CAJ | 학술논문

目的：分析中药治疗后患者的死亡原因及相关因素，为合理使用中药及处理相关纠纷提供参考。方法回顾性分析18例中药治疗后死亡病例。结果16例为自身疾病死亡，2例为乌头碱中毒死亡。结论中药中毒往往是中药炮制方法不正确所致；多数患者非中药直接引起死亡，但存在诊断不清，对病情严重程度估计不足，普遍存在误诊误治；尸体解剖有助于明确死亡原因及相关责任。
목적：분석중약치료후환자적사망원인급상관인소，위합리사용중약급처리상관규분제공삼고。방법회고성분석18례중약치료후사망병례。결과16례위자신질병사망，2례위오두감중독사망。결론중약중독왕왕시중약포제방법불정학소치；다수환자비중약직접인기사망，단존재진단불청，대병정엄중정도고계불족，보편존재오진오치；시체해부유조우명학사망원인급상관책임。
Objective To provide references for the rational use of traditional Chinese drug (TCD) and dealing with related disputes by analyzing the causes of death and related factors of patients after therapy by TCD .Methods A total of 18 cases of death after therapy by TCD were analyzed retrospectively .Results 16 patients died of primary diseases and 2 patients died of aconitine poisoning .Conclusion Poisoning caused by TCD might be related with in-correctly processing methods .The direct causes of death of most patients could not be related to TCD ,but there might be misdiagnosis and mistreatment .Postmortem examination could be helpful for identifying the cause of death and related responsibilities .