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一医生被患者家属掐颈推着下楼梯受伤，拟认定为工伤
Using the case of Dr. Li from Eryuan County People's Hospital, who was successfully proposed for work-related injury recognition after being violently assaulted by a patient's family member, this article discusses the legal basis and practical difficulties of such recognition for medical staff. Follow·
Today·1553 words (about 7 min)
AI Summary & Key Points
Summary
The article reports on an incident where a doctor at Eryuan County People's Hospital in Yunnan was choked and pushed down stairs by a patient's family member during work, resulting in injuries, and was subsequently proposed for work-related injury recognition by the local Human Resources and Social Security Bureau. Using this case as a starting point, the author provides a detailed interpretation of the relevant clauses in the 'Regulations on Work-Related Injury Insurance' and cites several other cases, including the 'Burn Superman Abao' incident where a doctor was detained for mutual affray, and the case of Dr. Wang Yi in Tianjin who died suddenly after exceeding 48 hours of work and was not granted recognition. These examples reveal the practical difficulties medical staff face in obtaining work-related injury recognition after experiencing violent assaults or death from overwork, such as challenges in providing evidence and overly strict criteria. The article ultimately calls for legal judgments to be grounded in reality and align with the public's simple understanding of fairness and justice.
Main Points
* 1. Dr. Li from Eryuan County was legally proposed for work-related injury recognition after suffering violent harm while performing work duties.
This case fully complies with Article 14, Item 3 of the 'Regulations on Work-Related Injury Insurance,' which covers 'accidental injuries from violence sustained while performing work duties during working hours and within the workplace,' providing a positive example for medical staff.
* 2. In practice, work-related injury recognition for medical staff faces the dual dilemma of difficult evidence provision and strict standards.
Through cases like Dr. Abao's being ruled as mutual affray and Dr. Wang Yi's sudden death beyond 48 hours not being recognized, the author points out that recognition authorities often question causality by asking 'why others were fine,' and the rigid 'death within 48 hours' rule lacks consideration for occupational specificity.
* 3. Recognizing a doctor's work-related injury is about justice and professional dignity, not just a compensation payment.
The article emphasizes that such recognition is an official acknowledgment of medical staff's overloaded work and occupational risks, and a restoration of their reputation. Legal judgments should be more grounded in reality and the public's perception of fairness and justice.
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叶正松 2026-07-09 07:50 上海
以下文章来源于：老叶说医 老叶说医 一个30万医护关注的公众号，每天讲述一个发生在医护人员身边的故事
2026 年 5 月 26 日 10:30 左右，洱源县人民医院李医生，在 2 号住院楼六楼外一科工作期间，被患者家属喊至走廊后，强行掐住其后颈部，并推着下楼梯，推至五楼楼梯口处时，被医院工作人员及保安劝止并报警，造成李医生受伤。经诊断为：1.创伤后应激障碍；2.颈部挫伤。
7 月 3 日，云南大理州洱源县人社局公示 2026 年度工伤认定结果，李医生也在其中。
公示称：李某某，男，洱源县人民医院职工。根据《工伤保险条例》第十四条第一款第（三）项“在工作时间和工作场所内，因履行工作职责受到暴力等意外伤害”之规定，属于工伤认定范围，拟认定为工伤。
工伤，是指劳动者在从事职业活动、或者与职业活动有关的活动时，所遭受的不良因素的伤害。
那么，医护人员上班期间遭受暴力伤害算不算工伤？
很显然，算。
根据《工伤保险条例》第十四条规定，职工有下列情形之一的，应当认定为工伤：
（一）在工作时间和工作场所内，因工作原因受到事故伤害的；
（二）工作时间前后在工作场所内，从事与工作有关的预备性或者收尾性工作受到事故伤害的；
（三）在工作时问和工作场所内，因履行工作职责受到暴力等意外伤害的；
（四)患职业病的；
（五）因工外出期问，由于工作原因受到害或者发生事故下落不明的；
（六）在上下班途中，受到非本人主要责任的交通事故或者城市轨道交通、客运轮渡、火车事故+伤害的；
（七)法律、行政法规-规定应当认定为工伤的其他情形。
只要能证明突发之疾病，为工作中不良因素所导致的伤害，即证明突发疾病与工作有因果关系，即可认定为工伤。
但很多时候，现实中，工伤却很难认定。
因为，谁主张谁举证。有时候，这个举证，并不容易。
你举证超负荷工作了，有多少工作量，一天超过多少小时，有多少手术量，是大量工作。
但认定部门一句话，别人也这么大工作量怎么没有发病？
你举证因工作问题被人肢体伤害。
认定部门反问：别人怎么没有被患者肢体冲突受伤？
还有，比如积水潭医院的烧伤超人阿宝，工作期间被患者无端肢体挑衅，两人发生肢体冲突，阿宝骨折，结果不仅没有认定工伤，反而还被认定互殴，行拘了。
你说。这种情况，上哪说理去。
特别是一些工作岗位猝死的，更不容易认定。
你得死在 48 小时之内。
否则，超时死亡，不算工伤。
比如，天津的王一医生，猝死在医院工作岗位，却因为抢救超过 48 小时后才宣布临床死亡，不予认定工伤。
即便法定时间内死亡，你也得证明你这个疾病，不是自身的疾病因素，而是因为工作导致。
也就是说，你的证明不是内部原因，而是外部因素，才行。
比如，猝死在医院的医生，必须提交证明他本身的身体的情况和他工作的强度，比如说之前有没有熬夜，有没有高血压，身体是不是都非常好。
另外，还要提供猝死的医生工作的强度、做手术的时间长度。比如说已经工作了六个小时，连续做手术了六个小时，而且前几天都有在做手术，没有休息。
只有在这种状况下，才有可能认为因公受到损害，而不是自身的疾病的可能性。
回到本文开头洱源县人民医院李医生一案来看。李医生在医院工作岗位中受到伤害，显然符合“工作时间”和“工作场所”的要求。
发生在医院内，即工作场所。医生在履行其作为医生的职责。尽管暴力伤害的直接原因并非诊疗行为本身，但暴力行为发生在医生履行工作职责的过程中，显然符合《工伤保险条例》第十四条第（三）款中对于工伤认定的条件，故构成工伤。
毫无疑问。医生猝死，显然多与超负荷的工作量有关，不管抢救多少时间死亡，理应都该认定为工伤。
对医生工伤的认定，绝不是为了那笔工伤赔偿，而是为了一个公道，为了一个名声。
最后，老叶想说的是，所有的法律制定与判决，都应当立足于现实生活的实际，符合大众对公平正义的朴素认知。
来源 | 老叶说医
撰文｜叶正松
编辑 | 目兮
Key Quotes
> The recognition of a doctor's work-related injury is by no means for that compensation payment, but for justice, for their reputation.
> All legal formulations and judgments should be grounded in the reality of life and conform to the public's simple understanding of fairness and justice.
Tags
Social Issues
Policy Interpretation
Healthcare Industry
Work-Related Injury Recognition
Doctor-Patient Relationship
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