2. Kim;

3. Kim △△△;

Address omitted

[Judgment of the court below]

The address omitted.

Representative Director

Law Firm Doz.

Attorney Lee In-bok

The following facts are not disputed between the parties:

A. The plaintiff Kim 00 is the husband of the deceased ○○○ (hereinafter "the deceased"), who was under medical treatment at the university hospital of 00 operated by the defendant (hereinafter "the defendant hospital"), and the plaintiff Kim △△ and Kim △△△ are the children of the deceased.

B. On February 27, 2002, the Deceased visited ○○○○○○○○○○○○○○○○○○○○○○○○○○, upon receiving the consent of the head of the deceased, died of the deceased on March 27, 2002, following the Defendant hospital’s emergency room and hospitalized the Defendant hospital from that time on February 28, 2002.

2. The parties' assertion

A. The plaintiffs were two copies, the deceased's donation, the blood plate reduction, the blood plate , the blood transfusion , the pulp, the pulp, the pulp, the coconium, and the pulposis. Thus, when the defendant hospital makes a comprehensive determination of the deceased's values and clinical symptoms other than the symptoms of the decrease in the blood plate with respect to the deceased, the defendant hospital must naturally diagnose the deceased's symptoms as a sulpulphal sulpura ("TTPP"), and it should examine the deceased's symptoms as a sulphal sulpura ("TTP"), and the defendant hospital should simply diagnose the blood plate decrease with the blood plate decrease, which shall not be implemented from time to time, and then diagnosed the deceased into Kim TPP and diagnosed the deceased into Kim TPP and implement the compensation for damages from 00,000 won to 30,000 won for the death of the deceased, the defendant hospital and the deceased's damages from 100,000 won to 30,00 won of the deceased.

나. 이에 대하여 피고는, TTP는 미세혈관병성 용혈성 빈혈, 혈소판 감소성 자반, 신경학적 증상, 신기능 장애, 발열 증세와 함께 쿰즈 검사 결과 음성으로 나타나고 말초 혈액도말검사에서 용혈성 빈혈과 함께 분절적혈구가 관찰되어야 하는데, 망인에 대한 2002. 2. 27.자 말초혈액도말검사 결과 가벼운 빈혈만 관찰되었을 뿐 미세혈관병성 용혈성 빈혈 소견이 관찰되지 않았고, 2002. 3. 2. 실시한 쿰즈 검사 결과 양성으로 나타났는바, 이와 같은 망인의 내원당시 임상증세와 검사실 소견 결과는 TTP 증상이 전혀 아니고 이는 특발성 혈소판 감소성 자반증(Idiopathic Thrombocytopenic Purpura, 이하 'ITP'라 한다)에 오히려 가까운 것으로서 피고 병원이 ITP로 의심하고 이에 대한 치료를 한 것에 과실이 있다고 할 수 없고, 2002. 3. 16. 망인에 대한 혈액검사 상 비로소 이전 검사와 달리 분절적혈구가 관찰되어 미세혈관병성 용혈성 빈혈 소견이 보였고 쿰즈 검사 결과도 음성으로 나타나 망인을 TTP로 진단하고 그에 따른 혈장교환술을 시행하였으므로 피고의 망인에 대한 진단 및 치료에 과실이 있다고 할 수 없다고 주장한다.

3. Facts of recognition;

The following facts are not disputed between the parties, or acknowledged in full view of the overall purport of arguments as to the results of each medical record appraisal conducted on July 12, 2004 and June 16, 2004, as follows: Gap 1, 2, 11-1 through 30, Eul 1-1-1 through 10, Eul 2-4, 5-1 through 68, and Eul 5-1 through 68, and the purport of each of the medical record appraisal conducted on June 16, 2004.

A. The course of hospitalization of the Deceased’s Defendant Hospital

(1) On February 27, 2002, the Deceased visited ○○○ Medical Center as the head of the ○○○○○○ Center on the deceased. As a result of the Ma○○○○’s Malaysia’s Malaysia test on the deceased, the normal blood plate’s top is about 150,00 or 400 or 15,000 mm per mm in the case of the Deceased. (2) On February 28, 2002, ○○○○ prepared a written request for a medical treatment that is suspected of being suspected of having a serious blood plate decline and a minor frequently, and the deceased was hospitalized at the Defendant hospital by undergoing an emergency medical examination, such as blood, urology test, and blood response test.

