主管：中华人民共和国司法部
主办：司法鉴定科学研究院
ISSN 1671-2072  CN 31-1863/N
中国司法鉴定

中国司法鉴定 ›› 2019 ›› Issue (6): 49-52.

• 鉴定科学 • 上一篇    下一篇

主动脉夹层破裂致死的医疗纠纷回顾性分析

郑锦平1，罗光华1,2，郑大1，成建定1   

  1. 1.中山大学法医鉴定中心，广东 广州 510080； 2.广东司法警官职业学院，广东广州 510520
  • 收稿日期:2017-11-20 修回日期:2019-03-18 出版日期:2019-11-15 发布日期:2019-11-15
  • 通讯作者: 罗光华
  • 基金资助:
    广东司法警官职业学院教授团队科研基金（粤司警院〔2016〕106-37）

  • Received:2017-11-20 Revised:2019-03-18 Published:2019-11-15 Online:2019-11-15

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摘要： 摘要：目的：探讨主动脉夹层破裂死亡引起的医疗纠纷特点、解决方法及鉴定注意事项。方法：对114例主动脉夹层致死的法医学司法鉴定案例进行回顾性分析。结果[JC1] 主动脉夹层破裂患者多发年龄段为30～50岁；以消化道症状为表现的64例；表现为胸背部疼痛的21例；24小时内死亡83例；误诊率为86.8%。误诊为消化道疾病、泌尿系疾病、心肌梗死的分别占总误诊案例的64.4%、15%、10%。结论 主动脉夹层医疗纠纷的发生存在多方因素,医疗纠纷鉴定过程中应综合考虑疾病的发展过程及医疗的不可预知性。

关键词: 关键词：主动脉夹层, 医疗纠纷, 法医学鉴定

Abstract: [Abstract]ObjectiveTo discuss the traits of medical disputes caused by death of aortic dissection，and to explore the methods and notice how to deal with these cases. MethodsTo analyze 114 cases of aortic dissection retrospectively collected from 2006 to 2016.ResultsPeople who died from 30 to 50 yearsold were the most; 64 of 114 casesshowed gastrointestinal symptoms，and 21 cases showed ache in chest and back; There were 83 cases dying in 24 hours;Because of kinds of clinical symptoms，aorticdissection ofen were misdiagnose, accounted for 86.8%, the patients firstly asked doctor for complaints of other diseases，like gastrointestinal diseases，urinary system disease，or myocardial infarction, respectively accounted for 64.4%、15%、10%.ConclusionThere are too many factors resulting in the disputes on the outcome of remedy，therefore，identifier must comprehensively take the disease and medical limitation into consideration.

Key words: [Keywords]Aorticdissection, medicaldispute, forensic identification