六年前，46岁的河北遵化男子柳宏身强体壮，家庭富足美满，一次意外的爆胎事故改变了他的生活。最令柳宏痛心疾首的是，他认为是几次糟糕的医疗过程，使他本可不截肢的腿没了，且残肢残端截面变形，连能靠假肢重新走下去的希望都破灭了。

Six years ago,46, hebei ZunHua man LiuHong'm strong,Family rich happy,An unexpected tire burst accident changed his life.Most make LiuHong with bitter hatred is,He thought that it was a few times bad medical process,Make him this don't amputation legs didn't,And residual ZhiCan end section deformation,Even can rely on artificial limb to go hopes were all dead.

　　近日，柳宏拄着双拐，在家人的陪伴下，在海淀法院与被告三家医院对簿公堂，索赔400余万元。

recently,LiuHong walks with a double crutch,In the company of family,In the haidian court and the defendant three hospitals to court,Claim for compensation of 400 yuan.

　　一次意外的爆胎事故 An unexpected tire burst accident

　　2006年2月2日，一个对柳宏来说永生耿耿于怀的日子。

On February 2, 2006,A LiuHong annoys for eternal life days.

　　8点左右，时年46岁的柳宏给所雇司机送出车费。这辆斯太尔半挂牵引车运行快两年了。司机正准备换胎，却突然爆胎了！“砰”的一声巨响，柳宏应声倒地，昏了过去，棉裤被崩破，染着血迹。倒是司机幸运躲过一劫。

About eight,Then the LiuHong 46 years old to hire the driver to take out the fare.The steyr half hanged locomotive running fast two years.The driver is preparing to changing the tire,But when it has a sudden flat tire!"bang"A loud bang,LiuHong squeezed,Fainted when,Trousers be avalanche broken,Blood dyed the.It is the driver of a lucky enough to escape.

　　很快，柳宏被送到遵化市人民医院，检查发现右大腿有8厘米伤口，右侧胫腓骨上段粉碎性骨折。而左小腿无伤口，只是红肿，检查发现左股浅动脉远端有血栓形成。事后柳宏说，当时“应及时做左小腿减张手术的保守治疗。”

soon,LiuHong was sent to ZunHuaShi people's hospital,Examination revealed right thigh have 8 cm wound,On the right side of tibiofibula upper segment comminuted fracture.And left crus no wound,Just red,Examination found that left strands of shallow artery remote thrombosis.LiuHong said afterwards,At that time"Should be timely do left crus minus a conservative treatment of surgery."

　　但医生采取的是手术治疗。15时30分柳宏被推进手术室，左腿腘动脉被切除了3.5厘米长。术后第6天左小腿仍未消肿，医生让做减张术。柳宏提出“到手术室做”，管床大夫说：“做个小手术，剌个小口子，用不了10分钟。”

But doctors take is surgery.15 when LiuHong 30 points in the operating room,Left leg popliteal artery was amputated 3.5 centimeters long.Postoperative 6 days left crus is still not detumescence,The doctor asked to do a reduction technique.LiuHong put forward"To operating room do",Tube bed the doctor said:"Do a small operation,Tap a small cut,No more than ten minutes."

　　住院17天后又要截肢 After 17 days in hospital and amputation

　　14点多，在六人病房柳宏的病床上，医生对他实施了全麻减张术，包裹伤口时，柳宏左腿腘动脉连接吻合口突然破裂。同房病人惊愕地看到：鲜血喷了一床一地！

14 o 'clock,In the six people LiuHong ward bed,The doctor gave him a general anesthesia reduced implementation of a technique,Package when the wound,LiuHong left leg popliteal artery connection anastomotic burst.In astonishment see her patients:Blood spray a bed for a land!

　　15时30分，柳宏又被推进手术室抢救、止血，部分右腿大隐静脉被移植到左腿。“但术中血管吻合不彻底，造成渗漏，致后来二次血喷。”

15 when 30 points,LiuHong and pushed to the operating room rescue/hemostatic,Part of the right leg great saphenous vein were transplanted to the left leg."But during the operation, the vascular anastomosis is not complete,Cause leakage,The later secondary blood spray."

