陕西省周至县人民法院   民事判决书     （2020）陕0124民初1323号     原告：邹丽华，女，汉族，1977年1月2日出生，住陕西省西安市周至县，身份证号码：610XXXXXXXXXXXXXXX。   委托诉讼代理人：王小雄，陕西省周至县148法律服务所                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             法律工作者。    被告：杜鑫荣，男，汉族，1962年7月26日出生，住陕西省西安市周至县，身份证号码：610XXXXXXXXXXXXXXX。   被告：中国太平洋财产保险股份有限公司西安中心支公司，营业场所：西安市碑林区，统一社会信用代码XXXXXXXXXXXXXX0264。   负责人：赵益军，系该公司总经理。   委托诉讼代理人：高建芬，陕西泽诚律师事务所律师。   原告邹丽华与被告杜鑫荣、中国太平洋财产保险股份有限公司西安中心支公司（以下简称太平洋财保）机动车交通事故责任纠纷一案，本院于2020年5月12日立案后，依据《最高人民法院民事诉讼程序繁简分流改革试点实施办法》的规定，由本院审判员庞苗适用普通程序独任审判，公开开庭进行了审理。原告邹丽华及其委托诉讼代理人王小雄，被告杜鑫荣、被告太平洋财保委托诉讼代理人高建芬到庭参加了诉讼。本案现已审理终结。   原告邹丽华向本院提出诉讼请求：1、赔偿原告医疗费、误工费、护理费等共计各种损失5万元。2、诉讼费、鉴定费由被告承担。本案诉讼过程中，原告变更第一项诉讼请求为：被告承担原告医疗费6526.2元、误工费18000元、护理费12000元、营养费1800元、更换牙齿费用六次31200元、住院伙食补助费1530元、交通费1120元、诉讼费1050元、鉴定费1720元、财产损失800元，以上合计75746.2元。庭审后，原告自愿放弃财产损失800元的诉讼请求。事实及理由：2019年10月27日12时30分左右，被告杜鑫荣驾驶陕AXXXXX牌小轿车，沿318县道102KM+100M（XX村XX路）由北向南行驶，与同方向原告邹丽华驾驶的二轮电动车发生追尾碰撞，致使双方车辆受损，邹丽华受伤。受伤后被120送往周至县人民医院抢救。诊断为：村路倒车时将原告撞到，致原告受伤。经周至县人民医院诊断：1、脑震荡；2、头皮下血肿；3、鼻骨骨折；4、颏部皮肤裂伤（缝合8针）；5、牙齿缺损4颗；6、皮肤擦伤；7、胸1椎体骨折，导致左臂活动受限；8、颈部、胸背部损伤；9、双眼玻璃体混浊；10、松果体囊肿。第一次住院45天。2020年1月3日，头昏恶心，呕吐4小时，二次住进周至县人民医院治疗，6天后出院。期间，原告垫付费用800元。2020年4月27日在西安交通大学第一附属医院进行面部疤痕治疗花去费用若干。2020年5月7日在周至县医院更换牙齿（3颗）。现双下肢活动无力，左臂活动受限，医生建议理疗。后经周至县交警大队责任事故认定：被告杜鑫荣承担该事故的全部责任。又查事故车辆在被告保险公司投保有交强险及100万元的商业险并有不计免赔，且该事故发生在保险期内。现原告依据鉴定意见提出上述诉讼请求。   被告杜鑫荣辩称，对交通事故发生的事实和责任认定书无异议。原告二次住院被告垫付26051.07元，这笔钱包含在两次的住院和门诊票据中，希望在本案中一并处理。财产损失保险公司已经赔付被告了，就财产损失部分被告与原告私下解决。   被告太平洋财保辩称，对交通事故发生的事实和责任认定书无异议。事故车辆在被告公司投保交强险和商业险，商业三责险限额100万，有不计免赔。