论文部分内容阅读
目的:通过比对四种不同原因产后出血的处理及预后,分析医疗护理行为中常见的不当处置及过错,以帮助提高对产后出血的诊治能力,减少医疗纠纷。方法:本文自我中心2014年7月至2015年6月受理的医疗纠纷案件中,选取11例涉及产后出血的医疗纠纷鉴定案例进行分析。结果:产前高危因素、分娩方式、不当操作、出血时间、出血量、治疗手段、医院级别等均对产妇预后有一定影响,凝血功能障碍类产后出血预后较其他类型差。医方常见过错包括未对产前高危因素予以充分的重视、治疗及抢救中的不当行为和告知不足。结论:鉴定时应综合考量多方面因素,获得尽可能公平客观的鉴定结论,以期为法庭审判和医患双方调解起到积极作用。
Objective: To compare and analyze the treatment and prognosis of postpartum hemorrhage by four different reasons, to analyze the improper treatment and fault which are common in the medical nursing behaviors, to help improve the diagnosis and treatment of postpartum hemorrhage and reduce the medical disputes. Methods: In this paper, from July 2014 to June 2015, the cases of medical disputes accepted by self-center in this article, 11 cases of medical disputes involving postpartum hemorrhage were selected for analysis. Results: Prenatal risk factors, mode of delivery, improper operation, bleeding time, bleeding, treatment, hospital level and so on have a certain impact on the prognosis of maternal and post-partum hemorrhage coagulation disorders prognosis than other types of poor. Common medical errors include not giving full prenatal risk factors, treatment and rescue of inappropriate behavior and inadequate disclosure. Conclusion: The evaluation should be comprehensive consideration of many factors, access to as fair and objective identification of conclusions, with a view to the court trial and the mediation of both doctors and patients play an active role.