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江苏卫生事业管理:2020,Vol.>>Issue(7):899-901
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腹腔镜胆囊切除术胆管损伤医疗纠纷鉴定9例分析
刘小琴,杨益国,朱加祥
(盐城市卫生健康技术促进中心办公室,盐城市医学会办公室)
Appraisal of medical dispute in 9 cases of bile duct injury after laparoscopic cholecystectomy
LIU Xiaoqin,YANG Yiguo,ZHU Jiaxiang
(Department of Yancheng Center for Hygiene & Health Technology Promotion,Yancheng Medical Association Office)
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中文摘要: 目的:探讨腹腔镜胆囊切除术胆管损伤案例的医疗纠纷鉴定。方法:对9例腹腔镜胆囊切除术胆管损伤医疗纠纷鉴定案例进行回顾性分析。结果:9例经鉴定均存在医疗过错行为,且与患者的损害后果存在因果关系,原因力大小为:完全因素3例、主要因素4例、同等因素1例、次要因素1例。结论:在鉴定中,应重点从手术操作、并发症的防范及处理、知情告知等方面,客观地分析医务人员有无履行好医师的注意义务,针对具体案例综合评定过错参与度。
Abstract:Objective:The aim of this study was to examine cases of the medical dispute cases involving bile duct injury in laparoscopic cholecystectomy. Methods:Based on the analysis on 9 medical dispute cases caused by bile duct injury in laparoscopic cholecystectomy. Results:Medical negligence existed in all 9 cases according to expert appraisal,and there were causal relationships between negligence and medical damage consequences. Medical negligence was the full factor that caused damages in 3 cases,the main factor in 4 cases,the same factor in one case and the secondary factor in one case. Conclusions:Significant attention should be paid to surgical operation,prevention and treatment of complications,and medical informed notification,in which whether medical staff perform the duty care well. We should evaluate the degree of medical negligence comprehensively for specific cases.
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刘小琴,杨益国,朱加祥.腹腔镜胆囊切除术胆管损伤医疗纠纷鉴定9例分析[J].江苏卫生事业管理,2020,31(7):899-901.
LIU Xiaoqin,YANG Yiguo,ZHU Jiaxiang.Appraisal of medical dispute in 9 cases of bile duct injury after laparoscopic cholecystectomy[J].Jiangsu Health System Management,2020,31(7):899-901.

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