篇名

【醫療刑事法】肝臟惡性腫瘤切除術後照護案:醫療上客觀注意義務   免費試閱

並列篇名

Case of Post Resection Care for Liver Malignant Tumor: The Standard of Medical Care

作者
中文摘要

醫療法於2018年1月24日修正施行,新增第3、4項明定過失注意義務之違反及臨床專業裁量標準之範圍,以醫療知識、醫療常規為判斷標準,並衡酌當地醫療資源與醫療水準。本文認為係將認定醫療過失之標準加以明確化、明文化,並未因此限縮或降低向來醫療過失責任之認定。就本案病患於大範圍肝葉切除手術後休克死亡案件,本文基於死因為出血性休克之前提,醫師能否就手術後出血之併發症有預見結果可能,暨迴避因術後出血死亡結果可能,分別加以探討,並較認同一審判決及醫事審議委員會歷次鑑定之意見,認為本案醫師於術後未將病患送加護病房或提高監護照護,未及早確診並積極止血之不作為行為,容有醫療過失之責。

英文摘要

The Medical Care Act was amended and implemented on January 24, 2018, adding the scope of the violation of duty of negligence and the standard of professional clinical direction, which not only taking medical knowledge and medical routines as the criteria, but also considering the local medical resources and medical standards. According to the opinion in this essay, the recognition of medical negligence liability has not been limited or reduced, although the standards for identifying medical negligence are clearly defined and expressly stipulated. In this case, the patient died of shock after extensive liver lobectomy. This essay is based on the premise of death due to hemorrhagic shock, in order to discuss respectively whether physician has foreseeability about complications of postoperative bleeding after surgery, and whether physician can avoid the possibility of death due to postoperative bleeding. Agreeing with the judgments of the first trial and the previous evaluations from the committee on medical disputes, it is believed that the physician in this case failed to send the patient to the intensive care unit or improve the care of the patient after the operation, failing not only to confirm the diagnosis timely, but also to stop the bleeding actively and the responsibility for medical negligence as the consequence should be taken.

起訖頁

120-141

出版單位
DOI

10.3966/241553062020050043009  複製DOI  DOI查詢

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