陕西省靖边县人民法院民事判决书 （2019）陕0824民初4903号 原告：郝学鑫，男，1975年7月28日出生，汉族，住靖边县，身份证号：612XXXXXXXXXXXXXXX。委托代理人：白海余，陕西辅衡律师事务所律师。委托代理人：陈忠，陕西辅衡律师事务所实习律师。被告：孙鸿洁，男，1989年8月21日出生，汉族，住靖边县，身份证号：612XXXXXXXXXXXXXXX。原告郝学鑫与被告孙鸿洁健康权纠纷一案，本院于2017年8月16日立案受理后，于2018年1月10日作出（2017）陕0824民初4968号民事判决书，判决主文为：一、由被告孙鸿洁于本判决生效后五日内赔偿原告医疗费5971.8元、误工费780元、护理费780元、住院伙食补助费150元，共计7681.8元。二、驳回原告郝学鑫的其他诉讼请求。宣判后，原告郝学鑫不服，向榆林市中级人民法院提出上诉，榆林市中级人民法院审理后认为，原审判决认定事实不清，证据不足，于2018年6月28日作出（2017）陕08民终字1698号民事裁定书，裁定：一、撤销陕西省靖边县人民法院（2017）陕0824民初4968号民事判决书。二、发回陕西省靖边县人民法院重审。本案发还后，本院另行组成合议庭，原告郝学鑫及其委托代理人白海余、陈忠、被告孙鸿洁均到庭参加了诉讼，本案现已审理终结。原告郝学鑫诉向本院提出诉讼请求：1、依法判令被告赔偿原告医疗费27258.8元、误工费62088元、护理费3120元、交通费498元、食宿费565、住院伙食补助费600元、营养费200元、精神抚慰金5000元、伤残赔偿金18792元、被抚养人生活费5047.35、共计119860.15元；2、本案的诉讼费用、鉴定费用由被告承担。事实和理由：2016年8月15日23时许，在靖边县XX路XX小区门口，原告与郝建刚因生意上的纠纷发生争吵，被告系郝建刚战友，被告孙鸿洁上去劝说时与原告发生争执，后被告在车上拿出一把镐子在原告身上打了几下，致使原告受伤入院治疗。后靖边县公安局西郊派出所出警勘验现场，将被告孙鸿洁予以行政处罚十日。原告在靖边县中医院治疗后转入延安市人民医院，共住院20天。事发后，被告拒不履行赔偿义务，再诉请至贵院，请求依法支持原告之诉请。被告孙鸿洁辩称，一、被告伤害的是原告的腰部，而非头部，所以治疗头部等以前车祸造成的伤害产生的各项医疗费、伤残损失等均不应由被告承担。据延安病例记载，原告曾在三年前发生过车祸致左侧锁骨骨折在当地医院行骨折内固定手术病史，可见原告在三年前发生过交通事故，发生交通事故都会因重力原因跌倒在地，其面部损伤应为交通事故造成。陕西榆林科正司法鉴定中心在明确记载原告三年前发生交通事故的情况下，未见当年交通事故病历的情况下就出具了司法鉴定意见书，显然该鉴定意见书有失偏颇，缺乏客观公正性。为此，被告申请人民法院调取郝学鑫三年前交通事故病历资料并申请重新鉴定面部右侧颧骨骨折的致伤原因。二、打架案件一般为混合过错。原告自身在本次事故中也有过错，应依法自已承担百分之五十的责任。三、退一步讲，即使被告赔偿，原告为农村户口，其相应的赔偿项目均应按农村标准计算。本案双方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，本院予以确认并在卷佐证。对有争议的证据和事实，本院认定如下：对原告向法庭提供的第一、二组证据，因其来源及形式要件均符合法律规定，故本院对该组证据依法予以确认。对原告向法庭提供的第三、四、五、六组证据，因上述四组证据的来源及形式要件均符合法律规定,和本案具有关联性，故本院对上述四组证据依法予以确认。对本院依法调取的原告郝学鑫于2013年在靖边县中医院因交通事故受伤住院的病历一份、及本院依法与原告郝学鑫在延安市人民医院的主治大夫杜宏瑞的调查笔录和榆林市科正司法鉴定中心向本院出具的《关于郝学鑫右侧颧骨骨折是否是陈旧伤的复函》一份，因其来源及形式要件均符合法律规定，故本院对上述三份证据依法予以确认。本院根据双方当事人的陈述，举证、质证及认证查明以下事实：2016年8月15日23时许，在靖边县XX路XX小区门口，原告郝学鑫与郝建刚因生意的纠纷双方发生争吵，此时郝建刚的战友被告孙鸿洁上去劝说时与原告发生争执，后被告孙鸿洁就从车里拿出一根镐把子在原告的身上打了几下，致原告入院治疗。