[Medico-legal investigations on 26 cases of accidental death in medical practice].

Igaku kenkyu. Acta medica Pub Date : 1989-11-01
Y Ito, R Tsuda, T Inoue, M Hara
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Abstract

Records indicate that during the period of 24 years and 3 months (Jan 1963-Mar 1987) Department of Legal Medicine, Kurume University School of Medicine conducted medico-legal investigations on accidental death of 26 cases in total which occurred in process of medical practice, including 24 judicial autopsies and 2 cases by documentary investigations (clinical anamnesis, clinical diary and testimony records). The breakdown of judicial autopsy cases is following. 1) Age and sex of decedents by accident: One year and downward-2 cases (male 2), Teens-8 cases (male 3, female 5), Twenties-4 cases (male 1, female 3), Thirties-5 cases (male 1, female 4), Forties-3 cases (male 3, female 1), Fifties-3 cases (male 2, female 1), Sixties and Seventies-1 case (male) respectively. 2) Causes of accident: Making injection 17 cases (penicillin, procaine, isozol, vaccine etc., male 7, female 10), operation 3 cases (adenoidectomy, push back of the cleft palate, curettage of the nucleus, male 2, female 1), stomach biopsy 1 case (male), blood transfusion (air embolism, female), and erroneous diagnosis 2 cases (male 1, female 1). 3) Some remarks to be taken account in performance of medicolegal activities were stated for the adequate investigation.

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26例医疗事故死亡的法医学调查
有记录表明,在24年零3个月(1963年1月至1987年3月)期间,库鲁姆大学医学院法医系对医疗过程中发生的意外死亡共进行了26起法医学调查,其中包括24起司法尸检和2起文献调查(临床记忆、临床日记和证词记录)。司法解剖案件的分类如下。1)意外死亡年龄、性别:1岁以下2例(男2例),青少年8例(男3例,女5例),二十多岁4例(男1例,女3例),三十多岁5例(男1例,女4例),四十多岁3例(男3例,女1例),五十多岁3例(男2例,女1例),六十多岁和七十多岁1例(男)。2)事故原因:注射17例(青霉素、普鲁卡因、异唑、疫苗等,男7例,女10例),手术3例(腺样体切除术、腭裂后推术、刮核术,男2例,女1例),胃活检1例(男),输血(空气栓塞,女),误诊2例(男1例,女1例)。3)指出法医学活动中应注意的事项,以便充分调查。
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