【摘要】 目的从法医学角度探讨涉及死亡医疗纠纷的成因并提出相关防范措施。方法对2005—2013年合肥市公安局刑事科学技术研究所鉴定的共45例涉及死亡医疗纠纷进行统计分析。结果 45例涉及死亡医疗纠纷案例中,男女比例接近3∶1,年龄分布高峰在30~60岁,婴儿期为另一个高峰;死因以心血管疾病最多;科室分布以手术科室最多;经鉴定认定医疗机构存在医疗过失行为的占77.8%。结论为减少医疗纠纷并提高医疗质量,应提高医护人员的技术水平,诊疗过程中及时与患者及家属沟通。法医学尸体检验对处理医疗纠纷、提高医疗水平有积极作用。更多还原

【Abstract】 Objective To investigate the causes of medical disputes and discuss the prevention from the forensic point. Method 45 forensic pathological cases involving medical disputes, which were undertaken by the institute from 2005 to 2013, were analyzed statistically. Rusults In the 45 cases, the proportion between male and female deceased was 3:1. The highest rate happened between thirties to sixties, as well as the infancy period. Most of the cause of death was cardiovascular disease.Among all the medical departments, the surgical intervention department was the most frequently involved in such cases.According to forensic expertise, 77.8% of the health institutes were identified as having medical negligence. Conclusion To reduce medical disputes and improve medical care quality, attentions should be paid to the professional skill of medical staff,and timely communication with the patient’s family. Forensic autopsy plays a positive role in handling medical disputes and improving medical care.更多还原