Forensic Analysis of Eighteen Tubal Pregnancy-Related Medical Damage.
10.12116/j.issn.1004-5619.2022.220707
- Author:
Ying LI
1
;
Yong YU
2
;
Xing-Hua KOU
1
;
Zhan-Long HAN
1
Author Information
1. Beijing Huaxia Evidence Identification Center, Beijing 100089, China.
2. Beijing Source of Judicial Identification Center of Scientific Evidence, Beijing 100062, China.
- Publication Type:Journal Article
- Keywords:
assisted reproductive technology;
case analysis;
forensic medicine;
heterotopic pregnancy;
medical damage;
salpingectomy;
tubal pregnancy
- MeSH:
Pregnancy;
Female;
Humans;
Retrospective Studies;
Pregnancy, Tubal/surgery*;
Salpingectomy/methods*;
Fertility;
Malpractice
- From:
Journal of Forensic Medicine
2023;39(6):571-578
- CountryChina
- Language:English
-
Abstract:
OBJECTIVES:To analyze the cases of medical damage after misdiagnosis of tubal pregnancy, to explore the causes of medical damage, the causal relationship between medical malpractice and the damage consequences, as well as the causative potency, in order to provide evaluation ideas for forensic identification of such cases.
METHODS:Eighteen cases of forensic identification of tubal pregnancy related medical damage were collected and retrospectively analyzed from the aspects of age, maternity history, fertility requirements, risk factors, diagnosis and treatment, medical malpractice, damage consequences, and causative potency.
RESULTS:All 18 cases were tubal pregnancy, of which 17 cases had medical malpractice, resulting in 14 cases of affected tubal resection, 2 cases of hemorrhagic shock death, 1 case of intrauterine fetal death and affected tubal resection. The other case had the consequence of affected tubal resection, but there was no malpractice in the treatment.
CONCLUSIONS:Correct diagnosis is helpful to make appropriate treatment plan, prevent disease progression and reduce serious adverse consequences and the occurrence of medical disputes. Scientific and reasonable analysis of the causal relationship between medical malpractice and damage consequences and the causative potency is of great significance to the successful settlement of medical disputes.
