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目的探讨涉及医疗纠纷孕产妇死亡病例的主要原因及其对策。方法对河南大学第一附属医院病理科2001-01-2008-12收检的涉及纠纷7例死亡孕产妇的尸检结果与临床资料及有关文献对比分析。结果 7例中有3例为产科出血造成出血性休克死亡,2例为羊水栓塞死亡,2例为其他原因死亡,临床诊断与病理诊断符合率为42.86%。结论误诊及抢救不及时是引起纠纷的主要原因;尸体解剖对提高诊断水平和解决医患纠纷具有至关重要的作用。
Objective To explore the main causes and countermeasures of maternal deaths involving medical disputes. Methods The autopsy results, clinical data and related literatures of 7 maternal deaths involved in the dispute were collected from the Department of Pathology, the First Affiliated Hospital of Henan University from January 2001 to December 2008. Results Of the 7 cases, 3 died of hemorrhagic shock due to obstetric hemorrhage, 2 died of amniotic fluid embolism and 2 died of other causes. The coincidence rate of clinical diagnosis and pathological diagnosis was 42.86%. Conclusion Misdiagnosis and rescue are not the main causes of disputes in a timely manner. Autopsy of autopsy is crucial to improve diagnosis and solve disputes between doctors and patients.