海南省儋州市人民法院
p t ; ” > 民 事 调 解 书
(2017)琼9003民初3001号
海南省儋州市人民法院
民事调解书
（2017）琼9003民初3001号
原告：符小波，女，1986年8月2日出生，汉族，海南省儋州市人，住儋州市，公民身份号码：×××。
委托诉讼代理人：韦桂庆，海南川海律师事务所律师。
被告：儋州市人民医院，住所地儋州市那大镇大通路****号。
法定代表人：羊轶驹，院长。
委托诉讼代理人：许杰，北京大成（海口）律师事务所律师。
委托诉讼代理人：李幸，该医院职工。
原告符小波诉被告儋州市人民医院医疗损害责任纠纷一案，本院于2017年6月6日立案后，依法适用简易程序公开开庭进行了审理。
原告符小波向本院提出诉讼请求：1.判令被告向原告支付医疗费25604.4元、误工费51150元、住院伙食补助费4500元、营养费4500元、护理费6750元、交通费20000元、用品费用601.1元、住宿费1500元、伙食费2000元、被扶养人生活费17113.5元、残疾赔偿金56906元、精神损害抚慰金50000元、鉴定费8400元，共计249025元；2.案件受理费由被告负担。事实和理由：2015年8月1日，原告因分娩到被告处住院，入院当天即进行相关检查。当天凌晨2时，原告被推入手术室，3时20分，原告顺产生下一名男婴，4时许，被告当班医生对原告会阴处进行缝合。在缝合过程中，因其他产妇需要接生，被告医生在未对原告采取任何措施的情况下当即暂停对原告会阴处的缝合，转而为其他产妇接生，十余分钟后才返回原告处继续为原告缝合，并称原告的会阴处有裂开迹象难以缝合。次日，原告便发现阴道内有粪便流出，便向当班医生反映上述异常情况，被告处多名医生均称属正常现象。2015年8月8日，原告因拆线再次返回被告处复诊，被告医生张小蕾为原告拆线后，仅告知原告用PP粉坐浴浴15分钟，早晚各一次，未对原告反映的异常情况采取任何诊疗措施。8月11日，原告因身体不适再次到被告处复查，被告妇产科主任仍坚称，阴道内有粪便流出系原告顺产时用力不当所致，属产后正常现象，建议原告3至6个月后手术缝合。2015年10月，原告前往儋州市妇幼保健院检查才得知，身体不适的根源在于分娩时被告医生对原告会阴处缝合不当致使原告患上直肠引导瘘，且伤口达3公分。2016年5月31日，原告前往江苏省中医院住院治疗，入院后经检查，原告因自然分娩出现阴道内粪便流出，便质较稀时尤为明显，直肠前壁与阴道后壁相通，直肠阴道隔下二分之一缺口，瘘口顶端达宫颈平面下方，宽约2.5cm，长约4cm，会阴体尚完整，确诊为直肠尹道瘘。需要直肠阴道瘘会阴修补术。2017年7月12日，原告经过42天的住院治疗后，虽然瘘口被修复，但至今仍无法长时间行走，且之后无法再通过顺产方式生育第二胎。尔后，经原告申请儋州市人民法院就被告对原告的诊疗行为是否存在过失，其过失与原告的损害后果之间是否存在因果关系，原告构成的伤残等级、后续治疗费等事宜委托鉴定机构进行鉴定，三亚市人民医院法医鉴定中心于2017年10月9日作出鉴定意见：被告对原告的诊疗行为存在过错，且与原告的直肠阴道瘘之间存在因果关系，原因力为主要因素。构成十级伤残。误工期为341天、护理期为45天、营养期30天。实际发生鉴定费8400元。原告认为，被告违反医疗规范和常规，在未对原告会阴处完全缝合的情况下，暂停对原告会阴处的缝合，当即为其他产妇接生，会阴处缝合不当等，致使原告患上直肠阴道瘘。并在原告患上直肠阴道瘘后，在长达九个月时间里未能及时发现，存在多次误诊行为，继而使原告病情加重，忍受长达一年粪便由阴道排出的痛苦，给原告的精神和肉体带来了极大的伤害。正是被告极不负责的诊疗行为，才导致患者病情出现恶化，直至患上直肠阴道瘘，至今无法长时间行走，故被告存在严重的医疗过错行为，给原告造成了严重的损害后果，医疗过错行为与原告损害后果之间因果关系十分明确，被告的行为构成侵权。
本院审理过程中，经本院主持调解，当事人自愿达成如下协议：
