海南省第二中级人民法院
p t ; ” > 民 事 判 决 书
（2017）琼97民终1451号
海南省第二中级人民法院
民事判决书
（2017）琼97民终1451号
上诉人（原审原告）:陈人福，男，1962年12月27日出生，汉族，住海南省乐东黎族自治县。
委托诉讼代理人：邢孔忠，乐东黎族自治县天地法律事务所法律工作者。
被上诉人（原审被告）：李濠，男，1984年6月10日出生，汉族，住海南省乐东黎族自治县。
委托诉讼代理人：高芳亮，男，1972年6月30日出生，汉族，住海南省乐东黎族自治县。
上诉人陈人福因与被上诉人李濠生命权、健康权、身体权纠纷一案，不服海南省乐东黎族自治县人民法院（2017）琼9027民初599号民事判决，向本院提起上诉。本院于2017年11月22日立案后，依法组成合议庭进行了审理。本案现已审理终结。
陈人福上诉请求：1.撤销海南省乐东黎族自治县人民法院（2017）琼9027民初599号民事判决；2.依法改判李濠一次性赔偿陈人福14980元（包括医疗费8180元，误工费1600元，住院伙食补助费600元，护理费1200元，交通费400元，精神抚慰金3000元）。事实和理由：1.一审判决认定的医疗费错误。一审判决已经认定陈人福在乐东黎族自治县第二人民医院检查治疗和海口市人民医院检查的事实，虽然陈人福在一审时没有提交医疗费的收据，但提供了每日住院治疗的费用清单，该清单足以证明陈人福住院治疗的天数和费用，故李濠应赔偿陈人福的医疗费为8180元，而不是3038元。2.误工费的认定错误。陈人福受伤后在乐东黎族自治县第二人民医院住院治疗12天，在海口市人民医院检查4天，共计16天。李濠应赔偿陈人福误工费1600元（100元/天×16天）。3.住院伙食补助费认定错误。陈人福受伤后在乐东黎族自治县第二人民医院住院治疗12天。李濠应赔偿陈人福住院伙食补助费600元（50元/天×12天）。4.护理费认定错误。陈人福受伤后在乐东黎族自治县第二人民医院住院治疗12天，李濠应赔偿陈人福护理费1200元（100元/天×12天）。5.精神抚慰金认定错误。李濠打伤陈人福，经诊断为”脑震荡”，法医鉴定为”轻微伤”，至今头晕，夜不能寐，给身体造成了伤害，心灵上造成了创伤和打击，李濠应赔偿陈人福精神抚慰金3000元。综上，一审判决认定事实错误，判决结果显失偏颇，请求二审法院支持陈人福的上诉请求。
李濠辩称，一、一审判决认定事实清楚。2017年5月6日晚上八点左右，李濠因与他人发生争执时误伤到陈人福，陈人福当即到乐东黎族自治县第二人民医院检查和治疗，5月21日又到海口市人民医院详细检查。一审判决认定事实正确。二、一审判决采信证据和适用法律正确，应予维持，陈人福的上诉请求缺乏事实根据，应予驳回。1.陈人福主张其医疗费为8180元，但其不能提供病历、诊断证明、入院记录、出院记录等相关证据，应承担举证不能的后果。一审法院认定陈人福提供乐东黎族自治县第二人民医院和海口市人民医院出具的10张总金额为3038元的门诊收费票据，符合法律规定。2.陈人福主张误工费20000元、护理费3000元、营养费2000元没有事实根据。陈人福仅为轻微伤，其未提供病历、诊断证明、入院记录、出院记录等相关证据来证明其住院时间，应视为该三项费用没有实际发生。3.陈人福仅为轻微伤，达不到伤残等级评定的标准，陈人福也未提交伤残鉴定结论，其主张李濠赔偿伤残赔偿金10000元没有事实根据。4.陈人福仅为轻微伤，不能适用最高人民法院关于需要赔偿精神抚慰金的司法解释，故其请求赔偿精神抚慰金10000元没有法律依据。三、陈人福二审期间变更和调整诉讼请求没有法律依据。陈人福在二审中变更其主张的误工费、护理费、营养费、精神抚慰金的金额，撤销伤残补偿金的请求，不符合民事诉讼法的相关规定，应依法驳回。综上，一审判决认定事实清楚，适用法律正确，应予维持。
陈人福向一审法院起诉请求：判令李濠赔偿陈人福医药费8180元、误工费20000元、护理费3000元、营养费2000元、伤残补偿金10000元、精神损失费20000元、交通费400元。
一审法院认定事实：2017年5月6日晚8点许，陈人福与朋友陈才坚、邢陈冲在家中喝茶，被在陈人福家门外的李濠扔来的一块石头击中头部，导致陈人福头部受伤流血。之后，陈人福被送往乐东黎族自治县第二人民医院检查和治疗，检查费185元。因为还有不适，2017年5月21日，陈人福前往海口市人民医院做进一步详细检查，发生门诊费2853元。
