肖柳珍

（南方医科大学人文与管理学院，广东广州，510515）

【摘 要】器官异位案件损害后果的典型性及医疗过错的不典型性，不具有指导医疗损害赔偿案件的普遍意义。最高人民法院针对此案发布的司法解释，在一定程度上促成了当下医疗纠纷的非理性解决。局限于医患双方的损害赔偿思维模式，把医生与患者挤向对立，不可能根本解决医患矛盾。医患之间的责任空白带不应由医方承担。突破医疗特殊性的后果是看病更难看病更贵，医患矛盾直接演变为利益之争。医疗过错的鉴定应遵循法定程序，并以医学专业知识为基础，以理性人的合理标准作为原则。

【关键词】器官异位；医疗损害；医疗过错；医疗意外；侵权责任

【中图分类号】D915.13

【文献标识码】A

【文章编号】1674-1226（2015）02-0239-09

Re-interpretation and examination on the first medical dispute case ruled upon the general principle of civil law of China. Xiao Liuzhen. School of Humanity and Management, Southern Medical University,Guangzhou, Guangdong 510515

【Abstract】The case of ectopic organ, which is typical by considering the severity of damages but atypical in medical errors, does not have a universal significance in guidance of medical damage compensation cases in general. The judicial interpretation on this case issued by the Supreme People's Court of China to some extent facilitated nowadays unreasonable resolutions to medical disputes. Damage Compensations limited between doctors and patients cannot fundamentally resolve doctor-patient problems of but push the parties against each other. The responsibility gap within a doctor-patient relationship shall not automatically put on the shoulder of the doctor. The consequences for breaking through the particularity of medical service would be more difficult and expensive to see a doctor for patients and disputes between doctor-patients would escalate into a conflict of interests. Determination of medical errors should follow legal procedures and be based on medical professional knowledge with a principle of rational persons’ reasonable standard.

【Key Words】Ectopic organ, Medical damage, Medical malpractice, Medical accident, Tort liability