对原告的合理损失，首先在交强险的分项限额内进行赔付，不足部分在商业险项下，按照事故责任进行赔付。医疗费中无法看出原告使用支架及眼科看病的情况，第二次住院无异议，医疗费具体以法院核算的数字为准；误工费原告提供的村委会证明中村委会无法作为劳动者的用人单位去证明其相应的收入情况，保险公司认可按鉴定意见的天数，每天90元计算；护理费保险公司认可按鉴定意见的天数，每天90元计算；营养费无异议；更换牙齿的费用，保险公司认可暂时计算三次，每颗牙齿1200元计算；住院伙食补助费按照原告实际住院天数，每天30元计算；交通费因原告未提供证据，保险公司认可300元-500元。鉴定费和诉讼费被告公司不承担。财产损失保险公司已赔付被告。   当事人围绕诉讼请求依法提交了证据，本院组织当事人进行了证据交换和质证，对当事人无异议的证据：道路交通事故认定书、被告身份证复印件、保单、住院病案、诊断证明书、医疗费发票、费用清单、鉴定意见书等，本院予以确认在卷佐证。   根据当事人的陈述和经审查确认的证据，本院认定事实如下：2019年10月27日12时30分左右，被告杜鑫荣驾驶陕AXXXXX牌小轿车，沿318县道102KM+100M（XX村XX路）由北向南行驶，与同方向原告邹丽华驾驶的二轮电动车发生追尾碰撞，致使双方车辆受损，邹丽华受伤。原告受伤后被120送往周至县人民医院急诊抢救，花去医疗费1317.9元。当日住院治疗45天，花去医疗费18989.57元，经周至县人民医院诊断：1、脑震荡；2、头皮下血肿（右额部）；3、鼻骨骨折；4、颏部皮肤裂伤；5、牙折；6、皮肤擦伤（颜面部）；7、胸1椎体骨折；8、颈部、胸背部损伤；9、双眼玻璃体混浊；10、松果体囊肿。2019年10月31日，原告在西安海虹假肢矫形器有限公司购买头颈胸支具，花费2000元。2019年12月6日，原告在周至烈贞眼科医院门诊检查、购药花费193.59元。2019年12月11日原告出院，出院医嘱：1、定期门诊复查，口腔科随诊，修复牙齿；2、注意修养，不适随诊。2020年1月3日，原告因头昏恶心，呕吐4小时，被120再次送往周至县人民医院急诊治疗，花费医疗费926.2元。当日住院治疗6天，花费医疗费3390.08元。2020年1月9日原告出院，出院医嘱：1、定期门诊复查；2、注意修养，不适随诊。2020年3月9日，原告在周至县人民医院骨科门诊检查，花费318元。2020年3月24日，原告在周至县人民医院口腔科门诊检查，花费165元。2020年4月27日，原告在西安交通大学第一附属医院整形美容颌面门诊治疗，花费368元。2020年5月7日，原告在周至县人民医院口腔科门诊治疗，花费4909元。   2020年1月20日，经周至县公安局交警部门道路交通事故认定书认定：杜鑫荣的行为违反了《中华人民共和国道路交通安全法》第四十三条第一款第二项：“同车道行驶的机动车，后车应当与前车保持足以采取紧急制动措施的安全距离。有下列情形之一的，不得超车：（二）与对面来车有会车可能的；”之规定承担全部责任,邹丽华不承担责任。事故车辆在第二被告处投保交强险和商业险，商业三责险限额100万元，有不计免赔,事故发生在保险期内。另查，2019年陕西省私营单位居民服务、修理和其他服务业平均工资为37522元。   本案诉讼过程中，原告于2020年5月26日申请对其误工期限、护理期限、营养期限、伤残等级、后续治疗费、假牙的使用期限及每次的更换费用、胸1椎体骨折与左臂活动受限的因果关系进行鉴定。本院依法委托鉴定。后原告放弃对伤残等级、后续治疗费、胸1椎体骨折与左臂活动受限的因果关系的鉴定，且未缴纳上述项目的鉴定费用。