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探讨医疗过错与小儿脑性瘫痪之间的因果关系及过错参与度的司法鉴定问题。方法:对北京明正司法鉴定中心2008年度-2015年度132例小儿脑性瘫痪医疗纠纷司法鉴定案例进行回顾性分析。结果:小儿脑性瘫痪的病因较为复杂,评定医疗过错参与度时需要结合影响胚胎发育的高危因素、医院的地域及级别、患者及家属的依从性、医院的医疗过错等因素综合分析,才能得出较为科学、客观、公正的鉴定意见。
To explore the causal relationship between medical malpractice and pediatric cerebral palsy and the judicial appraisal of fault participation. Methods: A retrospective analysis was made on the judicial identification of 132 cases of pediatric cerebral palsy medical disputes in Beijing Mingzheng Center of Forensic Science from 2008 to 2015. Results: The etiology of pediatric cerebral palsy was rather complicated. To assess the involvement of medical malpractice, it was necessary to combine the risk factors of embryonic development, the geographical location and grade of hospital, the compliance of patients and their families, the medical fault of hospital, A more scientific, objective and impartial appraisal opinion.