22例耳鼻咽喉科疾病死亡相关医疗损害法医学鉴定分析

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英文篇名：Analysis of the Forensic Identification of Medical Disputes Related to 22 Cases of Death from Otolaryngology Diseases 作者：杨智曦 ; 胡华 ; 张建华 英文作者：YANG Zhi-xi;HU Hua;ZHANG Jian-hua;Chongqing Zhengding Judicial Identification Institute, Chongqing Population and Family Planning Science and Technology Research Institute, Key Laboratory of Birth Defects and Reproductive Health of National Health and Family Planning Commission;Department of Otorhinolaryngology Head and Neck Surgery, Shanghai General Hospital, Shanghai Jiaotong University;Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science; 关键词：法医病理学 ; 耳鼻咽喉科学 ; 死亡 ; 医疗损害 英文关键词：forensic pathology;;otolaryngology;;death;;medical disputes 中文刊名：FYXZ 英文刊名：Journal of Forensic Medicine 机构：重庆市人口和计划生育科学技术研究院国家卫生计生委出生缺陷与生殖健康重点实验室重庆市正鼎司法鉴定所;上海交通大学附属上海市第一人民医院耳鼻咽喉头颈外科;司法鉴定科学研究院上海市法医学重点实验室上海市司法鉴定专业技术服务平台; 出版日期：2019-06-25 出版单位：法医学杂志 年：2019 期：v.35;No.163 语种：中文; 页：FYXZ201903007 页数：4 CN：03 ISSN：31-1472/R 分类号：39-42

摘要

目的通过对22例耳鼻咽喉科疾病死亡案例进行分析,探讨相关医疗损害风险的成因及防范措施。方法选取司法鉴定科学研究院及重庆市正鼎司法鉴定所2008—2018年间受理的涉及耳鼻咽喉科疾病死亡相关医疗损害司法鉴定案件共22例进行回顾性分析。结果 22例案例中,男女性比例3.4∶1。死亡年龄1.3～76岁,平均年龄45.3岁。涉及医疗机构28家,其中三级医疗机构占比71.4%。死亡原因统计显示呼吸道窒息死亡占比50%。结论法医学鉴定为耳鼻咽喉科疾病相关医疗损害案件提供重要的科学依据,同时对医疗机构优化耳鼻咽喉科疾病诊疗工作流程,提高诊疗质量具有重要参考价值。
        Objective To discuss the causes and precautionary measures of the risks of relevant medical disputes by analyzing 22 cases of death from otolaryngology diseases. Methods A retrospective analysis of 22 judicial expertise cases of medical disputes related to death from otolaryngology diseases accepted by Chongqing Zhengding Judicial Appraisal Institute and Academy of Forensic Science during2008-2018 were made. Results Of the 22 cases, the male to female ratio was 3.4∶1. The age of death was from 1.3 to 76 years old, with an average age of 45.3 years. There were 28 medical institutions involved, of which 71.4% were tertiary medical institutions. Statistics for death causes showed that respiratory asphyxia accounted for 50%. Conclusion Forensic identification provides an important scientific basis for medical disputes cases related to otolaryngology diseases. It also has an important reference value for medical institutions to optimize the work procedure of diagnosis and treatment of otolaryngology diseases and improve the quality of diagnosis and treatment.

引文

[1]王直中,姜泗长.耳鼻咽喉学科的现状及其命名[J].中华耳鼻咽喉科杂志,1997,32(1):4-5.
    [2]汪银凤,刘长青.耳鼻喉科住院患者死亡病例疾病谱及死因分析[J].临床耳鼻咽喉科杂志,1999,13(8):381.
    [3]李国佳,王丽.容易误漏诊的耳鼻咽喉部急重症[J].中级医刊,1992(11):19-22.
    [4]张凯,薛康.基层医院年轻耳鼻喉科医生所面临的困境与对策建议[J].医学与法学,2016,8(4):45-47.
    [5]张建华,邹冬华.法医病理学医疗损害责任司法鉴定实务[M].上海:上海科学技术文献出版社,2017.