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Objective To find out the reasons of medical disputes, grasp the regulation of medical disputes, and provide references for the control of medical malpractice for hospital managers. Method Pareto diagram was used to find out the main reasons, and then made clear the most urgent problems to be solved. Results The number and rate of medical disputes in surgical department were the highest, and the ones of pediatrics were the lowest. Form the pareto diagram of 117 medical disputes, the cumulative percent of medical professional ability defects, complications and medical accidents, the shortage of occupational morality was 36.7% ~ 69.9%, these three reasons were foremost. The cumulative percent of not timely treatment and rescue was 83.5%, this reason was secondary. The cumulative percent of poor treatment and management oversight link was 95.9 ~ 100%, these reasons were generally. The main reasons of medical disputes were medical professional ability defects, complications and medical accidents, the shortage of occupational morality. Conclusion To control of medical disputes, hospitals should take the following measures in practice: improve the technical level of medical staff, enhance the capacity of medical staff, enforce rules and regulations strictly and deal with the complications and medical accidents flexibly. [ABSTRACT FROM AUTHOR]