【摘要】 目的探讨产后出血致子宫切除或产妇死亡的不良后果的医疗损害鉴定分析方法。方法统计分析南方医科大学司法鉴定中心自2010—2017年期间受理鉴定的产后出血导致子宫切除或者产妇死亡的不良后果的医疗损害司法鉴定案例15例,按照我国现行医疗卫生管理法律、法规、部门规章、通用医疗常规、诊疗规范及《侵权责任法》的相关规定,分析是否存在过错,过错与不良后果是否存在因果关系以及原因力大小。结果 15例案件中共涉及起诉医院16家,医方的医疗行为造成医疗损害主要原因的有5家,共同原因的有3家,次要原因的有7家,无因果关系的2家。结论产后出血是产科严重且常见的分娩并发症,医疗损害鉴定时可以从医方是否尽到注意义务和充分告知、预防措施是否到位、出血量的估算是否正确及抢救是否及时规范等方面进行分析,客观评定。更多还原

【Abstract】 Objective To discuss methods to examine and analyze medical injury of adverse consequences of postpartum hemorrhage that resulted in hysterectomy or maternal deaths. Method Fifteen medical injury forensic examination cases of adverse consequences of postpartum hemorrhage that resulted in hysterectomy or maternal deaths accepted and examined by forensic medical centre of the Southern Medical University from 2010 to 2017 were statistically analyzed. Whether there were medical errors, whether there was a causal relationship between the medical errors and adverse consequences, and the degree of participation were analyzed according to current Chinese medical and health management laws, regulations,departmental regulations, general medical routines, diagnosis and treatment standards and relevant provisions of Tort Liability Law. Result Among the fifteen cases, sixteen sued hospitals were involved, medical behavior of hospitals in five cases were identified as the main factors of medical injury, three were joint factors, seven were inducing factors and two had no causal relationship. Conclusion Postpartum hemorrhage is a severe and common labor complication in obstetrics. In examination of medical injury, it can be analyzed in terms of whether the hospital had fulfilled the duty of care and had fully informed the patient, whether prevention measures were in place, whether the estimation of bleeding amount was correct and whether the emergency treatment was timely and standardized, then objectively evaluate.更多还原