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The author:(作者)aaapublished in(发表于) 2014/8/14 8:15:48 Hospital response to dying without direct notice relatives
27 maternal Zhang, 10th in Xiangtan County in Hunan province County Hospital died after performing Cesarean surgery, causing widespread concern. At present, the hospital involved a preliminary diagnosis of the cause of her death as amniotic fluid embolism caused by multiple organ failure. Current County Health Bureau, the Department of Justice has been involved in the investigation.
In this event, and maternal authority of the exact cause of death remains to be identified, families and public opinion to question the focus right now is: why would the maternal death table? Why not just notify the family? Why not let the families see bodies? Medical personnel after operation of "collective disappearance" is all about? Reporter opened an investigation into many strange places.
According to Xinhua News Agency, Beijing times journalist Zheng Yujia
-Official
Preliminary diagnosis of amniotic fluid embolism death
According to the Hunan Xiangtan County Health Bureau introduced August 10, 6:10 A.M., maternal Zhang to hospital, Xiangtan County of Xiangtan County emergency labor. Admission diagnosis of premature rupture of membranes, macrosomia, doctors decided to perform caesarean surgery consultation with the families, 12:05 up at noon for a baby boy. After the delivery of the fetus, maternal symptoms of vomiting, cough, initially diagnosed as "AFE".
1:50 P.M., hospital started, County and city maternal rescue green channel, then direction issued to the families of critically ill notice, maternal husband Liu confirmed the signing. Xiangtan Central Hospital and hospital invited experts to participate in rescue, it is unfortunate, because of multiple organ failure caused by amniotic fluid embolism, tried to rescue invalid died in about 9:30.
County Hospital operations Vice President Yang Jian, told reporters: "the county hospital as a level II hospital, no successful treatment of amniotic fluid embolism in the patient's experience, while the hospital invited expert in obstetrics and gynaecology and ICU Department of the Xiangtan Central Hospital to participate in women's rescue, but unfortunately it still failed to save the lives of mothers. ”
Xiangtan County party Committee propaganda Department reported yesterday, the local county's Health Department, County Judicial Council is being asked to investigate death causes of pregnant women, their condolences to relief work. This event is further coordination.
It is learned that, at present, dispute mediation by County Medical Center maternal medical records sealed for investigation, the Agency has 4 mediation for both doctors and patients. Family members claim 1.2 million homes cannot accept.
≫> links · amniotic fluid embolism mortality can be as high as 80%
Obstetric experts explained that amniotic fluid embolism refers to the birth process, suddenly enters the mother's blood circulation and amniotic fluid, causing acute pulmonary embolism, anaphylactic shock, disseminated intravascular coagulation, renal failure or sudden death and serious complications during childbirth. Amniotic fluid embolism can occur in the early, middle and late periods of pregnancy, in case of amniotic fluid embolism, even with the rescue, mortality can be as high as 80%.
Amniotic fluid embolism is "dangerous," performed in mothers during childbirth, childbirth within a short time after, appeared restless, shivering, vomiting and coughing, difficulty in breathing, sudden shock. Furthermore, maternal vaginal bleeding there will be continued, this bleeding is often not solidified, even enter a large amount of blood often can't stop bleeding and circulatory collapse.
-The hype
1
Question: why not simply notify family members of operating room
Response: to stabilise the sentiments to the families to find ways to call first village branch
Zhang of the deceased father-in-law Liu Keqiang told reporters that the 10th, at 11 o'clock in the morning the daughter-in-law into the operating room, 12:05, the children were brought out, but his wife has not come out, nurses say something wrong, trying to rescue, hospital gave families of critically ill notice about 2:30 P.M., around 5 o'clock in the afternoon telling families to save women's lives, it is necessary to remove the uterus.
Dead man's brother told reporters that 10th around 5 o'clock in the afternoon, a nurse advised that is dangerous to maternal, bleeding, without removal of the uterus, and adults can't save. My sister's mother-in-law had said "wives too young, after a hysterectomy will affect health and children", but her husband decided a hysterectomy immediately, adding that "as long as I can keep adults agreed with the hysterectomy right away." Dead man's brother, did not waste any time, about 10 minutes or so for the surgery. At 8 o'clock in the evening, said the maternal heartbeat is not breathing, trying to rescue.
