篇名

【醫療刑事法】心導管葉克膜案:兼論專斷醫療行為之刑事責任   免費試閱

並列篇名

Litigations for Complications of Percutaneous Coronary Intervention: Excursus on the Criminal Responsibility of Arbitrary Medical Treatment

作者
中文摘要

本件涉及醫師為病人實施心導管手術,未事先通知合作醫院之葉克膜團隊待命,致葉克膜團隊於1小時後方抵達醫院進行救治,病人最終因多重器官衰竭死亡。本件爭點在於,醫師稱有葉克膜團隊可支援手術,是否讓病人之家屬誤認葉克膜有起死回生之功效,進而低估心導管手術之風險而誤為同意。若答案為肯定,則必須檢討「專斷醫療行為」。假設本件在心導管手術之同意係屬無效的情況下,應如何評價其後續的醫療行為,本文認為應採醫療行為傷害說,即醫師為醫療行為已經符合傷害罪之構成要件,而其以詐術取得病人之同意(承諾)不能阻卻違法,故該當傷害罪。若病人不幸死亡,則應進一步探討是否構成傷害致死罪。

英文摘要

The case involved performing a cardiac catheterization for patients, but the physician has not giving any notification in advance to a medical group equipped with extra-corporeal membrane oxygenation (ECMO) in the cooperative hospital, and make the group to stand by. As the result of that the team of ECMO arrived at the hospital for treatment one hour later, and the patient eventually died of multiple organ failure. The point of contention is whether the relative of the patient could make a consent with misunderstanding, because they mistakenly recognizes the effect of ECMO on returning to life, thereby underestimating the risk of cardiac catheterization, when the physician said the ECMO-group could support the operation. If the answer is positive, then “arbitrary medical treatment” must be reviewed. How to evaluate the subsequent medical behavior, when the consent of cardiac catheterization is invalid, it is believed in this article that theory of injury should be taken, that is, the medical treatment has already met the legal element of the offense of battery. Even if the consent (agreement) of the patient is obtained by fraud, there is still no affirmative defense, so the offense of battery is be fulfilled. And if the patient is unfortunately dying, then should further explore whether it constitutes a crime of injury resulting in death.

起訖頁

080-107

出版單位
DOI

10.3966/241553062019090035006  複製DOI  DOI查詢

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