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作者: tujtyujy1u9s 时间: 2014-11-22 14:30
标题: Mi8115bnBS
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Zhaoqing First People's Hospital renal physician, without doing the gut check, no consultation with the surgeon, did not assess the risks, they decided to give the patient "enema", leading to the first patient in critical condition;
MD, deputy director general surgery hospital, knowing that "conservative treatment condition will worsen until life-threatening," but concealed the risks, we recommend that the families of conservative treatment, the results of the second critically ill patients;
In the back and forth over 50 days, the patient was removed two to hospital several times and nearly died, and the family has spent one million yuan to this end, is not about "medical malpractice," the investigation is ongoing
January 3, who lives in the district town of Gaoyao Huaxing Lu step in the 69-year-old Luo Ribbon, was admitted to the First People's Hospital of Zhaoqing City, treatment of chronic renal insufficiency and moderate anemia. Let Luo knot with the elderly never thought that in the next 10 days, the top three hospitals because of this behavior over a range of medical doctors, she was wheeled into the abyss of death almost.
Cry six hours
Nephrologists HUANG Peng-Cheng underestimate the cleansing enema (a certain amount of liquid through the anus, rectum poured into the colon to help patients defecation, exhaust, clean the intestines) risk. January 11,spaccio moncler, he decided to give District 25 patients within three Luo knot with enema before, it did not get the patient intestinal radiological report --- "is the cause of abdominal pain in patients with constipation" is just HUANG Peng-Cheng suspicion.
After confirmed, the patient doctor recorded, "hospital consultation (outside the Third District)" did not enema before ("temporary orders" are not real), constipation and thus become the ultimate conclusion, "cleansing enema" were a matter of course.
The evening of January 3, who lives in the area Huaxing Lu step in the Romanian town of GAOYAO Ribbon, accompanied by his family, went to Zhaoqing First People's Hospital, hospital treatment of chronic renal insufficiency and moderate anemia. During hospitalization, the care of relatives Xiayue E, et al.
January 10, admitted to hospital care for the elderly Xiayue E Liu Xiaoqi phone call: the elderly abdominal pain, constipation doctor HUANG Peng-Cheng believes the elderly. Huang told the doctor consultation with the General Surgery "tomorrow whether to give the elderly an enema to purge catharsis."
At 10:00 on January 11 Liu Xiaoqi memories, on the 11th day of 10:00, she arrived in the Third District, has received an enema with pharmaceutical ward. Dr. Liu Qudao office, asking HUANG Peng-Cheng, why not consulted before the enema families, Huang told an enema to purge, the risk is very small, no need to obtain consent of their families.
Liu Xiaoqi asked, before the enema, HUANG Peng-Cheng whether general surgery consultation, assessment of risks enema, yellow reply, general surgery because doctors are busy, no consultation before the enema --- condition of the elderly, but more than 20 days, the patient's family to get "temporary orders" was recorded the day before the enema, the hospital had carried out two elderly consultation, respectively, "hospital consultation (outside the Third District)", "hospital consultation (within five districts)."
At 10:30 on January 11 began cleansing enema, 15 minutes later, 750 ml of normal saline was poured into the gut of the elderly. But 15 minutes after the enema, Luo knot with still no it is intended. HUANG Peng-Cheng went to the ward, told the nurse reperfusion 750 ml.
At 11:30 on January 11 after filling End 1500 ml of saline for about 15 minutes, his face pale elderly gradually and quietly moaning. went to the doctor's office, asked HUANG Peng-Cheng: "Why? Until now has not seen a doctor in general surgery consultation" yellow reply Liu Xiaoqi, has informed general surgery consultation, but also very busy general surgery, no staff.
More than 20 minutes later, a general surgery doctor arrived within three zones. "He walked into the room, his hand pressed the old man's abdomen pressure, I see he shook his head," recalls Liu Xiaoqi, this general surgery doctors back to the doctor's office within three districts, wrote a B-list, went back to ward, using a syringe with a belly withdrawn from Romania knot a cloudy, viscous liquid.
Liu Xiaoqi said that she went to the doctor's office to get the B-list, returned to the ward, to see the old man has been unable to act autonomously.
