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目的 探讨妇产科医疗纠纷的特点和原因 ,为有关部门调处妇产科医疗纠纷和制订有关法规条文提供科学依据。方法 从本教研室 1 95 5～ 1 996年 4 2年间受理的法医病理学尸检资料中挑选在妇产科发生的与死亡有关的医疗纠纷案例 ,进行回顾性研究。结果 74例妇产科的医疗纠纷占同期全部医疗纠纷检案的首位 (2 3 4 %) ,其中男 31例、女 4 3例 ;年龄自新生儿到 4 8岁 ,多见于出生后 1 1天以内的新生儿(5 9 5 %)和 2 2～ 4 2岁的中青年育龄妇女 (39 2 %) ;医疗事故 1 4例 (1 8 9%) ,非医疗事故 6 0例(81 1 %) ;非医疗事故中猝死有 5 0例。结论 妇产科的医疗纠纷很常见 ,多与妊娠和分娩有关 ;非医疗事故显著多于医疗事故 (4 3∶1 ) ;不同类型的新生儿肺炎和羊水栓塞症所致的猝死是妇产科非医疗事故的主要原因 ,而医疗事故则主要与妇产科手术操作不当有关。
Objective To explore the characteristics and causes of obstetrics and gynecology medical disputes and provide scientific basis for relevant departments to mediate obstetrics and gynecology medical disputes and formulate relevant laws and regulations. Methods From the forensic pathology autopsy data accepted by our department from 1995 to 1996, 42 cases of medical disputes related to death in obstetrics and gynecology were selected and retrospectively studied. Results 74 cases of obstetrics and gynecology medical disputes over the same period accounted for the first case of medical malpractices (23.4%), including 31 males and 43 females; age from newborns to 48 years old, more common in post-birth 11 (59.5%) within days and 39% of young and middle-aged women aged 2 to 42 (39.2%); 14 cases (18.9%) of medical accidents and 60 cases of non-medical accidents %); 50 cases of sudden death in non-medical accidents. Conclusion Obstetrics and gynecology medical disputes are common, mostly related to pregnancy and childbirth; non-medical accidents were significantly more than medical accidents (43: 1); different types of neonatal pneumonia and amniotic embolism caused by sudden death is obstetrics and gynecology The main reason for non-medical accidents, and medical malpractice is mainly related to improper operation of obstetrics and gynecology.