医院超量用药致患者成植物人 Hospital excess medication to patients into vegetable

事发北京中医医院 治疗两年后死亡 The Beijing hospital of traditional Chinese medicine treatment death two years later

　　赵女士的母亲在医院做手术后，被过量使用止痛药致昏迷，治疗两年不幸离世。赵女士以院方过错致母亲成植物人为由，向医院索赔100余万元。记者昨天获悉，市二中院终审判决医院承担次要责任，赔偿赵女士24万余元。

Zhao lady mother in the hospital for surgery，Is the excessive use of painkillers to coma，Treatment for 2 years from the misfortune。Zhao lady in the fault cause mother into vegetable grounds，A claim to the hospital more than 100 ten thousand yuan。Reporters learned yesterday，Lu guoqiang, a final decision hospital for secondary liability，Compensation for ms zhao more than 240000 yuan。

　　2005年8月18日，赵女士的母亲因“外伤致右手第一掌骨基底部疼痛5小时”到首都医科大学附属北京中医医院就诊，急诊对她进行了“右第一掌骨骨折切开复位内固定术”。8月20日，老人昏迷、呼唤不醒，并进行抢救、治疗。9月16日又多次出现呼吸困难，至同年10月18日出院时仍呈昏迷状态。出院后，老人先后到另外4家医院住院治疗。

On August 18, 2005，Zhao lady mother for“Trauma to the right hand first metacarpal basal part pain 5 hours”Affiliated to the capital university of medical sciences, Beijing hospital of traditional Chinese medicine，Emergency to her“Right the first metacarpal fracture open reduction and internal fixation”。On August 20,，The old man coma、Call don't wake，And rescue、treatment。September 16 times and have difficulty breathing，To October 18, the courtyard is a coma。After discharge，The old man has to another four hospital treatment。

　　2007年1月5日，赵女士在母亲住院期间第一次向北京中医医院索赔。当时，法院委托司法鉴定中心对医院在诊疗过程中是否存在过错、过失进行鉴定。

Jan. 5, 2007，Ms zhao in the mother was in hospital for the first time during the Beijing hospital of traditional Chinese medicine claim。At that time，Entrusted court judicial authentication center on hospital in diagnosis and treatment process whether there is fault、Fault identification。

　　鉴定意见分析说明，医院对患者术前诊断及手术无明显差错，但对患者术后应用止痛药的剂量过多。按药典及止痛药曲马多的药物说明书规定，24小时内不超过400mg，31个小时内不应超过517mg。但院方对赵女士母亲使用的曲马多总剂量，31小时内约为648mg，已明显超过最大推荐剂量。

Appraisal opinions demonstrate，The hospital to preoperative diagnosis and surgical patients with no obvious error，But for patients postoperative application painkillers dose too much。According to pharmacopoeia and painkillers tramadol drugs manual regulation，Within 24 hours of less than 400 mg，31 hours should not be more than 517 mg。But the hospital to zhao lady mother use of tramadol total dose，31 hours about 648 mg，Already obviously more than maximum recommended dose。

　　根据药典及曲马多说明书规定：如果明显超过了推荐剂量或同时应用其他中枢抑制药物就有可能发生呼吸抑制，因此，患者于2005年8月20日发生的昏迷与曲马多应用剂量过多有直接因果关系。经医院积极抢救，患者意识恢复未造成严重后果，院方应负次要责任。

According to pharmacopoeia and tramadol manual regulation：If substantially more than the recommended dose or at the same time application other central inhibition drugs might happen respiratory depression，therefore，The patient on August 20, 2005 happen coma and tramadol application dose too much a direct causal relationship。The hospital actively rescue，Patients recovering consciousness not cause serious consequence，The hospital should be negative secondary responsibility。

　　诉讼期间，赵女士的母亲于2007年9月20日在第四家医院因抢救无效死亡，死亡原因为多器官功能衰竭、感染中毒休克、弥漫性腹膜炎。同年10月16日，司法鉴定中心出具意见说明，医院对赵女士母亲的诊疗存在一定过错，应负次要责任。

During the litigation，Zhao lady mother 20 September 2007 in the fourth hospital for rescue invalid death，The cause of death which is organ function failure、Infection poisoning shock、Diffuse peritonitis。In the same year October 16,，The judicial authentication center of the opinion that issue，The hospital to zhao lady mother there is fault diagnosis and treatment，Should be negative secondary responsibility。

　　赵女士随后撤诉，并于2008年12月重新起诉。她认为，中医医院始终无法查明母亲昏迷的真正原因，无法及时采取正确的、有针对性的治疗措施，延误了最佳治疗时机，使母亲处于脑昏迷状态超过20天，成为植物人，医院应承担全部责任，共索赔死亡赔偿金等100余万元。

Zhao lady then withdraw，And in December 2008 to prosecution。She thinks，Hospital of traditional Chinese medicine still cannot find out the real cause of the mother coma，Can't take timely correct、Targeted treatment measures，The best time to delay treatment，A mother is in a coma brain more than 20 days，Become a vegetable，The hospital should take full responsibility，A total of death compensation claim more than 100 ten thousand yuan。

　　此案先后经过两审法院审理，赵女士获赔24万余元。(记者 裴晓兰)

The case has two instances by the court，Ms zhao HuoPei of more than 240000 yuan。(Reporter PeiXiaoLan)