海南省第二中级人民法院
p t ; ” > 民 事 判 决 书
（2017）琼97民终1174号
海南省第二中级人民法院
民事判决书
（2017）琼97民终1174号
上诉人（原审被告）：庄灿祥，男，1993年9月10日出生，汉族，住海南省儋州市。
委托诉讼代理人符博，儋州市那大法律事务所法律工作者。
被上诉人（原审原告）：黄红娘，女，1955年7月15日出生，汉族，住海南省儋州市。
委托诉讼代理人：刘忠维，海南林源律师事务所律师。
上诉人庄灿祥因与被上诉人黄红娘身体权纠纷一案，不服海南省儋州市人民法院（2017）琼9003民初50号民事判决，向本院提起上诉。本院于2017年9月27日立案后，依法组成合议庭进行了审理。本案现已审理终结。
庄灿祥上诉请求：撤销海南省儋州市人民法院（2017）琼9003民初50号民事判决，改判驳回黄红娘的诉讼请求。事实和理由：一、在本次纠纷中，黄红娘首先对庄灿祥母亲进行谩骂，双方的矛盾系黄红娘挑衅引发的，故黄红娘存在过错，应当承担部分民事责任。一审法院根据生效的（2016）琼9003刑初177号刑事判决书认定的事实认定黄红娘不存在过错是错误的。二、一审判决计算黄红娘的部分损失没有事实根据及法律依据。1、医疗费。黄红娘的病历中显示其还患肝囊肿、高血压病2级。这些病症与本案无关，一审判决没有将治疗这些病症的费用从总医疗费中剔除是错误的。2、误工费。黄红娘受伤时年满60周岁，已经超过法定的退休年龄，不属于劳动者，不存在误工费之说。3、护理费。黄红娘的丈夫李清平是农村居民，其无法证明其有固定收入，应当按农业行业的收入标准计算其护理费。4、营养费。一审法院按50元/天的标准计算营养费过高，应当按30元/天的标准计算。
黄红娘辩称，一审法院认定事实清楚，适用法律正确。庄灿祥的上诉理由不成立，请求二审法院驳回上诉，维持原判。
黄红娘向一审法院起诉请求：1.判令庄灿祥赔偿黄红娘医疗费57099.62元，后续治疗费用8000元，误工费36000元，护理费12000元，营养费9000元，残疾赔偿金23686元，精神损害抚慰金10000元，住院伙食补助费18000元，鉴定费用2900元，交通费用7304.32元，共计183989.94元；2.案件受理费由庄灿祥负担。
一审法院认定事实：2015年9月5日19时许，庄灿祥的母亲庄秀华那大镇中兴大街美扶建材市××栋号自家商铺前面处与黄红娘因琐事发生争执。庄灿祥刚好散步回家看到后，就叫黄红娘的丈夫李清平出来制止黄红娘，李清平不予理睬。庄灿祥遂拿起一个摆放瓷砖的铁架砸向黄红娘，黄红娘用右手挡住，造成黄红娘的右手臂被砸伤流血。庄秀华见状就上前去将庄灿祥拉开，黄红娘便捡起地上瓷砖掷向庄秀华和庄灿祥,将庄秀华右脚砸伤。庄灿祥就走上前用手将黄红娘推倒在地上，李清平看到后就上去用拳头朝庄灿祥的头部打了一拳,双方便停手。黄红娘被送往儋州市第一人民医院及海南西部中心医院住院治疗20天，2015年9月25日出院，花费医疗费9313.37元(门诊1107.57元,住院8205.80元)。出院诊断:1.桡骨下端骨折（右、远端、开放性、粉碎性）；2.多处皮肤破损(挫裂伤);3.头皮血肿（顶部）;4.肝囊肿;5.高血压病2级。出院医嘱:上级医院住院治疗,行手术切开复位钢板内固定术治疗,术后适当伤肢功能锻炼。2015年9月25日至2015年10月19日，黄红娘在海南省第一人民医院进行手术治疗，花费医疗费共45830.1元。出院诊断:1.右桡骨远端开放性粉碎性骨折；2.右尺骨茎突开放性。出院医嘱:术后定期复查右腕X线;2.我科随诊。之后，黄红娘在儋州市中医院门诊治疗，支付医疗费共1310.5元,在农垦那大医院门诊治疗，支付医疗费共645.65元。经儋州市公安司法鉴定中心鉴定，黄红娘右桡骨粉碎性骨折已经构成轻伤一级，右尺骨茎突骨折已经构成轻伤二级，右腕关节脱位已经构成轻伤二级。2016年6月21日，一审法院作出（2016）琼9003刑初177号刑事判决书，判决庄灿祥犯故意伤害罪，判处有期徒刑一年。该判决已发生法律效力。在刑事诉讼中，对于庄灿祥辩护人关于案件系因黄红娘挑衅引起,黄红娘具有较大过错的辩护意见,该判决认为,在案证据无法证实,不予支持。