　　3月3日，柳宏开始高烧感染，肌肉坏死溃烂，腿钻心得疼。不得以，3月5日又行清创术，切除坏死肌肉。3月11日医生准备换药，发现动脉吻合口出现喷射性出血，遂请外院专家会诊。管床大夫表示：“左腿保不住，专家建议截肢。”

On March 3,LiuHong began to high fever infection,Muscle necrosis fester,Leg made to pain.Shall not,On March 5th and do debridement,Resection muscle necrosis.March 11 doctors prepare dressing,Find arterial anastomotic appear projectile bleeding,Hence please outer court experts consultation.Tube bed doctor said:"Left leg is,Experts suggest amputation."

　　“左腿没咋样啊，住了17天院却要截肢？”家属要求转院。当天傍晚，柳宏被送到唐山第二医院。

"Left leg didn't need ah,Live for 17 days court will amputation?"Family hospital requirements.Later in the afternoon,LiuHong was sent to tangshan second hospital.

　　转院要求尽量保腿 For a hospital to the leg

　　次日8点左右，柳宏左腿大动脉破裂，再次喷射性大出血！柳宏两眼一翻，又昏死过去。抢救时，唐山二院提出两个方案：一是截肢；二是使用人造血管，使用寿命是8到12年。家属哭求：“还是尽量保腿吧！”

Eight o 'clock the next day,LiuHong left leg artery rupture,Once again projectile hemorrhea!LiuHong two eyes a turn,And unconscious.Rescue when,Tangshan two school puts forward two solutions:One is the amputation;The second is the use of artificial blood vessels,Life is 8 to 12 years.Family cries:"Or try to protect leg it!"

　　3月13日，第一根人造血管被植入柳宏体内，但术后栓塞，又手术植入一根人造血管。“应同时取出第一根人造血管，却没取。”半年后，第一根人造血管周边感染、溃烂，柳宏长期在剧痛中煎熬。9月30日又行清创术，取出了第一根人造血管。因不断感染，2008年下半年检查确认，只使用了两年多的第二根人造血管也栓塞了。

March 13,,The first root artificial blood vessels are implanted LiuHong body,But the postoperative embolism,And surgical implant a artificial blood vessel."At the same time should take the first root artificial blood vessel,But didn't take."After six months,The first root artificial blood vessel peripheral infection/fester,LiuHong long-term suffering from severe pain in.On September 30th and do debridement,Take out the first root artificial blood vessel.For continuous infection,The second half of 2008 check,Use only the more than two years of the second root artificial blood vessel and the embolism.

　　滞留异物多次开刀 Foreign body retention times operation

　　为了保住一条腿，2008年11月26日柳宏颠簸进京。解放军304医院也建议截肢。“遭了多少罪，终要截肢啊！”柳宏欲哭无泪。

In order to keep a leg,On November 26, 2008 LiuHong turbulence goes to the capital.The people's liberation army 304 hospital also suggested that amputation."Was how many crimes have been,End to amputation ah!"LiuHong too deep for tears.

　　12月3日截肢术前，柳宏要求术中取出全部人造血管，可不料还是遗留了一段，造成残肢感染。“医生解释，术中看人造血管截面挺干净，就没取。”

December 3, amputation preoperative,LiuHong requirements intraoperative remove all artificial blood vessel,But behold or left behind a section,Cause residual limb infection."The doctor explained,Operation presentability artificial blood vessel section quite clean,It didn't take."

　　后做手术取残余人造血管，又接受了清创术。“原本平滑的残肢残端变得凹凸不平，沟棱纵横，还有渗液流出，表面结痂。一戴上假肢，接触面就磨得生疼，甚至磨破出血。腿没了，连靠假肢都没法走啊！”柳宏痛心地说。

After surgery take residual artificial blood vessel,And accept the debridement."Originally smooth residual ZhiCan end becomes uneven,Groove edge aspect,And seepage flow,Surface callus.A wear the artificial limb,Contact surface is grinding it was painful,Even wor bleeding.Legs didn't,Even by artificial limb can hardly walk!"LiuHong hurts to say.

