篇名

【醫療刑事法】心導管葉克膜案:概然性與結果歸責   免費試閱

並列篇名

Litigations for Complications of Percutaneous Coronary Intervention: Probability and Consequence Attribution

作者
中文摘要

醫師為病人實施心導管手術時,須事先安排葉克膜裝置及團隊,以確保一旦發生併發症,可在20分鐘內得到該團隊的支援救助。若醫師在沒有事先安排的情形下實施心導管手術,即屬違反注意義務,製造了不受容許的死亡風險(即便目前並無任何成文法規對此設有明文要求,亦然)。然而,在心導管手術中發生併發症時,縱使及時使用葉克膜施以急救,仍有高達九成的死亡率。因此,死亡結果出現時,由於欠缺義務違反關聯性,便難以將該結果歸咎於未安排葉克膜團隊支援的義務違反行為。換句話說,本案被告施行心導管手術雖然製造了不受容許的死亡風險,但由於不能認定該死亡結果確係此風險所引起,故無法肯定結果歸責,不成立過失致人於死罪。

英文摘要

When performing a cardiac catheterization for a patient, a team equipped with extra-corporeal membrane oxygenation (ECMO) device must be arranged in advance to ensure that the patient can receive support from it within 20 minutes once complications occur. If the physician performs a cardiac catheterization without the prior arrangement, it is a violation of the duty of care and creates an unacceptable risk of death. It is still true, even though there are no written laws or regulations that have clear requirment for this. However, in the case of complications during cardiac catheterization, even timely use first-aid from ECMO, there are still 90% of the mortality rate. Therefore, when the death result appears, it is difficult to attribute the result to the obligation violation, which didn’t arrange any support from the ECMO team (the lack of relevance of obligations violation). In other words, although the defendant during cardiac catheterization created an unacceptable risk of death, it was still impossible to determine that the death result was caused by this risk. For that reason, the consequence attribution cannot be affirmed, so there is no case of offence of negligent manslaughter.

起訖頁

058-079

出版單位
DOI

10.3966/241553062019090035005  複製DOI  DOI查詢

QRCode

數位整合服務
產品服務
讀者服務專線:+886-2-23756688   傳真:+886-2-23318496   地址:臺北市館前路28號7樓

Copyright © 元照出版 All rights reserved. 版權所有,禁止轉貼節錄
TOP