海南省高级人民法院
p t ; ” > 刑 事 裁 定 书
（2017）琼刑终59号
原公诉机关海南省人民检察院第一分院。
上诉人（原审被告人）陈昌文，男，1976年12月18日出生，汉族，四川省屏山县人，初中文化，农民工，户籍地四川省屏山县，住海南省文昌市。因涉嫌犯故意伤害罪，于2015年11月13日被刑事拘留，同年12月18日被逮捕。现羁押于文昌市看守所。
上诉人（原审被告人）杨世彬，男，1976年2月14日出生，汉族，四川省屏山县人，小学文化，农民工，户籍地四川省屏山县，住海南省文昌市。因涉嫌犯故意伤害罪，于2015年11月13日被刑事拘留，同年12月18日被逮捕。现羁押于文昌市看守所。
辩护人冼秋玉，海南昌宇律师事务所律师。
上诉人（原审被告人）周玖华，男，1982年12月27日出生，汉族，四川省马边彝族自治县人，小学文化，农民工，户籍地四川省马边彝族自治县，住海南省文昌市。因涉嫌犯故意伤害罪，于2015年11月13日被刑事拘留，同年12月18日被逮捕。现羁押于文昌市看守所。
辩护人尚志强，海南昌宇律师事务所律师。
原审被告人卢继涛，男，1988年5月25日出生，汉族，湖北省巴东县人，初中文化，农民工，户籍地湖北省巴东县，住海南省文昌市。因涉嫌犯故意伤害罪，于2015年11月13日被刑事拘留，同年12月18日被逮捕。现羁押于文昌市看守所。
海南省第一中级人民法院审理海南省人民检察院第一分院指控原审被告人陈昌文、周玖华、杨世彬、卢继涛犯故意伤害罪一案，于2016年12月12日作出（2016）琼96刑初64号刑事判决。宣判后，原审被告人陈昌文、杨世彬、周玖华不服，提出上诉。本院于2017年2月23日受理，依法组成合议庭，经阅卷、讯问各原审被告人、听取辩护人意见，认为本案事实清楚，决定不开庭审理。现已审理终结。
原判认定，2015年11月12日11时许，被告人陈昌文、周玖华、杨世彬、卢继涛在文昌市××镇顶楼天台进行水泥抹灰作业，被害人王某及妻子符学敏在该楼下安装烟道管。被告人陈昌文等人在作业过程中，水泥砂浆掉落到被害人王某安装的烟道管里，王某及妻子符学敏、妹妹王春风先后上到顶楼天台与陈昌文等人交涉，双方争吵后发生冲突，陈昌文持一把锄头朝王某打过去，致王某嘴角处流血，接着陈昌文持锄头推顶王某的胸部，王某拾起一根钢管欲还击，被告人卢继涛见状持铁铲将王某手中的钢管打掉，然后陈昌文、周玖华、杨世彬、卢继涛上前围殴王某。寇周海、张细恩、徐益新等人闻讯赶来劝开。尔后，徐益新、符学敏、王春风等人把王某拉下楼。当走到工地大门处时，王某挣脱后向26号楼方向跑去，徐益新、符学敏等人在后面追赶至26号楼的人工电梯处时，未见到王某。后符学敏在26号楼的三楼看见王某昏倒在地，王春风见状打120叫救护车将王某送往文昌市人民医院救治。后王某的亲属将王某转至海南省人民医院救治。2015年11月22日，被害人王某因抢救无效死亡。
经法医鉴定：王某系肺部感染造成感染性休克死亡，其肺部挫伤液体大量渗出引起肺部感染抗感染治疗无效造成感染性休克。
案发后，被告人陈昌文、周玖华、杨世彬、卢继涛的亲属各赔偿2万元给被害人王某家属。在审理过程中，四被告人的亲属共赔偿17万元给被害人家属。其中陈昌文、周玖华的亲属各赔偿5万元；卢继涛的亲属赔偿4万元；杨世彬的亲属赔偿3万元，四被告人均取得被害人家属的谅解。
原判认为，被告人陈昌文、周玖华、杨世彬、卢继涛因琐事持械共同故意伤害他人，致人死亡，其行为均已构成故意伤害罪。在共同犯罪中，陈昌文起主要作用，是主犯；周玖华、杨世彬、卢继涛起次要作用，是从犯，依法应从轻或减轻处罚。四被告人归案后能如实供述其犯罪事实，认罪态度较好，依法均可从轻处罚；四被告人的亲属已赔偿25万元给被害人的家属，取得了被害人家属的谅解，量刑时可酌情从轻考虑。原判依照《中华人民共和国刑法》第二百三十四条第二款、第二十五条第一款、第二十六条第一款、第二十七条、第五十六条第一款、第六十七条第三款之规定，判决：一、被告人陈昌文犯故意伤害罪，判处有期徒刑十年，剥夺政治权利一年。二、被告人杨世彬犯故意伤害罪，判处有期徒刑四年。三、被告人卢继涛犯故意伤害罪，判处有期徒刑三年六个月。四、被告人周玖华犯故意伤害罪，判处有期徒刑三年。
上诉人陈昌文的上诉理由为：被害人的轻伤是医疗行为导致，被害人的死亡并非陈昌文故意伤害行为所致，在案证据《法医学尸体检验鉴定书》存在错误，申请对被害人死亡原因重新鉴定。陈昌文仅实施轻微暴力，无伤害的故意，其行为构成过失致人死亡罪。陈昌文在共同犯罪中并非主犯，原判量刑畸重。请求本院依法改判。