　　2009年3月23日，304医院给付柳宏23000元住院补偿费。

On March 23, 2009,304 hospital LiuHong pay 23000 yuan hospital compensation.

　　原告提出400多万赔偿 The plaintiff put forward more than 400 compensation

　　9月12日下午，海淀法院，52岁的河北男子柳宏左腿戴着假肢，拄着双拐，一扭一拐艰难地挪进法庭，由于残肢被假肢磨得生疼，他时不时皱起眉头。随行的是这几年一直操劳、面黄肌瘦的妻子张淑侠。

On September 12, afternoon,Haidian court,52, hebei man LiuHong left leg wearing artificial limb,Walks with a double crutch,A twisted and go one hard to move into court,Due to the residual limb prosthesis by grinding it was painful,Now and then he wrinkle up eyebrows.The delegates are over the past few years have been laboring/The wife of a lean and hungry look ZhangShuXia.

　　她瘦削的肩膀上，扛着丈夫时时离不开的坐便椅，手里拎着四个大包，其中包括两人从河北进京所携必备品以及满满两大包沉甸甸的诉讼材料。

Her thin shoulders,Carried her husband always sit and can not be separated from the chair,Hand carry four bale,Including two people from hebei performers with the necessary article and two full bale heavy lawsuit material.

　　三家被告医院的代理人陆续落座。柳宏当庭提出了高达400多万元的赔偿金额，并陈述了三点辩论意见：北京明化司法鉴定中心司法鉴定书摘录遵化市人民医院病历提及一些右腿伤，他根本就没有；司法鉴定书摘录唐山二院住院病历，称医院行清创人造血管取出术，再次行人造血管植入重建术，而实际上是清创术遗留了一根人造血管在他体内；司法鉴定书居然将其双腿的伤情，阐述成了其左腿的伤情。

Three the defendant hospital agent into in succession.LiuHong at court puts forward as high as more than 400 yuan of the amount of compensation,And stated the three opinions debate:Beijing Ming change judicial authentication center judicial testimonial extract ZunHuaShi people's hospital medical records mention some right leg injury,He didn't;Judicial testimonial extract tangshan two hospital medical records,Said the hospital line debridement artificial blood vessel take out operation,Once again the pedestrian hematopoietic tube insertion revascularization,But in fact is debridement left a root artificial blood vessel in his body;Judicial testimonial incredibly will its legs condition,This became the left leg injuries.

　　柳宏的代理人认为，遵化市人民医院在不具备条件的病房里做全麻手术；唐山二院遗留人造血管，造成病人术后持续感染，致第二根人造血管栓塞，最终截肢；304医院违背病人意愿，截肢术时未取出全部人造血管。另外，医院病历存在造假之处，司法鉴定中出现很多与事实不符之处，因此请求更换鉴定机构重新鉴定。

LiuHong agent think,ZunHuaShi people's hospital in do not have a condition ward do general anesthesia surgery;Tangshan. 2 hospital legacy artificial blood vessel,Cause patients postoperative persistent infection,The second root artificial vascular embolization,Final amputation;304 hospital against the patient intend to,When experienced amputation not remove all artificial blood vessel.In addition,Hospital medical records falsified place,The judicial appraisal appeared in many discrepancies with the facts,So request replacement appraisal institutions new appraisal.

　　该司法鉴定书中认定：“遵化市人民医院诊疗中存在未采取‘无张力血管重建’以及在病房内实施全麻手术等医疗过失，增加了患者血管吻合术后再断裂及术后感染的几率”；“唐山医院，人工血管植入术后并发吻合口断裂，继发血栓形成等严重并发症后，未果断实施截肢术，一定程度上延长了患者术后感染的病程。”由此，遵化市人民医院和唐山二院“不属于医疗事故”，“建议过失参与度”分别是50%和10%；304医院“不存在医疗过失”。

