| 關 鍵 詞： |
因果關係；醫療損害；醫療過失；醫療鑑定；證據調查 |
| 中文摘要： |
醫療過失爭點多樣而龐雜，法院囿於專業限制，在證據調查時難免千頭萬緒，不易聚焦。然而除過失之外，因果關係亦係損害賠償責任成立之核心要件：醫療處置縱有過失，仍須過失與病患所受損害間具有相當因果關係，醫方始需負賠償責任。於如本案醫療損害發生之直接原因為罕見特殊醫療事故（氣體栓塞）之案例類型，法院之證據調查或可由因果關係切入，過濾無關爭點，迅速聚焦於最核心的醫療爭點。
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| 英文關鍵詞： |
causal relationship；medical damage；medical negligence；medical appraisal；evidence investigation |
| 英文摘要： |
Types of medical negligence are diverse and complex. Courts are bound by professional constraints, and it is inevitably difficult to focus in the discovery process. However, in addition to negligence, causation is a critical element in determining liability for damages. Even if there is negligence in medical treatment, there must still be a significant causal relationship between the negligence and the harm suffered by the patient before the medical provider can be held liable for damages. In a case such as this, where the proximate cause of the medical harm is a rare and unique medical event （gas embolism）, the court5s evidentiary inquiry can be approached through the lens of causation, filtering out irrelevant issues and quickly focusing on the core medical issues.
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| 目 次： |
壹、案件概述
一、案件事實
二、病家主張
三、專家意見
四、各審判決摘要
貳、判決評析
一、醫療民事損害賠償責任成立之核心要件
二、本案涉及之醫療過失態樣
三、本案醫療過失與損害之因果關係
四、關於本案證據調查之建議
五、結語
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