车祸发生后，救护车把受伤者送往医院输血抢救。然而，受伤者此后查出乙型肝炎，提出巨额索赔，法院经审理认为——医院没有过错 “血疑”自担责任 After the accident happened,Ambulances took the injured to hospital blood transfusions save.however,The victim then find out hepatitis b,With a huge claim,The court trial think - hospital no fault "Blood doubt"Since the responsibility

　　2009年7月21日，江苏省宿迁市沭阳县马厂镇42岁的农民李菊花，乘坐金坛市公路运输有限公司的大型普通客车从金坛回乡，客车在沪宁高速镇江段发生交通事故，造成李菊花在内的43名乘坐人不同程度受伤。

On July 21, 2009,Jiangsu suqian MaChangZhen shuyang 42 LiJuHua farmers,Take the jintan city highway transport co., LTD., large-scale passenger train of jintan from home,Coach in shanghai-nanjing high-speed zhenjiang period of traffic accidents,Cause LiJuHua, ChengZuoRen 43 different degree injury.

　　警方接警后及时组织救援，当日，镇江某医院用救护车将李菊花及王光荣、周波兰、刘东方三人一同送至镇江某医院救治。和李菊花同救护车的其他三位伤员王光荣、周波兰、刘东方均为开放性创伤。

The police received alarm in time after the rescue organization,On that day,Zhenjiang a hospital in an ambulance will LiJuHua and WangGuangRong/ZhouBoLan/LiuDongFang with three people sent to a hospital treatment of zhenjiang.And with the ambulance LiJuHua other three wounded WangGuangRong/ZhouBoLan/LiuDongFang are open for trauma.

　　住院治疗198天后，2010年2月4日，李菊花出院。出院诊断：1.病毒性肝炎，乙型，急性黄疸型；2.甲状腺功能亢进；3.多器官功能障碍综合征：急性呼吸衰竭、感染性休克；4.双侧肺炎；5.低钠、低氯血症；6.呼吸性酸中毒伴代谢性碱中毒；7.左侧第1至7肋骨骨折伴两侧胸腔积液；8.胸3、4椎体横突骨折；9.右肱骨、左肱骨髁及尺骨鹰嘴骨折；10.左侧肩胛骨及锁骨骨折；11.左上肢挫裂伤；12.左尺神经挫伤。李菊花伤得不轻，这次车祸给她留下了挥之不去的伤痛记忆。

198 days after hospitalization,On 4 February 2010,LiJuHua discharge.Discharge diagnosis:1. Viral hepatitis,b,Acute icteric model;2. Thyrotoxicosis;3. Multiple organ dysfunction syndrome:Acute respiratory failure/Infectious shock;4. Double pneumonia;5. Low sodium/Low chlorine acidosis;6. Respiratory acidosis with metabolic alkalosis;7. 1 through 7 of the left rib fractures on both sides with pleural effusion;8. Chest 3/4 vertebral body transverse process fractures;9. Right humerus/Left humerus condyles and ulna olecranon fractures;10. The left shoulder blade and clavicle fracture;11. The left upper limb CuoLieShang;12. Left ulnar nerve contusion.LiJuHua harm not light,The car accident she left lingering pain memory.

　　2010年12月30日，李菊花诉至镇江市润州区法院，要求金坛市公路运输有限公司赔偿其医疗费等各项损失542652元。该案后经法院审理，以调解结案并处理完毕。

December 30, 2010,LiJuHua zhenjiang RunZhouOu court appeal,Request the jintan city highway transport co., LTD., the medical treatment for the loss of 542652 yuan.After the case by the court,To conciliation and processed.

被救者状告医院 BeiJiuZhe sued the hospital

　　2012年1月9日，李菊花向镇江市京口区法院起诉镇江某医院、镇江某血站，以她入院前没有患肝炎，因镇江某医院、镇江某血站的过错行为致其感染乙肝，镇江某医院、镇江某血站应对原告因此造成的损失承担赔偿责任。请求法院依法判令被告赔偿原告精神损害抚慰金5万元、就业损失费10万元、后续治疗费5万元，合计20万元，并承担本案诉讼费用。

January 9, 2012,LiJuHua to zhenjiang Beijing KouOu court zhenjiang a hospital/Zhenjiang a blood stations,With her pre-admission did not suffer from hepatitis,A hospital because of zhenjiang/Zhenjiang a blood stations fault behavior to the infection hepatitis b,Zhenjiang a hospital/Zhenjiang a blood stations cope with the loss caused by the plaintiff therefore shall bear the liability for compensation.Request the court may order the defendant in accordance with the compensation for mental injury solatium 50000 yuan the plaintiff/Job losses is 100000 yuan/The subsequent treatment 50000 yuan,Total 200000 yuan,And bear the costs of litigation.

