泌尿外科死亡20例医学损伤鉴定结果分析

Ji-Lun Li, Chao Luo, Ying Fan, Jia-Wen Wang, Jian-Hua Zhang
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引用次数: 0

摘要

目的:通过对20例泌尿外科死亡病例医学损伤鉴定结果的分析,探讨相关医学损伤风险的成因及预防措施。方法:回顾性分析2010 - 2023年贵州医科大学法医学学院司法鉴定中心和法医学科学院受理的20例涉及泌尿科诊疗的医学损害鉴定死亡病例。结果:20例患者中,男女比例为1.5∶1。这些人的年龄由37岁至84岁不等,平均年龄为59.2岁。共有医疗机构21家,其中三级医疗机构占81.0%。死亡原因统计结果显示,感染性休克或失血性休克占死亡原因的60.0%。结论:泌尿外科死亡病例中医学损害的因果效价分析与患者的疾病、医学损害的死亡后果和医疗差错密切相关。分析典型案例的特点,可以提高法医对同类案件的综合分析能力,帮助法医了解不同情况下医疗行为的合理性和合规性,从而做出更准确、全面的判断。
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Analysis of the Identification Results of Medical Damage in 20 Urological Death Cases.

Objectives: To explore the causes of related medical damage risks and preventive measures by analyzing the identification results of medical damage in 20 urological death cases.

Methods: A retrospective analysis was conducted on 20 death cases of medical damage identification involving urology diagnosis and treatment accepted by the Judicial Appraisal Center, School of Forensic Medicine, Guizhou Medical University, and Academy of Forensic Science from 2010 to 2023.

Results: Among the 20 cases, the male-to-female ratio was 1.5∶1. The age of the identified persons ranged from 37 to 84 years old, with an average age of 59.2 years. There were 21 medical institutions involved, with 81.0% being tertiary medical institutions. The statistical results of the causes of death showed that 60.0% deaths were due to infectious shock or hemorrhagic shock.

Conclusions: The causative potency analysis of medical damage in urological death cases is closely related to the patients' diseases, the death consequences of medical damage, and medical errors. Analyzing characteristics of typical cases can improve the comprehensive analysis ability of forensic examiners in similar cases, help them understand the rationality and compliance of medical behaviors in different situations, in order to make more accurate and comprehensive judgments.

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法医学杂志
法医学杂志 Medicine-Pathology and Forensic Medicine
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