在本案诉讼中，黄红娘申请对其伤残等级、后续治疗费、休息护理营养期限等事项进行鉴定，一审法院委托海南省人民医院法医鉴定中心进行评估鉴定。2017年5月18日，该中心作出琼省医鉴[2017]临鉴字第69号《司法鉴定意见书》，鉴定意见为:1.黄红娘身体多处损伤构成十级伤残;2.黄红娘后续治疗费约需8000元；3.黄红娘”三期”综合评定为休息180日,护理60日,营养90日。鉴定费用2900元。
另查明，黄红娘住院期间由其丈夫李清平护理，黄红娘与李清平均为农业家庭户口。李清平为儋州那大泉盛建材商行经营者(注册号:469XXXXXXXX7613),其于2012年1月11日注册儋州那大泉盛建材商行,与黄红娘那大镇中兴大街美扶建材市××栋号经营瓷砖零售。
一审法院认为，公民的生命权、健康权、身体权依法应受法律保护。对于黄红娘所受之损害，黄红娘有权请求侵权人赔偿。本案中，根据（2016）琼9003刑初177号刑事判决书确认的事实，庄灿祥拿摆放瓷砖的铁架砸黄红娘，并用手将黄红娘推倒在地上，造成黄红娘受伤，庄灿祥依法应对黄红娘所受之损害承担赔偿责任。本案法庭辩论终结的时间为2017年6月20日，依照《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》第三十五条之规定，黄红娘的各项损失按照2016年度海南省统计局公布的各项数据计算如下：1.医疗费：黄红娘主张57099.62元（9313.37元+45830.1元+1310.5元+645.65元），有医疗发票为凭，予以支持；2.后续治疗费:黄红娘主张8000元，有鉴定意见为凭，予以支持；3.误工费：黄红娘主张36000元，误工费是根据受害人的误工时间和收入状况确定。本案中，黄红娘虽为农业家庭户口,但在儋州市××区居住,与其丈夫李清平那大镇中兴大街美扶建材市场经营瓷砖零售，参照批发、零售业的标准计算，其费用为23737.86元（48133元/年÷365天×180天），对黄红娘多主张的部分，不予支持；4.护理费：黄红娘主张12000元，住院期间由其丈夫李清平护理，护理人员虽为农业家庭户口,但在儋州市××区居住,那大镇中兴大街美扶建材市场经营瓷砖零售，参照批发、零售业的标准计算，其费用为7912.2元（48133元/年÷365天×60天），对黄红娘多主张的部分，不予支持；5.交通费：黄红娘主张7304.32元，虽然黄红娘未能提供交通费票据，但考虑到黄红娘转院治疗及其陪护人员往返实际发生的交通费用，酌情支持1000元；6.住院伙食补助费：黄红娘主张18000元,黄红娘在儋州市第一人民医院、海南西部中心医院及海南省第一人民医院共住院44天,其费用为4400元，对黄红娘多主张的部分，不予支持；7.营养费：黄红娘主张9000元，其费用应为50元/天×90天=4500元,对黄红娘多主张的部分，不予支持；8.残疾赔偿金及精神损害抚慰金。因庄灿祥犯故意伤害罪，已被判处有期徒刑一年,受到了刑事处罚,根据《最高人民法院关于适用<中华人民共和国刑事诉讼法>的解释》第一百三十八条第二款关于”因受到犯罪侵犯，提起附带民事诉讼或者单独提起民事诉讼要求赔偿精神损失的，人民法院不予受理”的规定，黄红娘请求赔偿残疾赔偿金、精神损害抚慰金没有法律依据，不予支持。
综上，黄红娘的各项损失共计106649.68元，由庄灿祥承担赔偿责任。庄灿祥称黄红娘与其发生纠纷，黄红娘自身存在过错,因发生法律效力的（2016）琼9003刑初177号刑事判决已经认定在案证据无法证实黄红娘存在过错,故庄灿祥该辩解,理由不成立，不予采纳。依照《中华人民共和国民法通则》第九十八条，《中华人民共和国侵权责任法》第十六条，《最高人民法院关于适用<中华人民共和国刑事诉讼法>的解释》第一百三十八条第二款,《最高人民法院关于适用<中华人民共和国民事诉讼法>的解释》第九十条之规定，判决：一、庄灿祥应赔偿黄红娘106649.68元，限于判决生效之日起十日内付清；二、驳回黄红娘的其他诉讼请求。如未按照判决指定的期间履行给付义务的，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1219.95元，由黄红娘负担386.7元,庄灿祥负担833.25元；鉴定费2900元由庄灿祥负担。
