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患者隐瞒病史就医死亡 医院承担30%赔偿责任--亲稳网络舆情监控室
2012-10-19
10月18日,记者从兰州中院获悉,一起病人隐瞒病史就医而引发的医疗官司有了最终结果。
On October 18,Reporters learned from lanzhou then,Patients with history of hide a doctor and medical lawsuit caused by the final result.
2006年6月13日,兰州市民小梦(化名)因左腿行走无力到兰州的某医院就诊,经诊断为多发性腔隙性脑梗塞,6月14日,小梦被收入该院神经内科进行对症治疗。在医生询问时,小梦否认自己有糖尿病史,医院便按照常规方法,在治疗过程中使用了5%葡萄糖液体,尽管小梦在输液后的体查中血糖值数偏高,但由于他否认病史在前,相关医护人员及医生也没有再次查看体检报告单,继续按原方案治疗。当小梦病情略有加重时,并未引起医护人员过多重视,直到6月17日下午,小梦病情再次加重,护士这才查看病例,主治医生等也积极采取措施,但小梦的病症却未见一丝好转,过了没多久就因多脏器功能衰竭死亡。
On June 13, 2006,Lanzhou city MinXiao dream(alias)Because of his left leg to walk to a hospital in lanzhou,The diagnosis of multiple lacunar cerebral infarction,June 14,Little dream be income hospital neurology department for symptomatic treatment.When the doctor asked,Little dream denied he had history of diabetes,The hospital will, in accordance with the conventional method,During the course of treatment used 5% glucose liquid,Although the dream in the infusion after the body check blood glucose value number is on the high side,But because he denied that history in the former,Related medical personnel and the doctor nor chopperno check examination report,According to the original plan to continue treatment.When the little dream condition when a little increase,Medical staff did not cause too much attention,Until June 17 afternoon,Little dream again illness aggravating,The nurse this just check cases,Attending physician and so on also actively take measures,But little dream disease did not see a little better,After it didn't take long for multiple organ failure death.
当此案诉至城关区法院后,医院申请委托甘肃仁龙司法物证鉴定所就“医疗行为与小梦死亡之间是否存在因果关系”,及“该院医疗行为是否有过错”进行鉴定,结论显示:“医疗行为与小梦死亡之间不存在因果关系,详细原因因未进行尸体解剖无法做病理分析,医院在治疗过程中对化验单未引起足够重视,其前期治疗行为存在一定的过失。”
When the case ChengGuanOu appeal after the court,Application for hospital entrusted gansu RenLong judicial material evidence appraisal institute is"Medical behavior and small dream between death whether there is causality",and"The hospital medical behavior if there is a fault"identification,The result shows that:"Medical behavior and small dream that there is no causation between death,Detailed reasons for failing to autopsy can't do pathological analysis,The hospital in the treatment process to the paper did not cause enough attention,The initial treatment behavior has certain fault."
小梦家属对该份鉴定提出异议,法院随后委托北京法源司法科学证据鉴定中心进行了重新鉴定,二次鉴定结论为:“医院早期忽视了小梦糖尿病的存在,在治疗过程中存在过错,小梦系自身疾病导致其脏器功能衰竭死亡,医院的医疗过错并不能导致患者死亡。”
Small family dream to the copy of identification to raise an objection,The court then entrusted Beijing source of law judicial scientific evidence appraisal center for new appraisal,Secondary appraisal conclusion for:"The hospital early neglect the small dream the presence of diabetes,In the treatment of existing in the process of fault,Little dream system itself disease causes the viscera function failure death,The hospital medical treatment fault and can't cause death of patients."
城关区法院综合鉴定报告的结论,作出由医院承担30%赔偿责任的判决。但医院却提出“既然报告中写明死亡原因与医疗行为之间没有因果关系”,那么医院就不该承担三成赔偿责任,院方向兰州中院提出上诉。
ChengGuanOu court comprehensive appraisal conclusions,By the hospital to assume liability to pay compensation 30% judgment.But hospitals are put forward"Since the report stated in the cause of death and the medical behavior no causal relationship between",So the hospital shouldn't assume liability to pay compensation by thirty percent,The purpose of lanzhou then appeal.
兰州中院对案件进行二次审理后认为,尽管患者在就医时否认了自己的糖尿病史,但医院负有最高注意义务,违背了医疗水准和未尽到最高注意义务的医疗行为就是医疗过失行为。依据鉴定结果,医院的过错虽不能直接导致患者死亡,但对患者病情发展具有轻微责任。据此维持了“医院承担30%的赔偿责任”的一审宣判。(记者 许沛洁)
Lanzhou then the case after the second hearing that,Although patients in when go to a doctor denied their diabetes history,But hospitals have the highest duty of care,Against the medical level and not do the highest attention obligation of medical behavior is medical negligence.According to the evaluation results,The fault of the hospital is not directly cause death of patients,But for patients with mild illness development responsibility.According to maintain the"Hospital take 30% of the liability to pay compensation"The first sentence.(Reporter XuPeiJie)
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