一审法院认为，本案争议的焦点：李濠应赔偿陈人福的项目及赔偿数额。陈人福主张李濠赔偿医药费8180元，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》第十九条第一款规定：”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。赔偿义务人对治疗的必要性和合理性有异议的，应当承担相应的举证责任。”，陈人福提供的证据《乐东黎族自治县第二人民医院在院病人费用明细单》载明的费用，未经医疗机构盖章，陈人福也不能提供合法的收费凭证证明，应承担举证不能的后果；陈人福提供的1张乐东黎族自治县第二人民医院的门诊收费票据和9张海口市人民医院医疗门诊收费票据，费用共计3038元，陈人福虽没有提供相关病历及诊断证明等予以佐证，但合乎情理，予以确认。陈人福主张误工费20000元、护理费3000元、营养费2000元，但陈人福没有提供证据证明其住院治疗时间及其收入状况，也没有证据证明护理人员的收入状况和护理期限以及未证明有医嘱加强营养，故陈人福的上述主张不予支持。陈人福主张伤残补偿金10000元，但陈人福未提供证据证明其伤残情况，应承担举证不能的后果。李濠的行为造成陈人福左顶部头皮创伤，经鉴定属轻微伤，未造成严重后果，故陈人福主张精神损失费20000元，不予支持。陈人福主张往返海口治疗的车票400元，提供票据为凭，与其就医情况相符，予以支持。综上所述，陈人福应赔偿李濠医疗费3038元和交通费400元共计3438元。一审法院依据《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》第十九条第一款，第二十条第一款、第二款，第二十一条第一款，第二十二条，第二十四条，第二十五条第一款，《最高人民法院关于确定民事侵权精神损害赔偿责任若干问题的解释》第八条第一款，《中华人民共和国民事诉讼法》第六十四条第一款、《最高人民法院关于民事诉讼证据的若干规定》第二条规定，判决：一、李濠于判决发生法律效力之日起五日内赔偿3438元给陈人福；二、驳回陈人福的其他诉讼请求。如果未按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》第二百五十三条规定，加倍支付迟延履行期间的债务利息。案件受理费318元，由陈人福负担268元，李濠负担50元。
二审中，陈人福围绕上诉请求提交8份证据：1.乐东黎族自治县第二人民医院病历；2.乐东黎族自治县第二人民医院在院病人费用明细清单；3.乐东黎族自治县第二人民医院疾病诊断证明书；4.乐东黎族自治县第二人民医院出院记录；5.乐东黎族自治县第二人民医院医疗门诊收费票据；6.乐东黎族自治县第二人民医院医疗住院收费票据；7.海口市人民医院医疗门诊收费票据；8.高铁车票。以上8份证据拟共同证明陈人福被李濠打伤后，在乐东黎族自治县第二人民医院和海口市人民医院检查治疗的事实，并经诊断为”脑震荡”，以及主张医疗费、误工费、住院伙食补助费、伙食费、交通费和精神抚慰金的依据。李濠对证据1、2、3的真实性、关联性、证明力均有异议，认为陈人福应在一审中提交该三份证据，但其没有提交。李濠对陈人福提交的其他证据的真实性没有异议，但认为陈人福受的是轻微伤，没有必要再到海口市人民医院进行治疗，且其提交的证据7显示陈人福检查的是喉咙、胸部等位置，与本案受伤的部位没有关联性。经质证，本院认为，陈人福提交的8份证据与本案的基本事实有关，能反映其受伤后就诊的真实情况，故对陈人福提交的8份证据的真实性、合法性、关联性、证明力均予以确认。
本院二审查明，陈人福在乐东黎族自治县第二人民医院住院12天，住院总费用为5142.32元，门诊费为184.77元。本院二审查明的其他事实与一审一致，本院予以确认。
本院认为，本案二审的争议焦点是陈人福被李濠所伤后造成经济损失的具体数额是多少。关于医疗费，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》第十九条第一款的规定，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。本案中，陈人福受伤后先后在乐东黎族自治县第二人民医院住院治疗12天、在海口市人民医院检查治疗。乐东黎族自治县第二人民医院出具的《在院病人费用明细清单》及《门诊收费票据》、《住院收费票据》，海口市人民医院出具的《医疗门诊收费票据》能相互印证，足以证明陈人福在乐东黎族自治县第二人民医院共花费医疗费5327.09元，在海口市人民医院共花费的医疗费中的1101.3元与本案陈人福头部伤害的检查相关，本院予以认定，其中1751.8元用于检查治疗心血管内科、耳鼻喉科，与本案陈人福头部伤害无关，且李濠对此有异议，本院不予认定。