當日出院病人(PPH法)之術後處置過失及因果關係之舉證──「高度蓋然性」與「相當程度可能性」之探討【寰宇醫事裁判】 試閱
The Proving of the Negligence and the Cause-Effect-Relationship of the Operation (PPH) to the Patient leaving Hospital on the Same Day: Focus on High Probability and Considerable Probability
本件為接受痔瘡環狀切除手術且於當日出院之內痔病人於術後4日因敗血症死亡,對此病人的配偶和兒子(以下稱原告)因而對該醫療法人、執刀之A醫師及擔任助手進行指導之B醫師(以下稱被告)提出損害賠償告訴的案例。雖然法院否認A醫師有縫合不全等手技上之過失,但認定在:一、術後2日病人再度急診入院之際,值班的C醫師和B醫師未進行血液檢查等應有檢查;二、A醫師及B醫師未能從血液檢查的結果判斷出病人病情的嚴重性,這兩項爭點上被告有過失,且與患者死亡間存在因果關係,判決醫療法人與B醫師須連帶賠償45,797,800日圓,A醫師則於880萬日圓限度內負連帶責任。
The suffering anal piles patient died because of Sepsis in four days after taking an operation (Procedure for Prolapse and Hemorrhoids, PPH) and leaving hospital in the same day. His wife and son hence accused the medical corporation, surgery A and B, who is an assistant, for compensation for damage. Although the court denied that surgery A had had negligence of medical technique like dysgraphia, it still insisted the negligence of the surgeries and it related to the death of the patient, because: 1. surgery B and C didn’t make the necessary examination during the patient was send into the Emergency in 2 days after taking the operation; and 2. surgery A and B didn’t diagnose the seriousness of the syndrome. Therefore, the medical corporation must to afford the joint responsibility of surgery A for 45,797,800 Yen, and the limited joint responsibility of surgery B for 8,800,000 Yen.
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