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篇名
【醫療民事法】車禍腦傷術後照護失當案:謎樣的損害賠償範圍   檔案下載
並列篇名
Medical Malpractice in Victims of Brain Injury after Traffic Accident: Puzzle over the Amount of Damages
作者 吳志正張文毓
中文摘要
車禍病患受有初級腦傷送醫,於接受硬腦膜外血腫清除手術後,因昏迷狀態未有改善遂轉送至醫學中心,經電腦斷層掃描診斷有顱內出血等次級腦傷,再手術將其腦內出血部分清除,惟仍有腦部細胞壞死與左側癱瘓等後遺症。原告遂起訴本件,請求原診治照護之醫師與醫院損害賠償。本件涉及醫療傷害責任範圍之認定問題,由兩位作者分別就病患履行利益與固有利益之損害範圍、具定期金性質賠償之估算、餘命損害、肇事者與醫師間賠償責任之劃分,以及植物人之餘命等議題進行論述。
英文摘要
The plaintiff A was sent to the defendant Hospital after a traffic accident, and emergent craniotomy was performed by the defendant doctor B to evacuate the epidural hematoma, and was transferred to ICU for postoperative care by defendant B, C, and D. The Glasgow Coma Scale fluctuated around 5-8 during the post-operative course and consequently A was transferred to Medical center where the Glasgow coma scale was 3 and subdural hematoma was diagnosed by CT. Emergent operation was done, yet A became hemiplegia and suffered from swallowing disturbance, and incontinence of urine and stool. The district court held that the defendants were liable since the intracranial pressure monitor device has not been applied intraoperatively, moreover the defendant failed to clinically monitor the possibility of developing “secondary brain injury” which constitute 60% of the plaintiff’s brain damage. However the decision varies in subsequent appeal courts and the supreme courts regarding the liability and the estimation of damages. Two authors comment on this case with special emphasis on the calculation of damages since should the defendants be liable, they were responsible for at most only 60% of the plaintiff’s brain injury, other than which, what we called “primary brain injury” should not be attributable to the fault of the defendants. Moreover disputes about the earnings in the lost years of the plaintiff and the survival year of the plaintiff herein and the vegetables are also discussed.
起訖頁 084-128
關鍵詞 固有利益責任範圍損害賠償履行利益餘命損害intrinsic interestlimitation of liabilitydamagesperformance interestearnings in the lost years
刊名 月旦醫事法報告  
期數 201706 (8期)
出版單位 元照出版公司
DOI 10.3966/241553062017060008006  複製DOI
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該期刊-上一篇 國際法規範下的A型流感疫情與防備
該期刊-下一篇 「醫療法人因多項重大違法過失遭取消保險醫療機關及保險醫師資格」事例
 

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