上诉人杨世彬的上诉理由及其辩护人的辩护意见为：被害人轻伤和死亡的后果与杨世彬的行为无直接因果关系，杨世彬无伤害的故意，其行为构成过失致人死亡罪。被害人的死亡系一果多因。杨世彬系从犯、初犯，且已赔偿被害人亲属并获得谅解。请求本院对杨世彬从轻处罚并适用缓刑。
上诉人周玖华的上诉理由及其辩护人的辩护意见与杨世彬的意见一致。同时提出：被害人受伤下楼后曾激烈奔跑，致病情加重，且被害人系特殊体质，其死亡系一果多因。周玖华同时申请对被害人的死亡原因重新鉴定。
经审理查明，2015年11月12日上诉人陈昌文、杨世彬、周玖华、原审被告人卢继涛在海南省文昌市××镇清澜逸龙湾工地，因施工过程的琐事与被害人王某（男，殁年31岁）等人发生纠纷，陈昌文遂持锄头推打王某胸部，杨世彬、周玖华、卢继涛共同参与了故意伤害行为。王某受伤后经抢救无效死亡。
原判列举了认定上述事实的证据，经一审庭审举证、质证，证据来源合法，内容客观真实，与本案具有关联性，且能相互印证，足以认定本案事实，本院予以确认。
针对上诉人的上诉理由和辩护人的辩护意见，根据本案事实、证据和相关法律规定，本院综合评判如下：
（一）被害人王某的死亡结果，是否为陈昌文、杨世彬、周玖华、卢继涛共同故意伤害行为所致。经查，王某被打并晕倒在工地后即被送至医院救治，对该事实，四名被告人均供认不讳。被害人受伤入院直至死亡，一直在医院的重症监护室进行抢救。王某的住院记录、尸体检验鉴定意见证实，被害人在送至医院时即出现呼吸急促、咳粉红样泡沫痰等现象，经CT检查和会诊即确定了被害人双下肺重度挫伤、急性肺水肿、全身多处软组织挫伤，此时除进行气管插管进行保护性肺通气外，无手术治疗措施，是被害人被伤害后的直接后果。王某死亡的主要原因是肺部挫伤引发感染，抗感染治疗无效死亡。故王某的死亡结果是陈昌文、杨世彬、周玖华、卢继涛共同故意伤害行为造成。
（二）被害人王某的死亡结果是否存在一果多因。
1.关于被害人轻伤一级的鉴定意见。经查，王某被送到医院的当日16时至18时期间，医生为开通有效静脉通道对王某进行了右锁骨穿刺置管手术，以及为治疗右侧气胸，促使肺复张，进行了右侧气胸穿刺加置细管闭式引流手术。次日11时，医生查房记录中记载了”患者右侧气胸，考虑为深静脉穿刺时并发症”的字样，同时记载了王某”腹部可见多处挫伤伤痕”的字样，但之后并无确定结论。后经治疗气胸症状消失。辩护人据此认为被害人的轻伤系医疗事故引发。本院审查认为，医生查房的记录并非确定性意见，且穿刺置管并非气胸唯一形成原因，钝伤亦可形成。而王某被锄头重击胸部，就系钝伤。故不能认定治疗过程中的穿刺手术属于医疗过失。同时，被害人轻伤一级的鉴定意见，仅证实被害人被伤害当时的受伤情况，并非认定本案故意伤害致人死亡后果的依据。
2.关于被害人死亡原因的鉴定意见。经查，医院住院记录、鉴定意见证实，被害人入院时全身多处软组织挫伤、双下肺重度挫伤、急性创伤性肺水肿，继而出现多器官功能障碍综合征、肺部感染等症状。被害人系肺部受重度挫伤受损而感染，且抗感染治疗无效后死亡。故被害人死亡原因的鉴定意见客观、真实。
二审中，上诉人提出对死亡原因进行重新鉴定的申请。经审查，本案鉴定机构、鉴定人均具备法定资质，鉴定程序规范合法，鉴定结果与本案具有关联性，依法应予采纳。上诉人申请重新鉴定的理由不能成立，予以驳回。
3.被害人的特殊体质、受伤后奔跑是否系被害人死亡的原因之一。经查，王某住院治疗记录、尸体检验鉴定意见等证据证实，王某患有的肾上腺嗜铬细胞瘤并非加速被害人死亡的原因。而上诉人及其辩护人提出的被害人受伤后奔跑行为加速被害人死亡的意见无任何依据。
（三）原判认定各上诉人、原审被告人的行为构成故意伤害罪是否正确。经查，现场目击证人、被告人陈述、鉴定意见等证据证实，双方当时情绪激动，且均手持工具，但王某并未对上诉人方实施殴打或伤害行为。而王某被送至医院时，出现了呼吸急促、咳粉红样泡沫痰等现象，且被诊断为双下肺重度挫伤、急性肺水肿、全身多处软组织挫伤。结合现场目击证人、被告人的供述可以认定，本案四名上诉人、原审被告人均积极实施了对王某的伤害行为，且造成了王某经抢救无效死亡的严重后果。四人的行为均已构成故意伤害罪。上诉人及其辩护人关于构成过失致人死亡罪的意见不能成立。
