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The author:(作者)aaapublished in(发表于) 2014/8/14 8:19:59 Xiangtan hospital in response to maternal events： doctors fear conflict took off his gown
Beijing News August 10, maternal and child health hospital, Xiangtan County, Hunan province maternal deaths occurred. Media coverage, maternal family members considered the hospital there is a problem in the rescue – should have been in the rescue of the doctors and nurses all missing.
Yesterday morning at about 4 o'clock in the afternoon, Deputy Director of the County Health Bureau Qi Xianqiang response Beijing News reporter, denied health care personnel all missing, "rescue is complete only in the lounge."
Current County Health Bureau, the Department of Justice has been involved in the investigation.
Pregnant women "AFE" died
Yesterday, County officials reported that on August 10, the maternal Zhang from 6:10 to the county hospital emergency room to be produced. Birth process doesn't go well, 11:30 Cesarean, 12:05 up by a baby boy.
After delivery of the maternal fetal, maternal symptoms of vomiting, cough, initially diagnosed as "AFE". Inside the hospital management immediately launched, County and city maternal rescue green channel. Related to city and County experts rescue, of multiple organ failure caused by amniotic fluid embolism, rescue is not valid in 21:30 death.
Local media said the maternal husband Liu waited until 11 o'clock, asking his wife to rescue results, but no one responded, Liu had to pry off the door of the operating room, inside, to find his wife full of blood, and not breathing. And this should save doctors and nurses, are all missing.
Family members claim 1.2 million Yuan is willing to pay about 500,000
Qi Xianqiang, Deputy Director of County Health Bureau to Beijing News reporter, the death day of the investigation into the cause of the incident has been launched, the preliminary findings as "multiple organ failure caused by amniotic fluid embolism", if you want to write out an official inquest will require identification by the authorities conducted an autopsy, but it requires family consent.
He said maternal medical records were sealed for investigation by county medical malpractice Mediation Center, which has four mediation for both doctors and patients, but the results are unsatisfactory.
"The contradiction between the two, one, family members do not understand why ' amniotic fluid embolism ' natal is not checked out; second, the families claim 1.2 million, both doctors and patients for the reimbursement amount was not agreed upon. "Qi Xianqiang says mediation underway between doctors and patients, the families claim 1.2 million, the hospital cannot accept, only willing to pay about 500,000.
Qi Xianqiang said officials have told even suggested that the family members to settle the matter through the judicial process, "this hospital how much responsibility will be very clear, which lost as much as compensation. "Qi said that if family members agree to judicial settlement, officials will also offer them legal assistance.
■释疑
Why the normal prenatal disease emergencies?
"Cannot detect amniotic fluid embolism"
Official investigation results of the preliminary cause of death as "multiple organ failure caused by amniotic fluid embolism". Maternal relatives questioned antenatal check everything is OK, why not check out the amniotic fluid embolism?
Beijing Chaoyang Hospital of obstetrics, Director of Beijing News reporter Lu Junli explained, refers to the fetus at birth, amniotic fluid embolism, amniotic fluid through blood into the mother's body, maternal fetal Antigen to produce a series of reactions, "like penicillin allergy, is a severe allergic reaction, and they are very dangerous. ”
According to publicly available information, amniotic fluid embolism incidence approximately 20,000 shares, but pregnant women and fetal mortality rate was as high as 80%, it is the remnants of the main causes of maternal mortality.
Lu Junli are introduced, this situation can lead to maternal symptoms such as difficulty breathing, bleeding, shock, but its incidence varies in prenatal onset did not detect whether I would is still unable to determine exactly what kind of Constitution of human amniotic fluid embolism, all over the world study the pathogenesis.
"If serious maternal hemorrhage, drugs and other measures are not working, a hysterectomy is a disposal method in a timely manner", she said, large uterine wound, removed in a timely manner can reduce bleeding wounds, can also reduce amniotic fluid enters the mother's body. "If mothers are moments of blood, that is about to plunge. ”
Event replay
August 10
At 6:10
Maternal Zhang to the county hospital emergency room.
