Abstract:Objective：To understand the litigation cases of medical damage liability disputes in a certain Grade-A Tertiary Hospital，to arouse the attention of hospital managers and prevent medical disputes. Methods：The age，disease，dispute department，appraisal responsibility，compensation amount and other information of 114 judgments were extracted，and the data were analyzed by using Excel. Results：The basic situation，age distribution of patients，main disease composition，distribution of dispute departments，identification and court decisions of medical damage liability disputes were made statistics. Conclusion：We should do a good job in the prevention of disputes among elderly patients，surgical departments and emergency departments；improve the quality of medical treatment and guarantee the right of informed consent；attach importance to medical appraisal；build a medical risk mechanism；strengthen the mediation of the medical commission to solve medical disputes and relieve the pressure of litigation.