故陈人福先后共花费医疗费为6428.39元，一审法院认定陈人福的医疗费为3038元，与陈人福二审提交的证据显示的金额不符，应予纠正。关于误工费和护理费，陈人福主张其和妻子是农村户口，在当地装空调做散工，但无法举证证明其近三年的平均收入，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》第二十条第三款规定，受害人不能举证证明其最近三年的平均收入状况的，可以参照受诉法院所在地相同或者相近行业上一年度职工的平均工资计算。参照《海南省交警公布2015-2016年度海南省道路交通事故人身损害赔偿项目和计算标准》，居民服务、维修和其他服务业年平均工资为27629元。故陈人福的误工费和护理费均为：908元（27629元/年÷365天×12天）。关于住院伙食补助费，参照当地国家机关一般工作人员的出差伙食补助标准为：100元/天×12天=1200元。一审法院未认定陈人福的误工费、护理费和住院伙食补助费，与实际情况不符，应予纠正。关于交通费，一审法院认定陈人福往返海口治疗的车费400元，有票据为凭，与其就医情况相符，应予维持。关于精神损害抚慰金，李濠的行为造成陈人福左顶部头皮创伤，经鉴定属轻微伤，未造成严重后果，一审法院根据《最高人民法院关于确定民事侵权精神损害赔偿责任若干问题的解释》第八条第一款规定，未支持其关于要求赔偿精神损害抚慰金的请求，符合法律规定，应予维持。综上，陈人福的经济损失为：医疗费6428.39元、误工费908元、护理费908元、住院伙食补助费1200元、交通费400元。合计：9844.39元。
综上所述，陈人福的部分上诉请求成立，依法予以支持；一审判决认定事实部分不清，处理结果不当，应予纠正。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》第十九条第一款、第二十条第三款、第二十二条，《中华人民共和国民事诉讼法》第一百七十条第一款第（二）项之规定，判决如下：
一、撤销海南省乐东黎族自治县人民法院（2017）琼9027民初599号民事判决第二项，即”驳回陈人福的其他诉讼请求”；
二、变更海南省乐东黎族自治县人民法院（2017）琼9027民初599号民事判决第一项为：李濠于本判决发生法律效力之日起15日内赔偿9844.39元给陈人福；
三、驳回陈人福的其他诉讼请求。
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。
一审案件受理费318元，由陈人福负担268元，李濠负担50元；二审案件受理费636元，由陈人福负担436元，李濠负担200元。
本判决为终审判决。
审判长徐忠贵
审判员沈美萍
审判员雷琼艳
二○一七年十二月二十一日
书记员郑若昕
附：本案适用的相关法律条文
《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。赔偿义务人对治疗的必要性和合理性有异议的，应当承担相应的举证责任。
第二十条误工费根据受害人的误工时间和收入状况确定。
误工时间根据受害人接受治疗的医疗机构出具的证明确定。受害人因伤致残持续误工的，误工时间可以计算至定残日前一天。
受害人有固定收入的，误工费按照实际减少的收入计算。受害人无固定收入的，按照其最近三年的平均收入计算；受害人不能举证证明其最近三年的平均收入状况的，可以参照受诉法院所在地相同或者相近行业上一年度职工的平均工资计算。
第二十二条交通费根据受害人及其必要的陪护人员因就医或者转院治疗实际发生的费用计算。交通费应当以正式票据为凭；有关凭据应当与就医地点、时间、人数、次数相符合。
《中华人民共和国民事诉讼法》
第一百七十条第二审人民法院对上诉案件，经过审理，按照下列情形，分别处理：
（一）原判决、裁定认定事实清楚，适用法律正确的，以判决、裁定方式驳回上诉，维持原判决、裁定；
（二）原判决、裁定认定事实错误或者适用法律错误的，以判决、裁定方式依法改判、撤销或者变更；
（三）原判决认定基本事实不清的，裁定撤销原判决，发回原审人民法院重审，或者查清事实后改判；
（四）原判决遗漏当事人或者违法缺席判决等严重违反法定程序的，裁定撤销原判决，发回原审人民法院重审。
原审人民法院对发回重审的案件作出判决后，当事人提起上诉的，第二审人民法院不得再次发回重审。
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