手术并发症发生因素与医疗过错鉴定

›› 2014 ›› Issue (1): 46-49.

手术并发症发生因素与医疗过错鉴定

邱云亮

南京森林警察学院

收稿日期:2013-07-26 修回日期:2013-10-27 出版日期:2014-01-15 发布日期:2014-02-13
通讯作者: 邱云亮

Operation Complication Factors and Medical Malpractice Assesement

Nanjing Forest Police College

Received:2013-07-26 Revised:2013-10-27 Published:2014-01-15 Online:2014-02-13

摘要/Abstract

摘要： 医疗损害案件中因手术并发症而导致的占了很大的比重。发生手术并发症的发生原因可归结为医疗与患者两个方面。医疗方面的因素主要包括手术人员的责任心不强、医学基础知识欠缺、医疗技术生疏、诊断失误、术后护理及管理缺陷等；患者方面的因素主要有自身解剖变异、个体体质差异等。手术并发症产生的原因大多是可以被认知的，在此基础上判断产生手术并发症的医疗行为是否有过错时不能一概而论，应遵循一定的标准。建议按照医学理论和实际操作能力划分为两个标准，预见义务采用“医学水平”标准；防范义务采用“医疗水平”标准。通过两个“标准”来综合考量手术并发症才是科学的。

关键词: font-size: 10.5pt, mso-bidi-font-size: 10.0pt, mso-ascii-font-family: 'Times New Roman', mso-hansi-font-family: 'Times New Roman', mso-bidi-font-family: 'Times New Roman', mso-font-kerning: 1.0pt, mso-ansi-language: EN-US, mso-fareast-language: ZH-CN, mso-bidi-language: AR-SA">手术并发症；医疗损害；医疗过错；医学水平；医疗水平

Abstract: Operation complications account for a large proportion of medical injury cases. Operation complications can be ascribed to two aspects, medical care and patients. Factors in the medical aspect include insufficient responsibility of surgeons, lack of basic medical knowledge, diagnostic errors, and postoperative care and management defects. The main factors of patients involve anatomic variation and individual differences. The causes of operation complications are perceptible. Thus, when assessing whether there is medical malpractice in a operation complication case, forensic experts should take the specific conditions into account, and follow two standards, which are divided by medical theory and practice ability. For foreseeable obligations, the standard at “medical level” ought to be followed, and for preventive obligations, the standard at “treatment level” should be followed. It is recommended to apply these two standards comprehensively in the forensic expertise of operation complication cases.

Key words:

operation complication, medical injury, medical malpractice, standard, medical level, treatment level

邱云亮. 手术并发症发生因素与医疗过错鉴定[J]. , 2014(1): 46-49.

QIU Yun-Liang. Operation Complication Factors and Medical Malpractice Assesement[J]. , 2014(1): 46-49.

[1]	杨小利. 庭审中心主义架构下专家辅助人制度实证研究——以医疗损害责任案件为切入点[J]. , 2018, 98(3): 10-19.
[2]	金雷霆, 李红. 论美国专家证言的采信规则[J]. , 2018, 98(3): 20-27.
[3]	张钦廷, 李豪喆, 陈琛, 刘超. 毒品所致精神障碍者刑事责任能力评定存在问题及对策[J]. , 2018, 98(3): 28-38.
[4]	赵琳琳, 翟仙敦, 郑哲, 李永林, 莫耀南. 我国嗜尸性蝇类分子鉴定的研究现状与分析[J]. , 2018, 98(3): 39-44.
[5]	李静, 花镇东, 王优美. 新型毒品THJ-018的体外代谢物及代谢途径[J]. , 2018, 98(3): 45-49.
[6]	安志远, 赵攀峰, 李聃, 周怀谷, 郭育林. SD大鼠死后心血中大肠杆菌DNA含量与早期死亡时间相关性的研究[J]. , 2018, 98(3): 50-55.
[7]	宋朝阳, 白晓峰. 利用三维立体显微镜判断笔画交叉时序探究[J]. , 2018, 98(3): 56-60.
[8]	刘全忠, 赵春梅, 佘晓欣, 刘力. 八种弹头遗留金属颗粒的成分分析[J]. , 2018, 98(3): 61-67.
[9]	周娟, 吕荫妮, 熊甜丽, 史晓凡. 黑色鞋带纤维种类的分析鉴别[J]. , 2018, 98(3): 68-71.
[10]	施晓玲. 法律共同体下司法鉴定的关联性因素—— 附三例报告[J]. , 2018, 98(3): 72-75.
[11]	孙大明, 诸宇杰. 司法鉴定执业风险识别与防控[J]. , 2018, 98(3): 76-80.
[12]	张德雨, 张纯兵, 宋孝飞, 雷兵, 张双双, 吴军. 老年人交通伤法医临床学鉴定[J]. , 2018, 98(3): 85-87.
[13]	吕凌, 林越坚. 高血压病暂予监外执行的评定[J]. , 2018, 98(3): 88-91.
[14]	曹安, 武文宽. 建设工程质量司法鉴定管理探讨[J]. , 2018, 98(3): 92-95.
[15]	党凌云, 张效礼. 2017年度全国司法鉴定情况统计分析[J]. , 2018, 98(3): 96-100.