At 12:05
After cutting out a baby boy, maternal vomiting, cough, initially diagnosed as "AFE".
At 13:50
Start hospital, County Hospital and city maternal rescue green channel.
At 14:20
Direction issued to the families of critically ill notice, maternal husband Liu confirmed the signing.
At 21:30
Because of multiple organ failure caused by amniotic fluid embolism and died.
At 21:40
Business Director of the hospital to inform maternal mortality maternal cousin Zhang.
Around 23 o'clock
Tilt to the families of the deceased and aggressive behavior, county medical malpractice Mediation Center staff rushed to the scene, and medical mediation centre for medical staff in the duty room next to the operating room to wait.
According to the County Health Bureau official micro-blog
■ 追问
1
How to bypass notification to the families allege?
In order to stabilize the mood of the family members of the deceased, trying to notice village branch
Qi Xianqiang, Deputy Director of County Health Bureau of Beijing News reporter lists repeated communication between doctors and patients of the specific timetable.
10th, the women initially diagnosed as "AFE" after may, direction 14:20 the hospital critically ill notice was issued to the families, mothers husband Liu confirmed the signing. Qi Xianqiang said, at this point, the courtyard informing families of amniotic fluid embolism, risk is very large.
At 17 o'clock, inform families need a hysterectomy the hospital, family members, though some find it hard to accept, but still signed off. Qi Xianqiang says here is not, as speculation that families want maternity babies, delay treatment, "the family mood swings are normal, does need to be considered. ”
But according to Xinhua, Zhang, brother of the deceased, said a little after 8 o'clock that night, keep out of the operating room's father received a call from village Party Secretary, said people could keep up. Later after asking they just know, 4 o'clock in the afternoon, some people call the town, called the village clinic in the town, Director of village clinics and phoned the village women, women directors will call village, village Party Secretary, then make the call to the maternal family. "We obviously kept outside the operating room, hospitals did not inform us directly of my sister's situation. ”
County Hospital Vice President Yang Jian also confirmed the claim. 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
3-hour body where?
Hospital officials said fear of family members of the deceased to make trouble, not to organize families of dead bodies
The deceased father-in-law Liu Keqiang said, from a village Party Secretary, disclosed that later on, heads of families looking for a hospital, but the medical staff did not find one. 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.
Liu Keqiang told reporters that around 9:40, Vice President of the hospital Business Office of Yang Jian sent for Zhang to be relatives of the deceased of communication, CFRP confined default Zhang had died. Family members want to see dead bodies, Yang Jian said, "I can't do it." Around 12 o'clock that night, family members entered for the second time, see Zhang have stopped breathing in the operating room, no medical staff.
From 9 o'clock to 12 o'clock in the evening, 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. Nor to organize the families of the dead body. "According to the Xinhua News Agency
3
Why do the operating room all missing?
Hospital said their families emotional, health care workers and family conflict into the guards ' room resting
Mother's husband Liu through the local media questioned going into surgery, only to see his wife naked lying on the operating table, and "supposed to rescue the doctor and nurses, are all missing. "This is also a subject network hot a big focus.
In this regard, said Qi Xianqiang and CFRP confined, health care workers in maternal heart-stopping rescue after half an hour, and gave up, hospital officials announced at 21:40 after the death of outdoor operation gathered dozens of family members became emotional when families rushed into the operating room, medical researchers fear conflicts with family members of the deceased, and took off his gown, next to the Office to rest.
According to the video on local TV shows, has dozens of relatives in the hospital that night denounced the incident, hospital building had obvious signs of smashed, shards of glass lying on the ground, and the two hung white banners. This video also enters the operating room record people kicked in the process.
This version of manuscript writing (apart from the sign outside)/Beijing News reporter intern Zhao Li Zhao Jixiang Han Xuefeng Yang Yuqi
(Original title: Xiangtan denied that "maternal death care missing")
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