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
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)