　　接到诉状，镇江某医院感到很震惊，没想到救死扶伤后当了被告。医院很快给法院提交了答辩状。

Received complaint,Zhenjiang a hospital was very shocked,Didn't expect after healing the wounded and rescuing the dying when the defendant.The hospital soon give the court in defence.

　　医院辩称，1.原告因事故入院治疗，该院根据患者当时必须输血的情况为其采取输血措施；2.血液来源正规，用血流程规范，派专人到市某血站取血。程序符合规范，血站采集的血液一直处于密封状态；3.在输血前，该院对风险进行了告知。患者受感染是预先告知的情形之一，患者及其家属对患者的状态应有合理的预见；4、原告发生的交通事故中伤者较多，运送伤者、快速救人、清理现场，是该院救护车可做及应做的事。当时原告躺在担架上，其他的伤者坐在两边，该院的施救行为没有过错，符合规范。综上，医院认为应驳回原告的诉讼请求。

Hospital argued that,1. The plaintiff for the accident to the hospital for treatment,The hospital according to the patient at the time of the transfusion must take measures for its blood transfusion;2. Blood source normal,Blood flow regulating,Assigned to the city a blood stations take blood.Program meet the specification,Blood stations collecting blood has been in a state of seal;3. Before transfusion,The hospital to risk told.Patients are infected advance to the one of the circumstances,The patient and family to the state of the patients should be reasonable foreseeability;4/The plaintiff the traffic accident more wounded,Carry the wounded/Quick save/Cleaning field,The hospital is an ambulance to do and should do.When the plaintiff lying on the stretcher,Other victim sitting on both sides,The hospital rescue behavior does not have fault,Conform to the standard.In conclusion,Hospital think that we should reject the plaintiff's litigation request.

　　被告某血站也请求法院驳回原告对血站的诉请。具体理由是：1、原告所患乙肝与血站供血不存在因果关系。司法意见书对此有认定。2、血站提供给医院的血液是合格的，均符合国家规定要求，并有相应原始记录。

The defendant a blood stations also request the court rejected the plaintiff to blood stations of appealed.The specific reason is:1/The plaintiff has second liver and blood stations blood does not exist causal relationship.Judicial opinions have a recognized.2/Blood stations offer to the hospital blood is qualified,Which conform to the national requirements,And the corresponding original records.

　　那么李菊花的诉请能得到法院的支持吗？她感染乙肝与镇江某医院和血站有关系吗。

So the LiJuHua appealed to get the support of the court?She infected with hepatitis b and zhenjiang a hospital and blood stations have relationship.

　　在随后的庭审过程中，调查发现和原告同救护车的其他三位伤员王光荣、周波兰、刘东方均为开放性创伤，且三者均为乙肝表面抗原阳性。

In the subsequent trial process,Survey found that the plaintiff with an ambulance and other three wounded WangGuangRong/ZhouBoLan/LiuDongFang are open for trauma,And the three are antigen of second liver surface positive.

　　审理中原告提供当地村委会出具的证明，载明原告因交通事故感染肝炎长期在家休息。2012年4月23日，原告到医院检查。

In the trial of the local village committee to provide certificate of proof,The plaintiff stated in a traffic accident infection hepatitis long-term rest at home.April 23, 2012,The plaintiff to the hospital the examination.

医学分析感染可能 Medical analysis infection may

　　审理中，原告申请对两被告的输血、供血行为是否存在过错，以及该项行为与原告所患乙肝是否存在因果关系进行司法鉴定。

trial,The plaintiff for an application to two the defendant's blood transfusion/Blood donation behavior whether there is fault,And the behavior and the plaintiff has second liver whether there is causality in judicial authentication.

　　法院委托南京医科大学司法鉴定所进行了鉴定。鉴定意见为：未发现镇江某医院、某血站的输血、供血行为存在过错，尚不能认定李菊花所患乙肝与上述两家机构的输血、供血行为之间存在直接因果关系。结合诊治经过及与李菊花同车的伤者病历分析，其感染乙型肝炎的可能情况包括：1.同车伤者感染：考虑到李菊花和其他同车三位伤员王光荣、周波兰、刘东方均为开放性创伤，而检测报告证实后三者均为乙肝表面抗原阳性，尚不能排除在车祸中及抢救、转送中乙肝病毒血液接触交叉感染的可能性；2.治疗过程中感染：输血、手术、注射等。现存资料显示，某血站所供血制品检测未见乙肝表面抗原阳性，但也不能排除供血者制品处于乙肝病毒感染的“窗口期”，致未能有效检出的可能性，应属于小概率事件；纵观镇江某医院对李菊花手术、注射、输血等诊疗全过程，未发现明显违规之处，不支持有明确乙肝病毒污染的证据。

