【醫療刑事法】陰囊福耳尼埃氏壞疽症案:醫療責任因果關係之認定【學習式判解評析】 試閱
The Death Because of Fournier's Gangrene Case: The Confirmation of Causality of the Medical Responsibility
本案被害人因罹患惡化快速之福耳尼埃氏壞疽症,自陰囊腫脹演變為蜂窩性組織炎及福耳尼埃氏壞疽症,導致敗血性休克而宣告不治死亡,尚不滿1個月,被告醫師因涉有刑法第276條第2項之業務過失致死罪嫌遭起訴。本案值得關注之處在於將「計量」的概念納入因果關係之認定,在傳統依循「定性」文字之使用模式下,常造成因果關係演繹之空洞化,使因果關係之認定陷於抽象。然而,「計量」概念之運用固然值得稱許,但法院於審理時如何採用實證醫學數據,並作出正確地解讀,當屬審判實務工作者應留心置重之處。
Suffering from the Fournier’s gangrene which deteriorates quickly, the victim in this case dad because of the septic shock in less than one month. During this period, he suffered from Scrotal Swelling, Cellulitis and the Fournier’s gangrene in the end. The Physician was accused of a negligent homicide according to paragraph 276 section 2 of Criminal Law. It would be emphasized in this case that the confirmation of causality by the concept of the calculation. The interpretation of causality was hollowed out and therefore abstract according to the traditional opinion that the confirmation depended on the term “qualitative”. Even though the application of calculation would be praiseworthy, it should still be emphasized how the empirical medical data was used and interpreted correctly during the court proceeding.
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