六旬老太太发烧就医 The old lady exists in a fever medical attention

输液两分钟不省人事 Transfusion two minutes unconscious

疑因头孢类药物过敏死亡，病历显示就诊前已做皮试 Doubt for cephalosporins drug allergy death，Medical records show before the doctor has a skin test

　　8月2日，在山东省警官总医院，一位66岁老太太疑因在社区卫生服务中心注射头孢类药物过敏死亡。老人病历显示，静脉注射之前医生曾做过头孢过敏皮试。

August 2，Police officer general hospital in shandong province，A 66-year-old old woman suspected for community health service center in injection cephalosporin drug allergy death。The old man medical records show，Intravenous before the doctor had done cephalosporins allergic skin test。

　　老人姓赵，家住济南领秀城A区。其老伴高先生说，7月30日，老太太开始发烧，到市中区人民医院领秀城社区卫生服务中心一检查，体温38℃多。当天，高先生陪老伴在服务中心输了液。第二天早上8点半左右，高先生再次陪老伴到社区卫生服务中心检查，体温已经降下来。这一次，为了让老人恢复的更快，处方里加上了抗生素。输液之前，医生给老太太做了皮试。“大夫给老伴戴了一块跟手表一样的东西，等了五分钟，接着开始输液。”

The old man name is zhao，Live in jinan city brought show A zone。The wife Mr. Gao said，July 30,，The old lady began running a fever，Mark to people's hospital brought show city community health service center a check，38 ℃ temperature more than。The day，Mr. Gao in service center with wife lost fluid。The next morning at about 8:30 at，Mr. Gao with wife again to community health service center inspection，Temperature has gone down。This time，In order to let the old man recover faster，The prescription with antibiotics。Before infusion，The doctor gave the old lady do the skin test。“The doctor gave her wear a watch with something，For five minutes，Then began to infusion。”

　　老人的女婿李先生拿出了当天就医时的病历，病历内容仅为“7月31日，自觉症状减轻，体温37.6℃，头哌舒皮试”。皮试后是一个空白的括号，没有皮试结果的书面记录。高先生回忆说，当时医生说皮试结果显示正常。输液开始两分钟后，老太太突然跟老伴说不舒服，嘴巴发麻。“过敏吗？我去喊护士。”高先生眼看老伴嘴唇开始发紫，跑出去喊护士。等护士到来已经叫不醒了，高先生回忆说。“人不出气了，也摸不着脉了。”这时服务中心的大夫也赶了过来，给老人注射肾上腺素，吸氧。

The old man's son-in-law Mr. Li took out the records of the day when go to a doctor，Medical records only for content“July 31,，Self-conscious symptom reduce，Body temperature of 37.6 ℃，Head shu cefoperazone skin test”。After the skin test is a blank parentheses，No skin test results of written records。Mr. Gao recalls，When the doctor said skin test result shows normal。Infusion began to two minutes later，The old lady suddenly with his wife and says uncomfortable，Mouth pins and needles。“Allergy?？I go to shout the nurse。”Mr. Gao see his lips began to blue，Run out and shout nurse。And the nurse coming call don't have woke up，Mr. Gao recalls。“People don't unable to the，Also can't reach vein。”Then the doctor of service center also catch up，Epinephrine injection to the old man，oxygen。

　　9点20分，老太太被急救人员送到了英雄山路山东省警官总医院。第二天上午10点18分，老人离开人世。

9 20 points，The old lady was emergency personnel to the hero in shandong province road police officer general hospital。The next morning at 10 18 points，The old man died。

家属：死因蹊跷希望给说法 families：The cause of death for saying something to hope

医院：建议家属走司法程序 hospital：Suggest families go judicial process

　　老人的女婿李先生告诉记者，老人死亡的原因让家里人难以接受。“我们跟社区服务中心以及市中区医院的领导沟通过，他们说老人是过敏意外死亡，说所有操作规范。我们的想法是老人既然做过了皮试，还出现过敏症状，那么死亡的原因就应该认真调查。现在看病历上记录不全，又在我们不知晓的情况下封存了当时使用的药品，这些做法都不妥当。最初的皮试，是不是认真做了，我们想知道。”女儿高女士也表示，老人已经过世了，这个无法挽回，但对死因要讨个说法。