At 13:30 on January 11 to finish the B-Lo Ribbon has been unable to speak. 5 doctors into three zones for the elderly consultation. HUANG Peng-Cheng told Liu Xiaoqi, notify relatives of the elderly to hospital. HUANG Peng-Cheng told Liu Xiaoqi, the emergence of a gut elderly black spots may be perforated,woolrich sito ufficiale, but are not sure the exact location.
Inpatient medical records at 16:22 on January 11 Lo Ribbon display the day 16:22, hospital consultation confirmed that the elderly condition as "acute peritonitis", dying, should be immediately sent to the intensive care unit.
Deadly conservative treatment
January 11 afternoon, Luo Ribbon is sent to the general ICU ward. That night, the hospital gave the old man made a peritoneal catheter drainage.
The next day, the son of Lin Weijian Luo knot with as representatives of the families went to general ICU ward, ICU doctor asked Chen Shaoting (later confirmed that this man HUANG Peng-Cheng wife), "the old man whether it should be sent to Guangzhou for treatment,piumino moncler, if need surgery," Chen Shaoting The current status of the reply, the elderly unfit travel long distances, should be admitted to hospital,giubbotti moncler, "Do you need surgery may consult outside Cape deputy chief physician Li Xiaoming."
"

atients intestinal perforation, surgery should be repaired as soon as possible, only conservative treatment, acute peritonitis will not heal, the condition will worsen,mulberry sale, threatening the patient's life" --- Li Xiaoming, deputy director of the general surgery physicians know that "conservative treatment is fatal "However, on January 12, he still recommended to the patient's family," conservative treatment ", also cited cases, to convince the families" of conservative treatment a few days later, the patient can recover. " also cited "a peritonitis patients do not agree with surgery, rehabilitation after conservative treatment" cases, persuade Lin Weijian "conservative treatment on the 7th, peritonitis elderly can recover."
Listened to Li Xiaoming's "professional opinion", Lin Weijian agreed to let the mother "did conservative treatment in hospital." But "'conservative treatment of risk', the hospital has never had to inform families."
After the evening of January 19, Zhaoqing First People's Hospital Organization consultation again, but told Lin Weijian, his mother's condition has worsened, abdominal severe infection, multiple organ failure, "continued conservative treatment, no survivors possible; surgery, then, also Less than two percent of survivors may be. "
Day, exhort , surgery "less than two percent of the survivors could" only theoretically, it is recommended not to force the surgery, ready for the elderly funeral.
But Lin several brothers adamant "even if only one percent of the possible, we will not give up",louboutin homme pas cher, several brothers after discussion, decided to "immediate surgery, but do not let Zhaoqing First People's Hospital." The next day, Lin Weiwen on behalf of the patient immediate family, signed a "discharged or transferred consent."
Luo knot with a medical certificate of discharge,woolrich parka, the reporter noted that the primary diagnosis of "acute peritonitis (gastrointestinal perforation?)" From January 11 to January 20, the First People's Hospital of Zhaoqing City, still unsure Luo knot with digestion perforation position, Li Xiaoming confirmed, because the hospital never to old to do CT, B-report alone can not confirm perforation points.
January 21 morning, was sent to Romania Ribbon Sixth Affiliated Hospital. The hospital immediately to the elderly do CT, confirmed the intestinal perforation position. 7:00 the same day, the hospital made to Romania Ribbon "laparotomy, sigmoid stump closed hole repair broken upper jejunum, transverse colostomy," surgery, successfully completed.
Reporters unannounced visits
Kidney Doctors HUANG Peng-Cheng: No consultation will "enema"
March 10, Nanfang Daily reporter unannounced visits to the First People's Hospital of Zhaoqing City, saw the nephrologists HUANG Peng-Cheng.
HUANG Peng-Cheng that "the day before cleansing enema, patient Luo knot with perforated bowel may have been" --- but since the patient had intestinal perforation, enema is taboo.
HUANG Peng-Cheng admitted that day, he did not and general surgery consultation, did not rule out "intestinal perforation", "acute peritonitis" could not assess the risk of "cleansing enema", it made a "enema" decision.
