重视手术委托知情同意 预防小儿外科医疗纠纷

造成小儿外科医疗纠纷的重要因素是医患沟通不够、缺乏信任和理解。知情同意是加强医患沟通和信任的重要方式。深入理解并实现患儿及家属的知情同意权，重视和做好手术委托知情同意书的签署，合理履行告知说明义务，让家属在充分知情基础上做出自主的理性的选择，可缓解紧张的医患关系，减少医疗纠纷的发生。

Attention to the Preoperative Commissioned Informed Consent to Prevent the Medical Tangle in Pediatric Surgery

Important factors for the medical tangle in pediatric surgery are lack of adequate communication, less trust and misunderstanding between doctors and patients＇ relatives. Informed consent is the most important method to strengthen communication and trust between doctor and patients. The doctor should understand, respect and fulfill the right of in formed consent of children and their families. The signature in preoperative commissioned informed consent should be valued and accomplished well . The doctor should fulfill the responsibility of the informing and explanation,which not only help the relatives of children make independent, rational choices on the basis of fully informed but also ease the adverse doctor- patient relationship and reduce the occurrence of medical tangle.