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[血管损伤的法律问题及其法医学后果]

[Legal aspects of vascular injuries and their forensic medical sequelae].

作者信息

Natali J

出版信息

J Mal Vasc. 1996 Nov;21(4):256-60.

PMID:9005247
Abstract

The questions which an expert opinion should answer are presented in the first part of this article: evaluation of the physical or functional handicap, evaluation of the occupational handicap, analysis of any cause and effect between the trauma and the arterial injury. Four criteria are studied: the former status of the patient, the nature of the injury, the time of onset of the signs or delay to onset of disorders, and certain diagnosis. The second part of the article concerns the general methodology used in vascular injuries. In the third part professional responsibility is discussed-three conditions, and all three, are necessary for malpractice to be retained: 1) Prejudice or harm to the patient, 2) Error committed by the practitioner, 3) A causal relationship between the error and the verified harm. The four levels of medical responsibility are recalled: penal, civil, administrative and ordinal. Finally the physician's management of vascular injuries can also lead to legal pursuits.

摘要

本文第一部分提出了专家意见应回答的问题

身体或功能障碍的评估、职业障碍的评估、创伤与动脉损伤之间因果关系的分析。研究了四个标准:患者的既往状况、损伤的性质、体征出现的时间或疾病延迟出现的时间以及明确诊断。文章第二部分涉及血管损伤中使用的一般方法。第三部分讨论了职业责任——存在医疗事故需满足三个条件,且这三个条件缺一不可:1)对患者造成损害或伤害;2)从业者犯下错误;3)错误与已证实的伤害之间存在因果关系。回顾了四级医疗责任:刑事、民事、行政和常规责任。最后,医生对血管损伤的处理也可能引发法律追究。

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