Li Xiaoming, deputy director of Physicians General Surgery: Know conservative treatment will worsen
Reporter: elderly hospitalized 10 days, and you failed to determine the location of gastrointestinal perforation, and why?
Li Xiaoming: B-report can not see.
Reporter: B super-see, why not give the elderly do CT?
Li Xiaoming: hospital CT equipment, but because "patients rely on oxygen to maintain breathing" and other reasons, the hospital several consultations, discussion, consider the inconvenience to the patient to do CT, might be at risk.
Reporter: But Sixth Hospital Affiliated to the elderly do CT, confirmed the perforation position. Since you are afraid to risk not do CT, why not inform their families, so that they choose to do or not do? Why not suggest they transferred? Patients have repeatedly raised referral, why you recommend them to stay in hospital?
Li Xiaoming

silence)
Reporter: As a general surgery doctor, you know, "after intestinal perforation, unless doing repair surgery,peuterey outlet milano, conservative treatment alone, it is impossible to heal piercing?"
Li Xiaoming: I know.
Reporter: Since we know that "intestinal perforation, conservative treatment, the patient can not be cured, the condition will worsen," Jan. 12 that day, why do you tell the patient's family, "the conservative treatment a few days later, the patient will be cured?"
Li Xiaoming

silence)
■ the patient's family
Has applied for Medical Malpractice
After several transfers, the current Romanian junction with the First Affiliated Hospital of Sun Yat-sen was still in intensive care unit for treatment. His doctor told Lin Weijian, elderly survivors may have risen to 50%. In order to rescue his mother, Lin brothers have spent over a hundred million.
Lin Weijian think, Zhaoqing First People's Hospital clinics improper behavior than doctors, leading to the main reason for their dying mother Luo Ribbon:
A renal physician HUANG Peng-Cheng, do not give patients the gut check, not with general surgery consultation,tiffany outlet, it was decided to Romania Ribbon do "cleansing enema", is the direct cause of the patient dying on January 11.
Second, the physician Li Xiaoming, deputy director of general surgery, knowing that "intestinal perforation,nike tn pas cher, conservative treatment fails," but concealed the risks of conservative treatment, the patient's family agreed to recommend "conservative therapy." Families listened to his advice, which leads to the deterioration of the patient's condition and again, survivors may be reduced to two percent.
Lin Weijian also suspect, January 12, general ICU ward doctor Chen Shaoting suggested they stay in hospital for treatment, in order to cover up her husband HUANG Peng-Cheng January 11 turnovers.
Currently, Lin Weiwen Zhaoqing Municipal Health Bureau has complained application "Medical Malpractice."
■ hospital reply
Admitted to reporters diagnosis and patient medical records discrepancies
March 10 afternoon,air max pas cher homme, the reporter on the "Luo knot with patients during hospitalization, physician clinics behavior is inappropriate," and other issues, interviewed the person in charge of the First People's Hospital of Zhaoqing City.
Hospital Medical Services Chief Wang Weiguo, the hospital has received Zhaoqing Medical Association, "Medical Malpractice material submitted to this book" on February 10, the medical cases have been investigated in accordance with the regular proceedings, "the existence of fault medical practices or inadequate "to wait" Medical Malpractice Report, "the final conclusion.
Hospital deputy party secretary of the Discipline Committee Cheng Yukun stand, if "Medical Malpractice Report," the final conclusion finds that "there is no fault or behavior clinic doctor shortage," the hospital will pursue a doctor's responsibility in accordance with laws and regulations,nike tn requin, compensation for the loss of a patient.
March 11, Zhaoqing First People's Hospital to reporters fax a written reply. The written reply, the views set out in this book except to reiterate, it also introduces the situation before and after hospitalization Lo Ribbon.
Reporters noted that a written reply, the admission diagnosis Lo Ribbon is:. ".. A chronic renal insufficiency (viremia mass of chlorine); 2 moderate anemia; 3 acute peritonitis," but hospital medical records of patients, no admission diagnosis "acute peritonitis," an "acute peritonitis" is the enema after January 11, more than consultation, on the same day 16:22 conclusions.
■ text / Chart: Nanfang Daily reporter intern Wu Zhong Kai Peng Zhaoqing reports

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