The old man's son-in-law Mr. Li told reporters，The old man the cause of death for her family to accept。“Our community service center with the leadership of the downtown district hospital and communicating，They say the old man is allergic accidental death，Said all operation norm。The idea is that the old man had a skin test，Also appeared allergy symptoms，So the cause of death should be serious investigation。Now look at medical history on the record，And that's in the case of drug use and sealed at that time，These practices are inappropriate。The original skin test，Was serious，We want to know。”High ladies also said her daughter，The old man has passed away，This cannot be redeemed，But for the cause of death will get a claim。

　　昨日下午，记者来到社区卫生服务中心，医生告诉记者，“周末领导不在”，无法接受记者采访。在一份由李先生提供的文字资料中记者看到，家属曾与社区卫生服务中心所属的市中区人民医院相关领导协商过，“经协商，院方认为自己没有过错，建议家属做医学鉴定或走司法程序！”

Yesterday afternoon，The reporter comes to community health service center，The doctor told reporters，“Weekend leadership is not”，Unable to an interview。In a by Mr. Li provide text reporters to see，Family members have community health service center belongs to mark the people's hospital of leadership related negotiations，“Through consultation，The hospital believe they have no fault，Suggest families do medical identification or go judicial process！”

四龄童做过皮试还是过敏了 Four children age had skin test or an allergy

　　据媒体报道，2010年6月，武汉7岁儿童珍珍输液前做皮试没问题，可打针不过5分钟，就出现红疹、头疼。母亲刘女士很困惑，既然做了皮试，为何还会出现过敏反应？如果皮试不准，输液岂不是非常危险？武汉市中心医院内科门诊主任李奇凡介绍，做皮试本身无恙，但在临床输液时出现不良反应，一般分为药物过敏和输液反应，这样的几率很小，约万分之几，目前无法避免。李奇凡解释，皮试为小剂量局部用药，但静脉输液是全身性用药，而有时用药量较大，才会出现药物过敏反应。输液反应则是由于输液中滴速过快或患者当时体质虚弱所致。

According to media reports，June 2010，Wuhan seven children have a skin test before jean jean infusion, no problem，Can an injection but 5 minutes，Appear red rash、headache。Her mother is very confused，Since the skin test，Why still appear allergic reaction？If no skin test，Not very dangerous infusion？Wuhan city center director of internal medicine clinic hospital LiJiFan introduced，Have a skin test itself safe，But in clinical transfusion occurs when the adverse reaction，Generally divided into drug allergy reaction and infusion，Such a chance was very small，About the several thousand times，Now can't avoid。LiJiFan explain，Skin test for small dose local drug use，But intravenous infusion is systemic drug use，And sometimes greater exposure leels，Just can appear drug allergy reaction。Infusion response is due to a rapid speed infusion or the patients was caused by weak constitution。

误诊皮试结果致病人死亡 The misdiagnosis skin test result to patients died

　　2006年第7期的《中国乡村医学杂志》曾刊登一病例：医生错误诊断皮试结果导致病人死亡。一发烧患者就医后，急诊室护士做好皮试，告知家属：“记住，20分钟(青霉素皮试规定时间)后看结果。”然而，护士对家属提出“时间不到”的提醒不予理睬，于皮试后16分钟看结果并判断为阴性，立即注射。约三五分钟后，病员面色苍白晕倒。值班护士未给任何应急药物处理，便匆忙将病员抬到远离抢救室的五官科。送到之后，病员心跳呼吸停止。

2006 the 7 period《China's rural medical journal》Has published a case：The doctor error diagnosis skin test result cause deaths。A fever hospitalized patients，The emergency room nurse make skin test，Told family members：“remember，20 minutes(Penicillin skin test time provisions)See the results after。”however，The nurse put forward to family members“Time is less than”Remind ignored，In a skin test and see the results after 16 minutes and judgment to negative，Immediately injection。About 35 minutes，The sick pale fainting。Clerk did not give any emergency drug treatment，He hurried to put the sick carried to intensive care away from the facial。After to，The sick heart stopped breathing。

　　该杂志称，经鉴定，本案例被定为一级医疗责任事故。该护士为本案直接责任人。(记者 曹建民)

The magazine said，Classics appraisal，This case is recognized as the primary medical liability accident。The nurse persons directly responsible for the case。(Reporter CaoJianMin)