二审中，双方当事人没有提交新证据。本院二审查明的事实与一审一致，本院予以确认。
本院认为，本案二审的争议焦点有：一、庄灿祥是否应对黄红娘的受伤承担赔偿责任及责任比例；二、黄红娘的各项损失如何计算。
关于第一个争议焦点。《中华人民共和国侵权责任法》第六条第一款规定：”行为人因过错侵害他人民事权益，应当承担侵权责任。”本案中，庄灿祥因黄红娘与其母亲争执，将瓷砖铁架砸向黄红娘，导致黄红娘受伤的严重后果。经儋州市公安司法鉴定中心鉴定，黄红娘右桡骨粉碎性骨折构成轻伤一级，右尺骨茎突骨折构成轻伤二级，右腕关节脱位构成轻伤二级。经海南省人民医院法医鉴定中心鉴定，黄红娘身体多处损伤构成十级伤残。而且生效刑事判决已判决庄灿祥犯故意伤害罪，判处有期徒刑一年。一审法院认定庄灿祥存在过错，判令其对黄红娘的损失承担全部赔偿责任并无不当。庄灿祥认为本次纠纷由黄红娘挑衅引起，认为黄红娘存在重大过错，并以此为由主张黄红娘应对自身受伤承担主要责任。但其未能提供充分证据予以证明，其主张证据不足，理由不成立，本院不予支持。
关于第二个争议焦点。1.医疗费。根据《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》第十九条的规定，医疗费根据医疗机构出具的医药费、住院费等收款凭证，结合病历和诊断证明等相关证据确定。黄红娘受伤住院治疗44天，产生医疗费用57099.62元，并提供医院病历、诊断证明及相关收款票据予以证实。庄灿祥认为黄红娘肝囊肿、高血压病症并非其侵权行为导致，而治疗费用中包括了肝囊肿、高血压的治疗，应当将该两部分的治疗费用剔除。但其未能证明黄红娘医疗费用中包含肝囊肿、高血压的治疗。另外，庄灿祥的侵权行为与黄红娘的血压升高亦存在一定的因果关系，故庄灿祥要求剔除部分医疗费的理由不成立，本院予以驳回。2.误工费。《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》第十七条规定，受害人遭受人身损害，因误工减少的收入，赔偿义务人应当予以赔偿。本案中，黄红娘虽然年满六十岁，但其受伤前在美扶建材市场经营瓷砖零售业务，未丧失劳动能力。故一审法院参照批发、零售业的标准计算黄红娘的误工费并无不当。庄灿祥以黄红娘超过六十岁为由，主张不存在误工费的上诉理由不成立，本院不予采信。3.护理费。《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》第二十一条规定，护理人员有收入的，参照误工费的规定计算。黄红娘受伤后由其丈夫李清平护理，李清平在美扶建材市场经营瓷砖零售业务并有自己的店铺，有固定收入。一审法院参照批发、零售业的标准计算李清平的护理费并无不当。4.营养费。《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》第二十四条规定，营养费根据受害人伤残情况参照医疗机构的意见确定。海南省人民医院法医鉴定中心鉴定黄红娘的营养期为90天。一审法院按50元/天的标准计算黄红娘的营养费合法合理。庄灿祥主张按30元/天的标准计算营养费的理由不成立，本院不予采信。
综上所述，庄灿祥的上诉请求不能成立，应予驳回；一审判决认定事实清楚，适用法律正确，应予维持。依照《中华人民共和国民事诉讼法》第一百七十条第一款第（一）项之规定，判决如下：
驳回上诉，维持原判。
二审案件受理费2440元，由庄灿祥负担。
本判决为终审判决。
审判长沈美萍
审判员徐忠贵
审判员雷琼艳
二○一七年十一月八日
书记员刘欣
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