원문정보
초록
영어
The purpose of this study was to investigate the importance of continuous and detailed follow-up of patients after spinal surgery by reviewing the literature on epidural hematoma and the lower court ruling on lumbar MRI during the judgment on the negligence of postoperative follow-up. In the case of neglecting MRI examination or cooperation after surgery, delaying MRI examination after pain and symptom appeal after surgery, and returning home immediately after neurological symptom development after surgery, negligence in progress observation was recognized. In the case of the case where the negligence was not recognized even after the occurrence of the aftereffects by taking measures against the symptoms, and the case where the scope of the doctor 's discretion for the execution of the test was recognized, It is hoped that this study will help prevent medical accidents and disputes related to follow-up after spinal surgery by increasing awareness of the importance of prompt MRI examination, diagnosis, surgical treatment, and power, especially in the case of new neurological symptoms.
목차
II. 이 연구의 배경이 된 의학적인 검토
1. 척추 수술(시술) 후 발생한 척추 경막외 혈종
2. 자발성 척추 경막외 혈종
III. 수술 후 MRI 시행 관련 하급심 판결례
1. 수술 후 MRI 검사나 협진을 게을리한 사례 - 인천지방법원 2021. 10. 19. 선고 2020가합56987 판결
2. 수술 후 통증 및 증상 호소에도 MRI 검사를 지체한 사례 - 서울북부지방법원 2023. 1. 12. 선고 2020가단121776 판결
3. 시술 후 신경학적 증상 발현에도 바로 귀가 조치한 사례 - 서울남부지방법원 2018. 9. 11. 선고 2017가합110114 판결
4. 증상에 대해 조치하여 후유증상 발생에 과실이 인정되지 않은 사례 - 서울북부지방법원 2021. 9. 9. 선고 2020가합27338 판결
5. 검사 시행에 대한 의사의 재량범위를 인정한 사례 - 수원지방법원 안산지원 2022. 8. 18. 선고 2019가합9597 판결
IV. 마치며
〔 참고문헌 〕
[국문초록]
=ABSTRACT=