医疗事故技术鉴定的首次鉴定与再次鉴定间的差异可分为完全差异和部分差异。本文列举了几种常见、典型之差异案例,对差异原因进行了讨论分析,认为造成差异的因素是多方面的,但对医疗事故概念和构成要件的掌握运用有一定误区、责任程度划分操作性不强等问题应是造成差异的重要原因。 The difference between the first appraisal and the second appraisal of technical appraisal of medical malpractice can be divided into complete difference and partial difference. This article lists several common and typical cases of differences, and discusses the reasons for the differences. The reasons for the differences are many. However, there are some misunderstandings about the concepts and components of medical accidents, and the degree of responsibility is divided into operational Not strong and other issues should be an important reason for the difference.