【摘要】目的探讨尸体检验对死亡争议事件的医疗鉴定、赔偿处理上的价值，以妥善处理医疗纠纷中医患双方的矛盾。
方法 对温州市4个市、区、县2002-2004年的182例死亡争议事件进行回顾性分析，就尸检率，临床、尸检诊断，尸检对医
疗鉴定及争议事件处理上的作用．及其在不同级别医院的具体情况等进行了统计处理。结果 182例其中尸检46例，尸检率
25．27％。二级以上医疗机构死亡争议事件l12例，尸检率19．64％。临床死因诊断与尸检死因诊断不符合率37％，以循环系统、
呼吸系统为多。46例尸检中，医疗鉴定32例(69．5％)，经济赔偿29例(63％)。未尸检136例，医疗鉴定2o例(14．7％)，经济赔
偿121例(88．9％)，两者差异显著，有统计学意义(p<0．05)。 结论尸体检验对死亡争议案件的医疗鉴定与处理具有重要
意义．尤其在死因鉴定方面具有不可替代性。
【关键词】死亡争议案件；尸体检验；价值评估
【中图分类号】d919．1
【文献标识码】a
【文章编号】1007—9297(2006)02一ol19一o3
the value of autopsy in medical dispute over cause of death．hu haitao，xu wenpin，wenzhou medical a ssociation，wenzhou
325027
【abstract】obj~tive discuss the value of forensic autopsy to death dispute identification，compensation and disposal，so as to
appropriately handle the contradiction between patients and hospital in medical tangles． methods 182 death dispute cases from four
cities and counties in w enzhou from the year 2002 to 2004 were retrospectively analyzed． the rate of forensic autopsy， clinical and
forensic pathological diagnose．way of handle were statistically treated．re羽l】协th e rate of autopsy was 25．27％．34．78％ of the clinical
diagnosis was inconsistent with forensic pathological findings．th e highest death rate is in circulation system and breathing system．for
the l 1 2 death dispute cases taken place in hospitals above grade tw o．the rate of forensic autopsy is only 19．64％ ．among the 46 autopsy
cases，29(63％)were f