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action="./ShowArticle_Temp.aspx?ID=605" id="form1"> <input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE" value="/wEPDwUKMjA5ODg5Mzk2N2QYAQUGZ3ZUYWdzD2dk7ANrJlb5Y+7CCNBfcrZrMAH7My2lPtoq5cZCmDRSMNY=" /> <input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="EA2E7AE8" /> <div id="Nav">您的当前位置: <a href="/">捷律|?/a> > <span id="lbNav"><a href="/flzs/yljf/">ȝU纷</a> > <a href="/flzs/yljf/yljfal/">ȝU纷案例</a></span> > 正文</div> <div id="Left"> <div id="Title"> <h1><span id="lalTitle">剖腹产后产妇大出血M医疗事故吗</span></h1></div> <div id="Author"> 发布旉:<span id="lbInDate">2017/11/21 14:04:12</span>  <span id="lbSource"></span><span id="lbAuthor"></span>   阅读?<span id="Hits"></span></div> <div id="Content"> <span id="lalContent"><p>【案情简介?/p><p>邹先生的d黄女士在丰台一家医院生孩子时因产后大出血不幸MQ悲伤的邹先生认为医院要负责Q一气之下便自己刚降生的女儿丢弃在医院3个多月之久。后该医院将他v诉到丰台法院。在法官的协调下Q邹先生女儿接回了家。当时不媒体报道了此事。邹先生虽然把女儿接回了Ӟ但他仍认为医院存在过错,引vd产后大出血是导致死亡的直接原因Q便与两个孩子和岳父母一起将医院赯到北京市丰台Zh民法院,要求其赔偿自q损失。今天上午,此案有了一审结果,北京市丰台区人民法院认定医院存在一定过失,判决其赔偉K奛_的家人各Ҏ失共?23867.53元?/p><p>2007q??日,黄女士入住医院待产,ȝ查后估计胎儿体重可能?斤左叟뀂黄奛_虽然是第二胎Q但医院考虑其n高仅1.51cI前次分娩?q_自然分娩有一定难度,故决定给黄女士施行剖腹手术。当日下?4Q?0Q黄奛_剖腹产下一奛_Q体?.9斤。手术后的晚上六点多Q黄奛_出现阴道多等现象Q医院给予了ȝ。到了晚?1点多黄女士出现呼之不应,面色苍白{症状。医院给黄女士输液治疗后Q黄奛_才苏醒。但C22点多黄女士再ơ出C休克状态,面色苍白Q呼之不应,阴道大量U有800毫升Q医院遂寚w奛_实施子宫切除手术Q术后黄奛_处于昏迷状态。医院虽然请来外院医师会诊协助诊疗,但黄奛_最l还是因抢救无效M。经诊断Q黄奛_的死因ؓQ多脏器功能衰竭QI漫性血内凝血Q休克,水栓塞Q后出血?/p><p>法庭上,医院辩称Q医院对原告之妻的治疗没有Q何过错,原告赯事实与真实情况不W?007q??日,原告之妻入我院治疗检查,医院妇U大夫估计胎儉K量有4000克左叻I而妇的w高仅有1.5c_叻I而且胎儿较大Q医院医生将阴道分娩可能发生的问题向病h及家属进行了告知。妇要求剖腹Qƈ要求产后l育。妇及其家属在手术同意书上{֭Q表明要求做剖腹产。因生下的是奛_Q原告又要求不做l育Q妇死亡的原因是阳水栓塞,在医学上M率在80%以上。医院ؓ产妇剖腹产过E中Q完全按照剖腹规定l予观察、记录,q积极采取措施,在抢救过E中没有Mq错?007q??6日,l北京市检中心对妇的怽解剖验证实,产妇dp阳水栓塞。医院在该妇的救治q程中采取的查及ȝ是适当的,抢救病h的态度是积极的。医院对患者的诊疗q程中严格遵守诊疗护理规范,在诊疗中为避免对患者生不利后果,对妇的ȝ风险已经告知了家属。医院没有Q何过错,h法院依法驛_原告的诉D求。对于原告的索赔Q被告对认ؓ不合理的地方不予认可?/p><p>本案在审理过E中Q法院委托北京医学会寚w先生与医院的ȝ争议q行了是否构成医疗事故的鉴定?007q?2?日,北京d会出具医疗事故技术鉴定书作出鉴定l果。在鉴定书中的专家分析意见ؓQ医方在剖宫产术后的观察和处理方面存在以下医疗过失:1.L在剖宫术后患者的生命体征、阴道出血、子宫收~情늚观察没有按照剖宫产术后诊疗护理常规进行;2.没有及时观察C妇后病情变化,对其原因未能q行分析Q作出正的诊断q给予恰当的处理Q直到患者出现意识失、病情危重时才考虑到羊水栓塞的可能Q才q行相应救治、g误了水栓塞的救L机。根据妇后的临床表现、尸l果判断Q妇后发生了水栓塞q一产科严重q发症,q因此导致dic、多脏器功能衰竭Q最l导致妇死亡。医方上q医疗过׃产妇M有一定的因果关系。羊水栓塞的发生与分娩方式的选择无必然的因果关系。羊水栓塞不可预料ƈ难以防范?、且及其凉Q即使得C及时救治Q其M率仍很高Q加之本例ؓq发性羊水栓塞、床表C典型Q给早期诊断带来了一定困难。这些因素是产妇M的主要原因,L的上q医疗过失只起了ơ要作用。鉴定结ZؓQ本例属于一U甲{医疗事故。医方负ơ要责Q?/p><p>丰台法院审理后认为,医院与黄奛_为医患关pR医院应履行其职责和义务Qؓ患者提供及时、高效、和安全的医疗服务。医院在为黄奛_诊疗q程中存在过失,与黄奛_的死亡有一定的因果关系Q且Ҏ北京d会鉴定,医院寚w奛_M后果应承担次要责仅R本案涉及的ȝq失行ؓQ经鉴定属于一U甲{医疗事故,故原告要求赔偉K定费、医疗费、交通费、伙食费、精损失及其岳父母的生z费Q应参照《医疗事故处理条例》进行处理。但Ҏ北京市高Uh民法院关于审理医疗损完偿纠Uh件若q问题的意见(试行)Q如参照《医疗事故处理条例》处理将使患者所受损失无法得到基本补偿的Q可以适用《民法通则》及相关司法解释的规定适当提高赔偿数额的规定,本案参照《医疗事故处理条例》计损失,无法使原告的损失得到基本补偿Q故法院死亡赔偉K、葬费、两个女儿的生活贏V邹先生误工费的赔偿Q依据《中华h民共和国民法通则》及《最高h民法院关于审理hw损完偿案仉用法律若干问题的解释》处理。邹先生的误工应按上q度职工q_工资计算Q其误工旉酌定一个月。原告要求赔偿交通费4855元,数额q高Q本院酌定交通费1000元。原告要求赔偉K奛_三天误工费,该误工系其生产正常误工损失,与医院过p为无养I本院不予支持?/p><p>【法律解诅R?/p><p>应该有责任,因ؓ剖腹手术后护士怎么可以帮助产妇n呢,肚子上的刀口才半天旉啊,是要l对卧床休息的,而且产妇生孩子前应该抽血查血型,准备血Q做好防止妇大急需输血的可能,也是Z避免耽误抢救旉Q中途g误了抢救旉应该属于医院的责仅R?/p><p><br/></p></span> 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