（四）原判认定主犯、从犯是否正确、量刑是否适当。经查，陈昌文持锄头重击被害人胸部的行为是致被害人肺部重度挫伤的主要原因，原判认定其为主犯，认定杨世彬、周玖华、卢世涛为从犯正确。原判根据各上诉人、原审被告人在共同犯罪中的地位、作用、实施的具体行为、造成的后果、认罪态度、赔偿被害人方损失并获得谅解等法定、酌定量刑情节，对陈昌文判处有期徒刑十年、对杨世彬、卢继涛、周玖华判处三年至四年不等的有期徒刑，量刑适当。各上诉人及其辩护人关于原判量刑不当的意见不能成立。
综上，各上诉人的上诉理由及其辩护人的辩护意见均不能成立。
本院认为，原判认定上诉人陈昌文、杨世彬、周玖华、原审被告人卢继涛犯故意伤害罪的事实清楚，证据确实、充分，定罪准确，量刑适当。审判程序合法。各上诉人的上诉理由及其辩护人的辩护意见均不能成立，不予采纳。依照《中华人民共和国刑事诉讼法》第二百二十五条第一款第（一）项之规定，裁定如下：
驳回上诉，维持原判。
本裁定为终审裁定。
审判长赵军
审判员李文玉
审判员ＸＸ
法官助理蔡兴涛
法官助理蔡兴涛
书记员林芳著
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name: \"裁判日期\", key: \"trialDate\", value: \"2016-06-02\" },{ name: \"当事人\",
key: \"appellor\", value: \"高某某,邢某,邢某某,吕某某,某保险公司,某公司\" }],LegalBase:
[{法规名称:\'《中华人民共和国道路交通安全法（2011年）》\',Items:[{法条名称:\'第七十六条第一款\',法条内容:\' 第七十六条
机动车发生交通事故造成人身伤亡、财产损失的，由保险公司在机动车第三者责任强制保险责任限额范围内予以赔偿；不足的部分，按照下列规定承担赔偿责任：
（一）机动车之间发生交通事故的，由有过错的一方承担赔偿责任；双方都有过错的，按照各自过错的比例分担责任。
（二）机动车与非机动车驾驶人、行人之间发生交通事故，非机动车驾驶人、行人没有过错的，由机动车一方承担赔偿责任；有证据证明非机动车驾驶人、行人有过错的，根据过错程度适当减轻机动车一方的赔偿责任；机动车一方没有过错的，承担不超过百分之十的赔偿责任。
交通事故的损失是由非机动车驾驶人、行人故意碰撞机动车造成的，机动车一方不承担赔偿责任。
\'}]},{法规名称:\'《中华人民共和国侵权责任法》\',Items:[{法条名称:\'第十六条\',法条内容:\'
第十六条
侵害他人造成人身损害的，应当赔偿医疗费、护理费、交通费等为治疗和康复支出的合理费用，以及因误工减少的收入。造成残疾的，还应当赔偿残疾生活辅助具费和残疾赔偿金。造成死亡的，还应当赔偿丧葬费和死亡赔偿金。
\'},{法条名称:\'第二十二条\',法条内容:\'
第二十二条
侵害他人人身权益，造成他人严重精神损害的，被侵权人可以请求精神损害赔偿。
\'}]},{法规名称:\'《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》\',Items:[{法条名称:\'第二十七条\',法条内容:\'
第二十七条 丧葬费按照受诉法院所在地上一年度职工月平均工资标准，以六个月总额计算。
\'},{法条名称:\'第二十八条第一款\',法条内容:\'
第二十八条
被扶养人生活费根据扶养人丧失劳动能力程度，按照受诉法院所在地上一年度城镇居民人均消费性支出和农村居民人均年生活消费支出标准计算。被扶养人为未成年人的，计算至十八周岁；被扶养人无劳动能力又无其他生活来源的，计算二十年。但六十周岁以上的，年龄每增加一岁减少一年；七十五周岁以上的，按五年计算。
被扶养人是指受害人依法应当承担扶养义务的未成年人或者丧失劳动能力又无其他生活来源的成年近亲属。被扶养人还有其他扶养人的，赔偿义务人只赔偿受害人依法应当负担的部分。被扶养人有数人的，年赔偿总额累计不超过上一年度城镇居民人均消费性支出额或者农村居民人均年生活消费支出额。
\'},{法条名称:\'第二十九条\',法条内容:\'
第二十九条
死亡赔偿金按照受诉法院所在地上一年度城镇居民人均可支配收入或者农村居民人均纯收入标准，按二十年计算。但六十周岁以上的，年龄每增加一岁减少一年；七十五周岁以上的，按五年计算。
\'}]}]};if
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