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Yu Limei v. Beidaihe Hospital of Qinhuangdao City (case concerning compensation for medical damages)
于丽梅诉秦皇岛市北戴河医院医疗损害赔偿案
【法宝引证码】
  • Type of Dispute: Civil-->Tort ★
  • Legal document: Judgment
  • Judgment date: 10-10-2000
  • Procedural status: Trial at First Instance
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Yu Limei v. Beidaihe Hospital of Qinhuangdao City (case concerning compensation for medical damages)
(case concerning compensation for medical damages)
于丽梅诉秦皇岛市北戴河医院医疗损害赔偿案
[Key Terms]
medical negligence ; evaluation ; civil liability for compensation
[核心术语]
医疗事故;鉴定;民事赔偿责任
[Disputed Issues]
Where the doctor-patient dispute doesn't constitute a medical accident upon medical malpractice identification, shall the medical party bear the civil liability for compensation?
[争议焦点]
医患双方发生纠纷,经鉴定不属医疗事故,医方是否应承担民事赔偿责任?
[Case Summary]
The term “medical accident” refers to the accident that causes personal injury to the patient by negligence on the part of the medical institution and its staff in the medical treatment in violation of laws administrative regulations or departmental rules regarding the medical and health administration or the standards or common practices of medical treatment and nursing. The constitutive elements of medical malpractice are as follows: the subject of medical malpractice is a legal medical institution and its staff; the medical institution and its staff violates the laws and regulations regarding the medical and health administration or the standards or common practices of medical treatment and nursing; the direct actor of the medical malpractice has subjective negligence in medical treatment and nursing; the patient suffers from personal injury; and there is a causal relationship between the medical act and the injury consequences. For the medical malpractice damages cases in determining whether the medical party shall bear the civil liability for compensation...
[案例要旨]
医疗事故是指医疗机构及其医务人员在医疗活动中违反医疗卫生管理法律、行政法规、部门规章和诊疗护理规范、常规过失造成患者人身损害的事故。医疗事故的构成要件包括:医疗事故的主体是合法的医疗机构及其医务人员;医疗机构及其医务人员违反了医疗卫生管理法律、法规和诊疗护理规范、常规;医疗事故的直接行为人在诊疗护理中存在主观过失;患者存在人身损害后果;医疗行为与损害后果之间存在因果关系。在医疗过失损害赔偿诉讼中法院判定医方承担民事赔偿责任并不以医疗行为构成医疗事故为前提和必要条件...

Full-text omitted.

 

于丽梅诉秦皇岛市北戴河医院医疗损害赔偿案

 河北省高级人民法院
 民事判决书
 (2000)冀民终字第53号
 上诉人(原审被告) 于丽梅,女,1961年3月出生,汉族,个体户,住秦皇岛市北戴河区海滨单庄。
 委托代理人 单玉滨,系上诉人于丽梅丈夫。
 委托代理人 徐景和,司法部法规教育司处长。
 被上诉人(原审被告) 秦皇岛市北戴河医院。
 法定代表人 孙淑英,该院院长。
 委托代理人 杨茂云,秦皇岛市卫生局科长。
 委托代理人 杨栋昌,秦皇岛市德圣律师事务所律师。
 上诉人于丽梅为与被上诉人秦皇岛市北戴河医院医疗损害赔偿一案,不服秦皇岛市中级人民法院(1999)秦民初字第19号民事判决,向本院提起上诉。本院依法组成合议庭,公开开庭进行了审理。上诉人及其委托代理人、被上诉人法定代表人及其委托代理人均到庭参加了诉讼。本案现已审理终结。
 经审理查明:上诉人于丽梅患甲亢病史7年。1996年5月13日,上诉人于丽梅住进被上诉人秦皇岛市北戴河医院,经诊断为原发性甲状腺机能亢进,于当月29日行甲状腺大部切除术。手术前一日即5月28日,北戴河医院书面交待术后并发症,其中有“手足抽搐,出血窒息(甲状旁腺损伤)”,患者丈夫单玉滨在“患者家属意见”栏内签字“同意手术”。术后,患者于丽梅出现抽搐、周身麻木、肌肉无力、血钙减低等症状。同年9月22日,经北京协和医院内分泌专科诊断为“甲状腺大部切除术后,甲状旁腺功能低减”。为此,医患双方发生纠纷。
 1997年7月14日,秦皇岛市北戴河区医疗事故技术鉴定委员会认为,于丽梅患甲状腺机能亢进诊断正确,是手术适应症。在征得家属同意后实施手术,术前对手术中可能出现的并发症均全部交待,家属在病志上签字同意手术治疗,手术规范正确。病人于手术后出现手足抽搐、周身麻木、肌无力等症状,经北戴河医院及北京协和医院诊断为甲状腺切除术后并发甲状旁腺机能减退症。鉴定结论为甲状腺切除术后并发症,不能定为医疗事故。1997年11月24日,秦皇岛市医疗事故技术鉴定委员会出具《通知书》认为,术后患者出现甲状旁腺功能低减是存在的,但北戴河医院术中技术操作规范,没有过失行为,结论为构不成医疗事故,属术后并发症。1998年4月3日,河北省医疗事故技术鉴定委员会出具《通知书》,认为医院手术符合规程,术后,患者出现抽搐、血钙减低,是副甲状腺机能低下的表现,属甲状腺大部切除术后并发症,根据国务院《医疗事故处理办法》有关规定,该医疗纠纷不构成医疗事故。
 ......

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