B. Treatment at the Defendant Hospital and the reason of the deceased’s death

(1) On February 15, 200 on February 27, 2002, 15,000 /mm, 6,000/mm on March 1, 2002, 7,000 on March 9, 2002, 13,000 /mm on March 11, 2002, 5,000 mmm on March 12, 2002, 8,000 / mmm on March 13, 2002, and 8,000 / i on March 13, 2002, each of which was ever lower than normal values. The Defendant hospital dives the blood plate from the deceased on the date of the above examination, and maintained the blood plate from the blood plate to the 14,000 /mm, but she maintained the blood plate from the blood plate to the 147,000 mmm.

(2) 피고 병원은 망인의 혈소판 감소증의 원인을 밝히기 위하여 2002. 3. 2. 용혈 성빈혈 검사인 쿰즈 검사를 실시한 결과 양성 결과가 나타났으며 분절적혈구가 발견되지 않았고, 2002. 3. 7. 골수검사를 할 때 시행한 혈액도말검사 결과 심한 혈소판 감소증과 빈혈 소견은 있었으나 분절적혈구는 발견되지 않았다. 이에 피고 병원은 망인에 대하여 ITP와 용혈성 빈혈을 보이는 자가면역 질환을 의심하고 발열로 인한 위험으로 항생제를 충분히 투여한 후 2002. 3. 12.부터 면역억제제인 스테로이드를 투여하였다. (3) 한편 피고 병원은 2002. 3. 8. 망인에게 멕소롱을 주사하였으나, 주사 이후 망인이 구토하고 혼자 중얼거리는 증상이 나타났고, 2002. 3. 12.부터 사람을 알아보지 못하고 정신이 혼미해지는 등의 본격적인 신경학적 증상이 나타나기 시작하자 TTP의 가능성을 고려하였다.

(4) From March 14, 2002, the Defendant hospital started to seek advice from maths, etc. on the deceased as the blood plate value did not dypher the blood plate value even after the blood plate refund, and gave blood transfusion to the deceased in six units.

(5) 피고 병원은 2002. 3. 16. 망인에 대한 말초혈액도말검사를 다시 하였는데, 그 결과 이전 검사와 달리 분절적혈구가 관찰되어 미세혈관병성 용혈성 빈혈 소견을 보였고, 쿰즈 검사 결과도 음성으로 나타났다.

(6) Since then, the Defendant Hospital diagnosed the Deceased as TTPP and carried out the blood exchange surgery seven times from March 18, 2002 to March 25, 2002. However, the Deceased died due to TTPP, which is the preceding company, TP aggravation, the middle-line event, and the cardiopulmonary suspension, which is the direct death.

(c) Relevant medical knowledge;

(1) The main function of the blood plate generated from the main body of the blood plate’s blood plate’s blood plate’s dystrophism dystrophism. If the blood plate decreases, the blood plate’s blood plate’s blood plate’s blood plate’s blood plate’s blood plate’s blood plate’s blood plate’s blood plate’s blood plate’s 140,000-150,000. The blood plate’s blood plate’s blood plate’s blood plate’s blood plate’s 1mm is safe, and the blood plate’s blood plate’s blood plate’s 50,000/mm is easily made without any symptoms. If the blood plate’s blood plate’s 20,000/mm is less than a normal blood plate’s blood plate’s blood plate’s blood plate’s blood plate’s 1mm. In other words, it is absolutely required to stabilize and treat natural blood.

(2) A scarcity scarcity scarcity scarcitys (ITP)

A)Definition

ITP is a diagnosis that could be attached when another person, such as immunodeficiency diseases, virus infections, and non-equipment brus, among diseases that occur when the creation of the blood plate was early destroyed in normal or blood, excludes various causes, such as chemical diseases, and the current person of the blood plate, is considered to be a disease by the body of the ship.

(B) The symptoms appearing as symptoms are the non-exploiting blood, mouth blood, salute, salute, and salute blood, etc. of the skin or the salute of the skin. The efic examination shows that patients under the efic examination are healthy and patients do not seem to have any degree any other than to the extent that they are associated with the salute. The eficial examination may lead to the formation of a hole or salute, coponing, etc., and there are general blood tests, blood malitha in the efic test, the reduction of the blood plate, the normal or increase of the efic cells cells cells cells.

(C) A diagnosis ① Independent blood plate decrease is required, ② another blood cell is normal, ③ there is no genetic disease, ④ there is no brupty, ⑤ normal fluoral fluoral fluoral fluoral fluoral fluoral fluoral fluoral fluoral fluoral fluoral fluoral fluoral fluoral fluoral fluoral fluoral fluor.