Court entrusted nanjing medical university judicial appraisal by the appraisal.Appraisal Suggestions for:Did not find a hospital of zhenjiang/A blood stations of blood transfusion/Blood donation behavior existence fault,Is not that LiJuHua suffer from hepatitis b and the above two mechanism of blood transfusion/Blood donation behavior between the direct causality.Combined with diagnosis and treatment and LiJuHua through with car of the wounded medical history analysis,The infection of hepatitis b may include:1. With the car the wounded infection:Considering the LiJuHua and other car with three of the wounded WangGuangRong/ZhouBoLan/LiuDongFang are open for trauma,And after test report confirmed the three are antigen of second liver surface positive,Still can't rule out in a car accident and rescue/Transfer of hepatitis b virus blood contact the possibility of cross infection;2. The healing process infection:Blood transfusion/surgery/Injection, etc.Existing data shows,A blood stations have blood products detection did not see antigen of second liver surface positive,But also cannot rule out donor products in hepatitis b virus infection"Window period",To fail to effective detection possibility,Should belong to the small probability event;In a hospital of zhenjiang to LiJuHua surgery/injection/Such as blood transfusion treatment process,Not found that obvious illegal places,Avoiding the second liver virus have clear evidence of pollution.

法院驳回诉讼请求 The court dismissed the action request

　　京口区法院经过审理认为，公民的生命健康权受到法律保护。患者在诊疗活动中受到伤害，医疗机构及其医务人员有过错的，由医疗机构承担赔偿责任。医务人员在抢救生命垂危的患者等紧急情况下已经尽到合理诊疗义务的，医疗机构不承担赔偿责任。救护车运送伤者、快速救人是其应尽之责。虽然原告和其他同车三位伤员均为开放性创伤，因后三者均为乙肝表面抗原阳性，不能排除在抢救、转送中乙肝病毒血液接触交叉感染的可能性，但原告发生的交通事故中伤者较多，被告镇江某医院救护车以大多数人的利益及伤者的生命为重，在特定条件下采取的多人同车的施救行为并无过错。经司法鉴定未发现被告镇江某医院、某血站的输血、供血行为存在过错，尚不能认定李菊花所患乙肝与上述两家机构的输血、供血行为之间存在直接因果关系。被告镇江某医院对李菊花手术、注射、输血等诊疗全过程，未发现明显违规之处。故两被告对原告所患乙肝造成的损失不应承担赔偿责任。

Beijing KouOu court after hearing that,Citizens' life and health are protected by law.Patients in clinical activities of hurt,A medical institution and its medical staff have fault,The medical institution shall bear the liability for compensation.Medical staff in the rescue dying patient and emergency exercise reasonable has the obligation of diagnosis and treatment,Medical institutions shall not bear the responsibility for compensation.The ambulance transport the injured/Quick save is its responsibility should to do.Although the plaintiff and other car with three of the wounded are open for trauma,Because the three after all is antigen of second liver surface positive,Can't rule out the rescue/Transfer of hepatitis b virus blood contact the possibility of cross infection,But the plaintiff the traffic accident more wounded,The defendant zhenjiang a hospital the ambulance to the interests of the majority of and the life of the injured man as heavy,In certain conditions, adopting multiplayer car with rescue behavior and no fault.The judicial authentication did not find the defendant zhenjiang a hospital/A blood stations of blood transfusion/Blood donation behavior existence fault,Is not that LiJuHua suffer from hepatitis b and the above two mechanism of blood transfusion/Blood donation behavior between the direct causality.The defendant zhenjiang a hospital to LiJuHua surgery/injection/Such as blood transfusion treatment process,Not found that obvious illegal places.So two the defendant to suffer from the loss caused by hepatitis b shall assume no responsibility or liability for compensation.

　　据此，近日镇江市京口区法院依据《中华人民共和国侵权责任法》、《中华人民共和国民事诉讼法》相关条款作出判决如下：驳回原告李菊花的诉讼请求。(文中人名均为化名) (通讯员 杨维松)

According to,Recently the zhenjiang Beijing KouOu court basis[Tort liability law of the People's Republic of China]/[The civil procedure law of the People's Republic of China]Relative clauses to make decision is as follows:LiJuHua reject the plaintiff's litigation request.(The names are alias) (Correspondent YangWeiSong)