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目的探讨尸体检验对死亡争议事件的医疗鉴定、赔偿处理上的价值,以妥善处理医疗纠纷中医患双方的矛盾。方法对温州市4个市、区、县2002—2004年的182例死亡争议事件进行回顾性分析,就尸检率,临床、尸检诊断,尸检对医疗鉴定及争议事件处理上的作用,及其在不同级别医院的具体情况等进行了统计处理。结果182例其中尸检46例,尸检率25.27%。二级以上医疗机构死亡争议事件112例,尸检率19.64%。临床死因诊断与尸检死因诊断不符合率37%,以循环系统、呼吸系统为多。46例尸检中,医疗鉴定32例(69.5%),经济赔偿29例(63%)。未尸检136例,医疗鉴定20例(14.7%),经济赔偿121例(88.9%),两者差异显著,有统计学意义(P<0.05)。结论尸体检验对死亡争议案件的医疗鉴定与处理具有重要意义,尤其在死因鉴定方面具有不可替代性。
Objective To explore the value of the medical examination and compensation for the death controversy in the body examination in order to properly handle the contradictions between the doctors and patients in medical disputes. Methods A retrospective analysis was conducted on 182 cases of death controversy from 2002 to 2004 in 4 cities, districts and counties of Wenzhou City. The effects of post-mortem rate, clinical diagnosis, autopsy diagnosis and autopsy treatment on medical assessment and controversial events were analyzed. Different levels of hospital specific circumstances such as statistical processing. Results Among the 182 cases, 46 were autopsied and the autopsy rate was 25.27%. There were 112 cases of death controversy in medical institutions above the second grade, with an autopsy rate of 19.64%. Clinical diagnosis of death and necrosis of the cause of the diagnosis of non-coincidence rate of 37% to the circulatory system, respiratory system and more. Of the 46 autopsy cases, 32 were medical (69.5%) and 29 were financially compensated (63%). There were 136 cases without autopsy, 20 cases with medical diagnosis (14.7%) and 121 cases with economic compensation (88.9%). There was significant difference between them (P <0.05). Conclusion The body test is of great significance to the medical identification and treatment of controversial cases of death, especially for the identification of cause of death.