一、被告儋州市人民医院于2017年11月25日前向原告符小波赔偿医疗费17923元、误工费26496元、住院伙食补助费3150元、营养费1050元、护理费3497元、交通费7525元、残疾赔偿金16580元、精神损害抚慰金17377元，共计93598元。
二、原告符小波与被告儋州市人民医院不得再因本次医疗纠纷相互主张任何权利。
上述协议，不违反法律规定，本院予以确认。
本案受理费745元、鉴定费8400元，共计9145元（原告已预付），由原告符小波负担2743元，由被告儋州市人民医院负担6402元。
本调解协议经各方当事人在笔录上签名或者盖章，本院予以确认后即具有法律效力。
审判员蔡玉谷
二O一七年十一月七日
书记员羊琳
附本案适用的相关法律条文：
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[{法规名称:\'《中华人民共和国刑法》\',Items:[{法条名称:\'第一百三十三条之一第一款\',法条内容:\' 第一百三十三条之一
在道路上驾驶机动车追逐竞驶，情节恶劣的，或者在道路上醉酒驾驶机动车的，处拘役，并处罚金。
有前款行为，同时构成其他犯罪的，依照处罚较重的规定定罪处罚。
\'},{法条名称:\'第六十七条第一款\',法条内容:\' 第六十七条
犯罪以后自动投案，如实供述自己的罪行的，是自首。对于自首的犯罪分子，可以从轻或者减轻处罚。其中，犯罪较轻的，可以免除处罚。
被采取强制措施的犯罪嫌疑人、被告人和正在服刑的罪犯，如实供述司法机关还未掌握的本人其他罪行的，以自首论。
犯罪嫌疑人虽不具有前两款规定的自首情节，但是如实供述自己罪行的，可以从轻处罚；因其如实供述自己罪行，避免特别严重后果发生的，可以减轻处罚。
\'},{法条名称:\'第六十七条第一款\',法条内容:\'
第六十七条 犯罪以后自动投案，如实供述自己的罪行的，是自首。对于自首的犯罪分子，可以从轻或者减轻处罚。其中，犯罪较轻的，可以免除处罚。
被采取强制措施的犯罪嫌疑人、被告人和正在服刑的罪犯，如实供述司法机关还未掌握的本人其他罪行的，以自首论。
\'},{法条名称:\'第六十一条\',法条内容:\'
第六十一条
对于犯罪分子决定刑罚的时候，应当根据犯罪的事实、犯罪的性质、情节和对于社会的危害程度，依照本法的有关规定判处。
\'},{法条名称:\'第六十二条\',法条内容:\'
第六十二条 犯罪分子具有本法规定的从重处罚、从轻处罚情节的，应当在法定刑的限度以内判处刑罚。
\'},{法条名称:\'第六十四条\',法条内容:\'
第六十四条
犯罪分子违法所得的一切财物，应当予以追缴或者责令退赔；对被害人的合法财产，应当及时返还；违禁品和供犯罪所用的本人财物，应当予以没收。没收的财物和罚金，一律上缴国库，不得挪用和自行处理。
\'},{法条名称:\'第五十二条\',法条内容:\'
第五十二条 判处罚金，应当根据犯罪情节决定罚金数额。
\'},{法条名称:\'第七十二条第一款\',法条内容:\' 第七十二条
对于被判处拘役、三年以下有期徒刑的犯罪分子，同时符合下列条件的，可以宣告缓刑，对其中不满十八周岁的人、怀孕的妇女和已满七十五周岁的人，应当宣告缓刑：
（一）犯罪情节较轻；
（二）有悔罪表现；
（三）没有再犯罪的危险；
（四）宣告缓刑对所居住社区没有重大不良影响。
宣告缓刑，可以根据犯罪情况，同时禁止犯罪分子在缓刑考验期限内从事特定活动，进入特定区域、场所，接触特定的人。
被宣告缓刑的犯罪分子，如果被判处附加刑，附加刑仍须执行。
\'},{法条名称:\'第七十二条第一款\',法条内容:\' 第七十二条
对于被判处拘役、三年以下有期徒刑的犯罪分子，根据犯罪分子的犯罪情节和悔罪表现，适用缓刑确实不致再危害社会的，可以宣告缓刑。
被宣告缓刑的犯罪分子，如果被判处附加刑，附加刑仍须执行。
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