多于医疗事故 ,不同类型肺炎是婴幼儿医疗纠纷的主要原因。

Obsjective To study the cause and characteristics of medical tangle on 82 infant cases。 Methods 82 cases of infants collected from the legal autopsy during 1987～2002 in our department were retrospectively investigated Result In infants autopsy, 82 cases belonged to medical tangle occupying 38.1% of medical tangle autopsy of the same period. 54 cases were males and 28 cases were females. The ages of these cases ranged from 0 to 3 years old,in which 43.9% cases were newborns under 7 days of 82 cases, 2 cases were of medical malpractice (2.4% in total), and 80 cases of non-medical malpractice (97.6% in total)。Of the causes of infant death in all groups,pneumonia occupied the first position (45 cases, 54.9% in total). Conclusion Medical tangle of infant deaths was commonly seen in clinical medicine. In these tangles, non-medical malpractice was obviously more than medical malpractice (40∶1)。 Various pneumonia was the main cause contributing to infant deaths medical tangle.