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The author:(作者)aaapublished in(发表于) 2014/8/14 8:17:09 Maternal deaths in Hunan： her husband said they did not delay the rescue time
On August 10, the MCH maternal deaths occurred in Xiangtan County in Hunan province, which triggered by media reports some details concern: family members entered the delivery room and found that "maternal deaths the operating table, doctors and nurses all disappear". In this regard, yesterday informed the County twice in a row, denying health care workers missing, called avoiding conflicts between doctors and patients, medical personnel were arranged in the duty room next to the operating room waiting.
Family members of the deceased raised suspicions, the hospital official said yesterday, maternal deaths due to sudden "AFE", is a very low probability, rescue very difficult labor complications, the hospital has done the duty of rescue and told family members after the death. Qi Xianqiang, Deputy Director of County Health Bureau also explained that maternal mortality is a more serious matter, by Government to communicate with family and the hospital have not declared dead.
Re: Cesarean baby boy to maternal death
According to her husband Liu Qi men's introduction, August 10, 4:30 A.M., 27, and his wife the Honourable Tommy CHEUNG has signs of labor, followed by his mother, his mother-in-law and a friend accompanied by a total of 4 people, at 6 o'clock in the morning to the county hospital.
10th morning around 11, obstetrician gave his wife a series of prenatal testing. Liu Qi said, the inspection position for normal, but due to heavier fetus, doctors suggest that families do a cesarean, "I wants wife to deliver intended, but still respect the advice of his wife."
Mr Tommy CHEUNG was then wheeled, about 12:05, nurses say families, mothers successfully gave birth to a baby boy. Liu came and asked about his wife's condition, the doctor said there's going to be treating a wound.
Half an hour later, nurses out again inform Liu Qi men outside the operating room: maternal hemorrhage, need urgent transfusions, and signature. LAU sings dare not neglect. But an hour later, the nurse informed him, bleeding does not stop, to get her to go buy Hemostatic agents, so he paid the fee, immediately ran to the next floor.
But then the situation did not improve. 2:20 P.M., families of critically ill notice was issued. Since then, the referral submitted by families, but due to maternal treatment of this proposal without permission. Around 3 o'clock in the afternoon, hospitals, please consult some experts on maternal consultations.
At about 5 o'clock in the afternoon, and a male nurse comes out of the operating room to inform Liu Qi, said women now have hysterectomy, for him to sign. "After the hearing, we are very excited, especially mothers, crying wife can not regenerate kid, unwilling to remove. ”
Liu Qi said, after repeated consideration to weigh, still think preserving life's most important and agreed to sign. "In less than 5 minutes before and after, there is absolutely no delay the rescue time. ”
After a few hours, relatives had been waiting outside the operating room door, knocked on the door seeking responses from time to time.
Liu Qi said, until about 9 o'clock in the evening, family members waiting outside the operating room door didn't receive the call from Director Zhang, said his wife had died. Liu said that after he hurried to the hospital asking, "when a Vice President responded by saying that women still in the rescue and has a pulse. ”
Director: hospital officials had notified the body back to the operating room
Emotional family members forced their way into the operating room for the first time, was around 10 o'clock that night.
According to a relative of the deceased told reporters: "because the hospital has not responded, we had forced play into the operating room. But there is not a person, also did not see the bodies. ”
Since then, the families pulled up outside the hospital gate to protest banners. Then the County and village also has to communicate with family, reassure the families emotions, came forward to explain context also calls the hospital.
Yang Shikamura Yang Jia Qiao Zhen Feng Shuji told reporters: "the 10 o'clock that night, we got to the hospital, not people in institutions receive due to family violence, our multi-link, Vice President of CFRP confined came forward to participate in consultations. ”
Golden leaf hotel next to the location in the County's Public Security Bureau, Feng Shuji describes, it was already close to 12 o'clock in the presence of party representatives, representatives of the families of people, the County's Health Bureau, a Center staff member dealing with medical dispute adjustment, another town, village.
During the consultations, the family first "dead dead". Sheep deer village Director Zhang told reporters that Dr Dean to call hospital managers, so that they will "disappear" 's body transported back to the operating room.
11th around 1 o'clock in the morning, the family once again entered the operating room. "This was blocked by the operating room doors have two closets, we have once again forced their way into. "The deceased brother. The details also confirmed to reporters.
This time, the families saw the maternal body lying on the operating table. "Haven't seen medical staff operating room, only one person wearing civilian clothes sitting in the next room. "The deceased brother.
To reflect to the families "of doctors and nurses all missing," said Qi Xianqiang, Deputy Director of County Health Bureau yesterday told the Southern Metropolis reporter that, "the night (family members) went only once. Medical staff in the Lounge next door, they have no obligation to keep next to the body. And the body did not move out of the operating room, have been on the operating table. ”
Notification: maternal cousin told death
Yesterday evening, Xiangtan County party Committee propaganda Department, maternal deaths to the South reporter from a press bulletin, which reported that maternal risk automatically assume "AFE" caused, and says the hospital has done to inform families and other obligations.
Informed that maternal Cheung on August 10, 6:10 to the county hospital emergency room to be 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 vomiting, cough, initially diagnosed as "AFE". 13:50 the hospital started in hospital, County and city maternal rescue green channel, direction 14:20 the hospital critically ill notice was issued to the families, mothers husband Liu confirmed the signing.