2020年9月9日，陕西中金司法鉴定中心出具陕中金司鉴中心[2020]临鉴字第1821号司法鉴定意见书，鉴定意见为：（一）1、被鉴定人邹丽华此次外伤误工期限为120日，护理期限为60日，营养期限为60日。（二）被鉴定人邹丽华4颗烤瓷牙后续5-10年适时更换一次，参照陕西省三级甲等医院相关收费标准，每次每颗牙齿的烤瓷及相关费用约需人民币壹仟壹佰元至壹仟叁佰元（1100.00—1300.00元）。   本院认为，机动车发生交通事故造成损害的，侵权人应依照道路交通安全法的有关规定承担赔偿责任。本起交通事故造成的损害，应先由被告太平洋财保在交强险责任限额范围内承担赔偿责任；超出部分，由太平洋财保在商业三责险责任限额范围内承担责任。原告请求的误工费，因其未提供证据证明，酌情认定每天100元；护理费应按照陕西省私营单位居民服务、修理和其他服务业上一年度年平均工资计算每天103元；因原告已于2020年5月7日在周至县人民医院口腔科门诊治疗更换牙齿，故对原告更换牙齿的时间按照7年适时更换一次，暂计算4次，每次每颗牙齿的烤瓷及相关费用按照1300元计算，共计20800元，后续如需继续更换牙齿可待实际费用发生后另案起诉。因原告自愿放弃财产损失800元的诉讼请求，系原告对自己民事权利的合法处分，应予准许。被告杜鑫荣垫付的费用26051.07元，其请求在本案中一并处理，为鼓励交通事故后积极救治受害人的行为，本案一并处理，应由保险公司返还被告杜鑫荣垫付的费用。综上，原告各项费用本院认定如下：医疗费32577.35元（其中被告垫付26051.07元，原告支付6526.28元）；住院伙食补助费1530元（30元/天×51天）；营养费1800元（30元/天×60天）；误工费12000元（100元×120天）；护理费6180元（103元×60天)；后续4次更换牙齿费用20800元（4颗×1300元×4次）；交通费结合原告住院及复查次数，酌情认定700元；鉴定费1720元。   综上所述，依照《中华人民共和国侵权责任法》第三条、第六条、第十五条、第十六条、第四十八条，《中华人民共和国保险法》第六十五条，《最高人民法院关于审理道路交通事故损害赔偿案件适用法律若干问题的解释》第十六条，《中华人民共和国民事诉讼法》第六十四条的规定，判决如下:   一、被告中国太平洋财产保险股份有限公司西安中心支公司于本判决生效后十日内在交强险限额内支付原告邹丽华医疗费6526.28元、住院伙食补助费1530元、营养费1800元，以上共计9856.28元；   二、被告中国太平洋财产保险股份有限公司西安中心支公司于本判决生效后十日内在交强险限额内支付原告邹丽华误工费12000元、护理费6180元、交通费700元，以上合计18880元；   三、被告中国太平洋财产保险股份有限公司西安中心支公司于本判决生效后十日内在商业三责险限额内支付原告后续更换牙齿费用20800元；   四、被告中国太平洋财产保险股份有限公司西安中心支公司于本判决生效后十日内返还被告杜鑫荣垫付的费用26051.07元；   五、被告杜鑫荣于本判决生效后十日内支付原告鉴定费1720元；   六、驳回原告邹丽华其余的诉讼请求。   如果未按本判决指定的期间履行给付金钱义务，应当按《中华人民共和国民事诉讼法》第二百五十三条规定，加倍支付延迟履行期间的债务利息。   本案诉讼费1680元（原告已预交），由被告杜鑫荣负担。   如不服本判决，可在判决书送达之日起十五日内，向本院递交上诉状，并按对方当事人的人数或者代表人的人数提出副本，上诉于陕西省西安市中级人民法院。         审判员   庞 苗       二〇二〇年十二月二十一日       法官助理  张 逸 男   书记员  付 云 娜