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围产儿死亡医疗纠纷案例的法医病理学鉴定分析

陆鹏 杨凌风 瞿勇强 雷普平

昆明医科大学学报2013,Vol.34Issue(7):130-133,4.
昆明医科大学学报2013,Vol.34Issue(7):130-133,4.

围产儿死亡医疗纠纷案例的法医病理学鉴定分析

The Analysis of Forensic Pathological Identification for Perinatal Infant Death with Medical Dispute

陆鹏 1杨凌风 2瞿勇强 1雷普平1

作者信息

  • 1. 昆明医科大学,云南昆明 650500
  • 2. 玉溪市华宁县公安局,云南玉溪652800
  • 折叠

摘要

Abstract

Objective To explore the relative factors,the cause of death and the medical dispute status in the perinatal infant deaths so as to provide the reference for forensic pathological identification of perinatal infant medical dispute cases.Methods The analyses were made of the perinatal infant medical dispute cases identified from 2002 to 2012 in Judicial Center of Kunming Medicial University.Results Of the 42 cases of perinatal infant death,29 cases suffered from early neonatal deaths (69.0%),11 cases from stillbirth (26.2%) and 2 cases from fetal death (4.8%).Early neonatal death occurred mainly in the first 24 hours after birth.Ten cases of placentas were examined (23.8%) and it indicated that there were different degrees of villus fibrosis,atrophy,degeneration and calcification in all of the placentas.Respiratory disease was the most common cause of perinatal infant death and congenital heart disease was the second one.Of all these cases involved,many occurred primarily in the city hospitals (31.0%) and the others occurred in county township hospitals (26.2%) and private hospitals (23.8%).Conclusion In the forensic pathological identification of perinatal infant death with medical dispute,perinatal infants,pregnant women and placenta should be examined completely and it should make clear if it is caused by live birth,stillbirth or with/without the obstetric damage.

关键词

围产儿/死亡原因/法医病理学鉴定/医疗纠纷

Key words

Perinatal infant/ Cause of death / Forensic pathological identification/ Medical dispute

分类

社会科学

引用本文复制引用

陆鹏,杨凌风,瞿勇强,雷普平..围产儿死亡医疗纠纷案例的法医病理学鉴定分析[J].昆明医科大学学报,2013,34(7):130-133,4.

基金项目

云南省自然科学基金资助项目(2010CD076) (2010CD076)

昆明医科大学学报

OACSTPCD

1003-4706

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