孕产妇死亡所致医疗纠纷八例尸检结果分析

摘要

目的 分析引起孕产妇死亡的病因,探索降低孕产妇病死率及解决由其引起医疗纠纷的最佳途径.方法 对我院病理科受理的因孕产妇死亡所致医疗纠纷8例的尸检资料进行回顾性分析.结果 8例经尸检病理证实死因为产科出血、羊水栓塞各4例.4例经市级医疗事故鉴定,3例不属于医疗事故,1例为一级甲等医疗事故,医方承担次要责任；2例患方主动撤诉；2例医方主动协商解决.结论 增强孕产妇自我保健意识,使孕产妇及家属了解孕产期的相关危险因素,提高医疗队伍的技术水平,加强卫生行政部门的管理力度,有助于降低孕产妇的病死率及减少医疗纠纷的发生.%Objective To analyze causes of maternal death in order to reduce fatality rate and find the best way to solve the medical disputes aroused by maternal death.Methods Necropsy data of 8 cases of maternal death involving medical disputes in our department of pathology were respectively analyzed.Results The death causes included 4 cases of obstetric hemorrhage and 4 cases of amniotic fluid embolism by necropsy pathology.Four cases were identified by municipal medical assessment,3 cases did not belong to malpractice,and 1 case was grade A of first class which the hospital bore the secondary responsibility; 2 families chose voluntary withdrawal; 2 hospitals actively consulted with the families.Conclusion It is helpful to reduce maternal mortality and incidence rate of medical disputes by enhancing the pregnant women's consciousness of self health care,making them and their families aware of the perinatal risk factors,improving the professional level of medical staff and strengthening the management of the medical administrative departments.