《法学杂志》2005年第6期发表了王军先生的《由一起医疗纠纷案件试析举证责任倒置适用的先决条件》一文。在该文中,王军先生介绍了一起乙肝感染侵权纠纷案件,并且对该案处理中涉及的因果关系以及举证责任进行了分析,提出“举证责任倒置的适用应当有一个先决条件,即患者如欲主张是医疗行为引起了损害后果的发生,必须首先证明在医疗契约关系建立之前该损害后果尚不存在”。对此,笔者不敢苟同,分述如下,以与王军先生商榷。 “Law Journal” 2005 the sixth issue of Mr. Wang Jun’s “from a medical dispute case analysis of the burden of proof on the application of the preconditions” one article. In this article, Mr. Wang Jun introduced a case of tort dispute with hepatitis B infection, and analyzed the causation and the burden of proof involved in the handling of the case and pointed out that “the application of the burden of proof inversion should have a precondition that patients such as To advocate that the medical act has caused the consequence of the damage, we must first prove that the damage did not exist before the establishment of the medical contractual relationship. ” In this regard, I disagree with the following points to discuss with Mr. Wang Jun.