原告受伤后在靖边县中医院进行了治疗，靖边县中医院收治原告后即对原告的颅脑和肺部作了螺旋CT检查。后原告在靖边县中医院住院治疗5天，经诊断为：创伤性脑损伤、头皮血肿、胸部损伤等。花费医疗费5971.8元。原告于2016年8月20日19时在靖边县中医院出院，并于次日8时在延安市人民医院入院治疗，并于当日行头颅CT检查。经诊断原告伤情为：脑震荡、头皮血肿、双眼眶骨折、右侧颧骨骨折等。原告在延安市人民医院共住院治疗15天，花费医疗费21287元。2017年9月18日，榆林科正司法鉴定中心出具鉴定意见书认定原告郝学鑫于2016年8月15日因故受伤，其右侧颧骨骨折致其面部畸形影响容貌的伤残程序，属十级伤残。原告为此次鉴定花费鉴定费1200元。靖边县公安局在办理该案过程中，于2016年8月16日对被告郝学鑫作出行政拘留十日的行政处罚，后于2016年8月25日，将该案转为刑事案件，于2016年9月1日将被告孙鸿洁取保候审，于2017年9月22日以孙鸿洁情节显著轻微、危害不大、不认为是犯罪为由撤销了该刑事案件。本院认为，公民的身体健康权依法应受保护，行为人因过错侵害他人健康权的，应当承担侵权责任。本案争议的焦点是原告郝学鑫在延安市人民医院治疗期间所产生的医疗费、交通费、食宿费及根据延安市人民医院的诊断确定原告属十级伤残而产生的残疾赔偿金和鉴定费是否与被告所实施的侵权行为之间具有因果关系。首先，原告受伤后即在靖边县中医院进行了治疗，原告住院治疗五天后，原告随转入延安市人民医院治疗过程中才诊断出“双眼眶骨折、右侧颧骨骨折”伤情，和本次侵权行为具有关联性；其次，本院就对原告三年前机动车交通事故导致受伤的病历进行质证，该病历和诊断证明中并均没有显示原告受伤处在颧骨。综合以上，本院认为，原告郝学鑫右側颧骨骨折与孙鸿洁的侵权行为存在因果关系，故本院对原告郝学鑫在延安市人民医院治疗所产生的医疗费、误工费、护理费、住院伙食补助费、交通费、食宿费及原告的残疾赔偿金和鉴定费等费用依法予以支持。对原告诉请被抚养人生活费、精神抚慰金未提供相关证据予以佐证，故本院不予支持。根据本案的实际情况，被告孙鸿洁应承担70%的责任，原告郝学鑫自身承担30%的责任。原告诉请二被告承担全部责任之请求本院不予支持。原告因受伤造成的损失为：医疗费27258.8元、误工费3940元（197元/天×20天）、护理费2000元（100元/天×20天）、住院伙食助费600元（30元/天×20天）、营养费400元（20元/天×20天），交通费489元，住宿费565元，伤残赔偿金原告诉请18792元、鉴定费1200元，共计55244.8元。被告按照70％份额应向原告赔偿38671.36元。本案经审判委员会讨论决定，综上所述，依照《中华人民共和国侵权责任法》第六条、第十五条、第十六条、《最高人民法院关于审理人身损害赔偿案件适用法律若干问题的解释》第十七条、第十九条、第二十条、二十二条、第二十三条之规定，判决如下：一、由被告孙鸿洁于本判决生效后十日内赔偿原告医疗费、误工费、护理费、交通费、食宿费、住院伙食补助费、营养费、伤残赔偿金、鉴定费共计38671.36元二、驳回原告郝学鑫的其他诉讼请求。如果未按本判决指定的期间履行给付金钱义务，应当依照《中华人民共和国民事诉讼法》第二百五十三条之规定，加倍支付迟延履行期间的债务利息。案件受理费300元，由被告孙鸿洁负担。                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             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提出副本，上诉于陕西省榆林市中级人民法院。双方当事人在法定上诉期内均未提出上诉或仅有一方上诉后又撤回的，本判决发生法律效力，当事人应自觉履行判决的全部义务。一方不履行的，自本判决内容生效后，权利人可以向人民法院申请强制执行。申请执行的期限为二年，该期限从法律文书规定履行期间的最后一日起计算。      审  判  长  崔光全审  判  员  黄  勃审  判  员  周永东   二Ｏ一九年十二月七日 书  记  员  贺新春  1