Circular also said, by the relevant city and County expert to lead the rescue, maternal as amniotic fluid embolism caused by multiple organ failure, invalid rescue died on 21:30. Maternal cousin Zhang 21:40 President of the business of the hospital to inform maternal deaths.
Until 23 o'clock, tilt to the families of the deceased and aggressive behavior, county medical malpractice Mediation Center staff rushed to the scene, in order to avoid conflicts between doctors and patients, lead to escalation and medical mediation centre for medical staff in the duty room next to the operating room to wait. Maternal body on the operating table, no other personnel in operating room.
After the incident, the County party Committee and Government are actively organizing relevant departments and doctor-patient mediation between the two sides, the local governments are doing the relief work to the families. This event is further coordination.
On the official cause of maternal death "AFE" family is one of the questions raised by, why not found in prenatal symptoms of this? In this regard, the County Health Bureau Deputy Director Qi Xianqiang yesterday explained: "this is the stage in the emergence of serious complications, antenatal and cannot be identified. ”
County Hospital doctor told reporters yesterday, "AFE" is a very rare condition, rescue is very difficult, "our hospital's obstetric haven't had this experience before, this is the first and only time. ”
Consultations: family members claim 1.2 million hospital was willing to 530,000
That family feeling abnormal, in maternal 9:30 after death, hospital officials did not inform family members waiting outside the operating room, but through a set of administrative measures notified by the county town, the town informed the village, again by other families of the village notice was not in the hospital. "Why don't you just tell their families at hospitals? ”
Yesterday was verified this claim, South, handled by the relevant County and township Governments, village officials confirmed death notice "around in a circle on the outside."
Yang Jia Qiao town, a police official told reporters that when he received a note from the "maternity information to verify, that did not happen in this kind of superiors to verify the situation of the deceased, may be the hospital has no record of the deceased's details, just let the Government assist in finding related to verify".
Questions submitted by families, Deputy Director of the County Health Bureau Qi Xianqiang explained: "the maternal rescue needs to follow the provisions of the green channel and inform the authorities in advance. And maternal mortality is a more serious matter, by Government to communicate with family and the hospital have not declared dead. Although it has little hope of rescue, but have been trying to make. ”
He added: "after President families of specialized organizations in the medical section of the hospital Business Office, informing patients ' relatives of the patients died, and also communication. During the rescue (maternal) there are 3 beats the sudden stop, (night) at 9 o'clock came third, after half an hour to rescue were not renewed, 9:40 to notify relatives. ”
Family members, after the death of Mr Tommy CHEUNG, families with homes in up to 6 consultations. Is 10th at around 11 o'clock in the evening until 11th, at 2 o'clock in the morning for the first time, the focus of the talks, is a family of "amniotic fluid embolism" explain the causes of death. Hospital officials said family members if there are objections, can be solved by forensic or legal channels.
Following two days of negotiations, both parties focused on the question of compensation. County medical malpractice mediation process a negotiator also confirmed to the South of the Centre, he received notification from 10th around 8 o'clock began to participate in the mediation, now has about three or four days. But the contents of the negotiations, he refused to disclose.
Yesterday evening, the deceased brother-in-law, Tan urged Nunn says on 11th evening at a local meeting of the golden leaf hotel, the hospital Vice President offered "compensation" of 530,000 yuan, but family members did not accept, the deceased father-in-law when the claim for compensation is 1.2 million Yuan. Yesterday, both sides held negotiations and by 6 o'clock in the afternoon, one county deputy magistrate raised "compensation" of 560,000 yuan, but families still do not agree, the family's latest request is 980,000 yuan.
Focus response
1 whether the doctors and nurses all missing?
Deceased brother: operating room not seen medical staff, only one person wearing civilian clothes sitting in the next room.
Qi Xianqiang, Deputy Director of County Health Bureau: health care workers in the Lounge next door, they have no obligation to keep next to the body.
2 why not directly notify the family of his death?
Family: outside the operating room door received a phone call from a village head, said maternal deaths.
County Health Bureau Deputy Director Qi Xianqiang: maternal rescue needs to follow the provisions of the green channel, and inform the authorities in advance. And maternal mortality is a more serious matter, by Government to communicate with family and the hospital have not declared dead.
3 body "disappear"?
Relatives: we (first) forced play into the operating room. But there is not a person, also did not see the bodies.
Qi Xianqiang, Deputy Director of County Health Council: the body did not move out of the operating room, have been on the operating table.
Glossary of amniotic fluid embolism
Public information, "amniotic fluid embolism" belong to obstetric complications, will appear for a short time before and after childbirth, the current "AFE" without rapid diagnosis, rely primarily on exclusion of the clinical diagnosis.
South Reporter yesterday's telephone interview with Peking Union Medical College Hospital Chief Physician Liu Juntao, according to its introduction, refers to the source of fetal material into the parent of amniotic fluid embolism pulmonary circulation, resulting in pregnant women, such as apnea, low blood pressure and slow heart symptoms, mortality is very high. General method of rescue is a massive blood transfusion to remedy dysfunction of blood coagulation, maintain normal blood circulation, remove uterine bleeding.
It said a hysterectomy is one of the emergency measures, but may not be able to succeed. Quickly a hysterectomy, you can quickly stop bleeding, if not a hysterectomy, it is difficult to stop the bleeding. But once the blood into the lungs, there is no chance to save.
South reporter zhancaiqiang
Intern Zou Yu Mo European Riesling Wang Weikai
(Original title: Xiangtan maternal postoperative death denied "care all missing")
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