Dead man's brother said, "10th at 8 o'clock at night, keep out of the operating room's father received a call from hometown village party branch Secretary, said her daughter having a baby is at risk, who could keep up. Only later will we know, how call the hospital at 4 o'clock in the afternoon in our town, called the village clinic in the town and village clinics, call our Director of the women in the village of women directors call village, village Party Secretary, phoned to tell my father. ”
"Make us angry is that we kept out of the operating room, sister why hospitals don't inform us directly, but around a full circle through the village Party Secretary, told us? If a hospital sister quickly when not, let us see her sister one, we are going to feel better. "Zhang's elder brother of the deceased.
County Hospital Vice President Yang Jian also confirms this view. Yang Jian said, ' relatives in order to stabilize mood, just not directly notified kept families outside the operating room, but to devise a village Party Secretary first.
2
Question: 3-hour body where
In response to: hospital not morgue bodies cannot transfer
Deceased father-in-law Liu Keqiang said from village Party Secretary, disclosed that later on, heads of families looking for a hospital, but medical staff have yet to locate a. Around 9 o'clock in the evening, family members entered the operating room for the first time, you do not see a doctor and nurse, also found no remains. See only one duty officer in a red short sleeve, the back door was open and the operating room.
Deceased brother says family nurse informed the illness gone, in a panic, came and pressed the operating room door asking, inside did not respond, locking up the operating room, operating room kicking down the door and found that no healthcare worker inside the House, my sister is not in the operating room, followed by family members begin looking in the hospital.
Liu Keqiang told reporters that around 9:40, the hospital Business Office of the Vice President Yang Jian sent for family members to communicate, his wife's cousin and cousin both to CFRP confined Office. Facing questions from family members, CFRP confined default Zhang had died.
Family members want to see dead bodies, Yang Jian said, "I can't do it." In order to see the dead bodies, heads of families in hospital several times to find relevant, no fruit.
Around 12 o'clock that night, in the County Justice Bureau under the mediation of medical dispute mediation committee staff have a family second, saw Zhang have stopped breathing in the operating room, a bloodstain the corners, covered with a piece of surgical sheets and operating rooms a mess, no medical staff. Family members questioned, after Zhang's death, hospitals transferred the remains of Zhang.
From 9 o'clock to 12 points, remains exactly where is it? Yang Jian told reporters that "the bodies have been in the operating room, not in our Hospital mortuary, cannot transfer the remains. Around 11 o'clock in the evening the same day, some family members of the deceased on tilt, and aggressive behavior. In order to avoid conflicts between doctors and patients, lead to escalation of conflict, disrupting the order of hospital operating room, thereby not allowing most families to enter the operating room. ”
3
Questions: health care workers for what is not in the operating room
In response to: health care workers fear being hit off his surgical gown to rest
Health workers, "the collective disappearance" such doubts, CFRP confined, said family members did not ask him face to face to see dead bodies. "Considering keeping the number of dependants outside of the operating room, agitation, and kicking doors and other acts, in order not to affect the order of operating rooms, the hospital also did not take the initiative to arrange family Zhang met for the last time, dying. Families broke into, there is really no medical staff to keep around in the body of a deceased person. At that time, the medical staff are afraid of being emotionally beaten to the deceased, and took off his gown, next to the Office to rest. ”
Yang Jian says, "in the patient's death, doctors stitched the wound, wiping the blood, the family sees the dead mouth with blood, may be again after wiping the blood from. ”
Yang Jian also admitted that in the maternal deaths in the subsequent disposal, hospitals and patients ' lack of communication problems, and medical staff there because of the fear and tension, find it difficult to communicate with emotional family.
County Health Bureau official said that the 10th around 11 o'clock in the evening, family members of the deceased tilt and excesses, county medical malpractice mediation centre staff rushed to the scene, in order to avoid conflicts between doctors and patients, lead to escalation and medical mediation centre staff in the duty room next to the operating room to wait. Maternal body on the operating table, no other personnel in operating room.
Qi Xianqiang, Deputy Director of County Health Bureau believes that in this case, County, hospital staff and patients ' families did a lack of communication, emergency response mechanisms were imperfect, and paramedics out of fear and other emotions, left the operating room, left dead on the operating table of the practice, there is a lack of respect for the body of a deceased person.
(Original title: amniotic fluid embolism causes of maternal mortality in hospitals)
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