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篇名
探討法院對刑事過失之認定   檔案下載
並列篇名
Discussion on Confirmation of Criminal Negligence by Courts
作者 王聖惠
中文摘要
按醫師在執行手術及全身麻醉前,應對病人實施適應症系統評估,即應注意病人是否有糖尿病、心臟呼吸器官疾病等全身性疾病及凝血功能、動脈血含氧量等;術中則需建立足夠靜脈輸液通路,應監測各種生命現象,特別注意輸液之補充,以避免產生併發症;術後應對病人體內循環系統之運作加以評估及對生命跡象加以監測。法院對醫療糾紛案件,均會調查醫師於術前、術中、術後是否有疏未注意之行為,致病人傷害或死亡,依此而認定是否有過失。本件主治醫師被告甲於術中及術後、麻醉醫師被告乙於術中有為病人A為足夠體液補充之注意義務,依當時情形並無不能注意之情事,卻疏未注意,致病人A之體液補充因不足致死亡,被告甲、乙就此顯有過失。
英文摘要
The physician shall evaluate indication systematically to the patient before taking a surgery and general anesthesia. In other words, the physician shall notice that whether the patient systemic disease, like diabetes, heart and respiratory diseases, coagulation and the oxygen content of blood in artery. Moreover, the physician shall keep intravenous administration routes during the surgery, monitoring the biological phenomena to avoid complications, especially the supplement of infusion. What’s more, the physician shall after the surgery evaluate the functioning of the patient’s circulatory system, and monitor the biological phenomena. Therefore, the court will investigate into medical lawsuits by noticing that whether the physician has had faults before, during and after the surgery. It deems finally the negligence of the physician by doing so. The physician B has the responsibility to supply the infusion for the patient A during and after the surgery, while the anesthetist C shall during the surgery do so. There was no excuse for negligence and the patient A was dead as a result because of insufficiency of the infusion; the B and the C were negligent for it obviously.
起訖頁 115-119
關鍵詞 注意義務醫療過失醫療鑑定duty of caremedical malpracticemedical identification
刊名 月旦醫事法報告  
期數 201707 (9期)
出版單位 元照出版公司
DOI 10.3966/241553062017070009009  複製DOI
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該期刊-上一篇 衝突管理理念在醫療機構的運用
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