(d) Method of treatment

In general, when the blood plate is not more than 30,00/mm, or when the blood plate is 30,000/mm, it is to treat it by using the stetrad, and when there is blood transfusion or when it is necessary to conduct stevecing operations such as surgery, it is also to give blood transfusion. While reactioning to the sted, approximately 2/3 degree of the sted, a half of which is dependent on the stetra or after the use of the sted, and in this case, it is possible to use non-stecing or other immunitys, etc. In such a case, since the blood plate administered outside is no longer alive than the patient's blood plate, it is not widely used for IT treatment.

(3) A self-confluence (TP) of the decrease in the blood dystyposis

(A) Definition

TTPP is a rare fluoral fluoral fluoral dynasty, which shows five opinions, such as the fluoral fluoral fluoral dynastyosis, the fluoral fluoral dynasty, the fluoral dys

(2) The symptoms of the symptoms TTPP show symptoms, such as the fluoral decline, the fluoral typhism, the fluoral fluoral typhism, the fluoral typhism, the fluoral typhism, and the fluoral typhism.

(다) 진단미세혈관병성 용혈성 빈혈, 혈소판 감소, 신경학적 이상, 신장의 이상, 발열, 정상적인 응고검사 결과 등이 진단의 필수요건이고, TTP로 진단하기 위한 중요한 검사는 혈액도말검사 상 미세혈관병성 용혈성 빈혈의 증거인 분절적혈구와 혈소판 감소증이고, 신경학적 증상이나 발열, 신기능 이상이 있으면 TTP로 진단할 수 있으나, 이증상들이 모두 나타나는 빈도는 40% 정도로 알려져 있다. 특히 ITP나 에반스 증후군 (ITP + 면역용혈성 빈혈)과 말초혈액도말검사 상 구상적혈구가 아닌 분절적혈구 관찰 및 쿰즈 검사 상 음성소견으로 확실히 구별되는 것으로서 말초혈액도말검사에서의 분절적혈구나 적혈구 균열소견, 혈소판 감소증, 심한 쿰즈 음성 용혈성 빈혈 등이 임상적인 TTP 진단을 하는데 도움이 되는 것이다.

(d) Method of treatment

As a primary treatment method, injection of the blood transfusion and the blood transfusion is being treated as a primary treatment method, the survival rate is at least 80%. Blood transfusion should not be implemented because it can promote the formation of the blood body.

4. Determination

살피건대, 앞서 본 바와 같이 망인이 피고 병원에 내원하였을 때 자반증이 있었고 빈혈이 있었으며 혈소판 수치가 15,000개/㎜이었고, 머리가 아프고 열이 있었다는 점, 망인이 혈소판 수혈 이후에도 혈소판 수치가 오르지 않았다는 점 등은 인정할 수 있으나, 한편, 망인에 대한 2002. 2. 27. 말초혈액도말검사 상에는 미세혈관병성 용혈성 빈혈이 관찰되지 않았고 피고 병원이 2002. 3. 2. 실시한 쿰즈 검사 결과도 양성 판정이 나왔으며 피고 병원이 2002. 3. 7. 실시한 말초혈액검사에서 심한 혈소판 감소증과 빈혈 소견은 있었으나 분절적혈구는 발견되지 않았던 것을 토대로 피고 병원이 망인을 ITP로 보아 그에 따른 치료를 시행하다가 피고 병원은 2002. 3. 8. 망인에게 정신 혼미 등 신경학적 증상이 나타나자 2002. 3. 12. TTP 가능성에 대하여 고려하고 2002. 3. 14. 타과에 자문을 구하였고, 피고 병원이 2002. 3. 16. 실시한 혈액 검사에서 분절적혈구가 관찰되고 쿰즈 검사 결과 음성으로 나타나자 망인을 TTP로 진단하여 TTP에 대한 치료방법인 혈장교환술을 시행하기에 이르렀다는 것인바, TTP의 경우 혈액검사 상 분절적 혈구의 관찰 및 쿰즈 검사 상 음성 소견으로 ITP나 에반스 증후군과 확실히 구분된다.는 기존 의학계의 어느 정도 확립된 견해임은 앞서 본 바와 같고 그렇다면 피고 병원의 망인에 대한 진단 및 치료는 위와 같은 견해에 따른 것으로서 피고 병원이 처음부터 망인을 TTP 환자인 것으로 진단하지 못하여 그에 따른 치료를 시행하지 못하였다.고 하더라도 이에 어떠한 과실이 있다고 보기는 어렵다고 할 것이므로 원고들의 위 주장은 이유 없다.

5. Conclusion

Therefore, the plaintiffs' claims against the defendant are dismissed without any further review, as it is without merit. It is so decided as per Disposition.

Judge Choi Jin

Judges Yoon Young-kon