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医疗事故中“误诊误治”的责任认定_医疗事故责任_医疗纠纷_捷律?/title>
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<div id="Nav">您的当前位置: <a href="/">捷律?/a> > <span id="lbNav"><a href="/flzs/yljf/">医疗纠纷</a> > <a href="/flzs/yljf/ylsgzr/">医疗事故责任</a></span> > 正文</div>
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<div id="Title"> <h1><span id="lalTitle">医疗事故中“误诊误治”的责任认定</span></h1></div>
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发布时间:<span id="lbInDate">2019/11/12 15:35:48</span> <span id="lbSource">来源:互联?nbsp; </span><span id="lbAuthor"></span>
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<span id="lalContent"><p style="text-indent: 2em; text-align: left;">【裁判要旨?/p><p> </p><p style="text-indent: 2em; text-align: left;">医务人员在诊疗活动中未尽到与当时的医疗水平相应的诊疗义务，造成患者损害的，医疗机构应当承担赔偿责任?/p><p> </p><p style="text-indent: 2em; text-align: left;">【基本案情?/p><p> </p><p style="text-indent: 2em; text-align: left;">2011??日，患者许某因急性腹痛入广州某医院普外科治疗，经诊断为“盆腔炎和阑尾炎”，??日行腹腔镜下盆腔脓肿清除?阑尾切除?肠粘连松解术????0分患者突发四肢抽搐，意识丧失，口吐白沫，持续?-2分钟缓解，意识恢复，经处理后有反复发作，4?5分出现室颤，经持续抢救后仍提示为室颤，未能复律，10?5分宣布临床死亡?/p><p> </p><p style="text-indent: 2em; text-align: left;">死因鉴定意见认为，患者在患有肠炎、双侧卵巢、子宫及膀胱浆膜表面积脓基础上，符合因腹膜炎致感染性休克死亡。医疗损害鉴定意见为认为：患者死亡原因为严重低钾血症致恶性心律失常而死亡，不符合因感染性休克死亡。患者从5?日入院至6日发生室颤前，持续为低钾血症而无血压下降、外周循环衰竭等休克表现，其病情变化主要症状是反复抽搐发作及突发室颤，不符合休克的临床表现。患者在5?日凌晨病情症状表现为持续室颤并反复出现心跳骤停，符合低钾血症所致病理过程。而严重低钾对循环系统可产生严重危害，可引起心室扑动、心室颤动、心脏骤停而猝死。患者出现室颤时医方给予速尿加剧病情。医疗过失行为是导致患者死亡的主要因素，患者自身疾病是次要因素，建议医疗过失参与度?1%-90%?/p><p> </p><p style="text-indent: 2em; text-align: left;">【裁判结果?/p><p> </p><p style="text-indent: 2em; text-align: left;">一审判决广州某医院承担80%的民事责任，应向梁某深赔?95240.96元。广州某医院不服提起上诉?/p><p> </p><p style="text-indent: 2em; text-align: left;">生效判决认为，患者于5?日入院时即存在严重的低钾血症，医方未能正确诊断，未能对症治疗。患者严重低钾血症持续至5?日，出现室颤时医方给予速尿加剧患者病情，存在误治。上述医疗过失致患者持续低钾血症未得到及时纠正，且进一步加重病情，与患者死亡之间存在直接因果关系。据此判决驳回上诉，维持原判?/p><p><br/></p></span>
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