This judicial testimonial that in:"ZunHuaShi people's hospital existing in the diagnosis and treatment did not take‘No tension vascular remodeling’And the implementation of the general anesthesia surgery ward in medical negligence,Increased vascular anastomosis in patients with postoperative to fracture and postoperative the risk of infection";"Tangshan hospital,Artificial vascular anastomosis after implantation and fracture,Secondary thrombosis and after serious complications,Not decisive experienced amputation,To a certain extent, prolong the patients postoperative infection of course of disease."this,ZunHuaShi people's hospital and tangshan two yuan"Do not belong to medical accident","Suggest negligence participation"Respectively is 50% and 10%;304 hospital"There is no medical negligence".

　　被告认为治疗没过错 The defendant think treatment no fault

　　而前两家医院认为：“司法鉴定书确认我们参与度过高。”不过，三家医院都不同意重新鉴定。庭上，三家医院的代理人都未就原告提出的医疗细节问题进行解释，但认为院方在对原告医治过程中“没有过错”，不认可他们对原告的截肢等负有责任。

And the first two hospitals think:"Judicial testimonial confirm our participation through high."but,Three hospitals don't agree with new appraisal.The court,Three hospitals agent are not just the plaintiff proposed medical details to explain,But think in the hospital to the plaintiff healing process"No fault",Don't accept them to the plaintiff's amputation responsibility, etc.

　　304医院承认手术遗留异物的事实，但否认这违反了诊疗原则。其代理人认为，司法鉴定确认其没有医疗责任，原告索赔与该院无关。

304 hospital admit the fact that the foreign bodies from surgery,But denied that this violated the principle of diagnosis and treatment.Its agent think,The judicial appraisal confirm its no medical liability,The plaintiff has nothing to do with its claim.

　　休庭前，法官组织双方调解，原告方同意，但三家医院均表示“不同意”。目前，双方都在等待法院决定是否予以重新鉴定。

Before the adjournment,The judge the mediation organization,Administration agree to,But three hospitals are said"Don't agree to".At present,Both sides are waiting for the court to decide whether to new appraisal.

　　富裕之家沦为低保户 Rich family into low door

　　柳宏早先是大货司机，能吃苦，后来花40多万元买了一辆斯太尔，雇人干。“那时啥病没有，有的是力气，可如今三级残疾，一身的病啊！”

LiuHong earlier is big cargo driver,Can bear hardships,Then spend more than 40 ten thousand yuan bought a car stery,Hire people dry."Then what disease did not,Have a plenty of strength,But now level 3 disabled,A disease ah!"

　　由于不断感染，打了很长时间万古霉素，柳宏全身脏器受到很大伤害。“我患上了败血症；长期腰疼，胸椎、腰椎骨质增生；胸膜粘连，都是长期卧床和感染造成的；血液循环慢，长期住院卧床，最长躺了8个多月，脑动脉血管硬化、脂肪肝、胆囊息肉全有了；老做手术，插导尿管，现肾脏囊肿，尿路感染；不能生气，经常心慌胸闷……”

Owing to the constant infection,Playing for a long time vancomycin,LiuHong systemic organ is much damage."I have suffered from the sepsis;Long-term waist ache,thoracic/Lumbar bone hyperplasia;Pleural adhesion,Is in long-term and caused by infection;Blood circulation slow,Long in hospital bed,Lie longest 8 months,Cerebral arterial sclerosis/Fatty liver/Gallbladder polyp have all the;Old surgery,Inserted catheters,Now kidney cyst,Urinary tract infection;Can't angry,Often dismayed bosom is frowsty..."

　　“以前，我靠双手维持生活，月入数万元。可现在——”柳宏长叹着掏出了低保证。“为了治病，我们卖掉了原来养家糊口的车子，还四处借钱。我媳妇没工作，我还有个80多岁的老母亲。我受伤后，一儿一女都是靠贷款上的大学。”

"before,I maintain life hands,Tens of thousands of yuan income.But now --"LiuHong came out with the low guarantee."In order to cure,We sell the original support a family car,Also borrow money from around.My daughter-in-law didn't work,I also have a more than 80 - year - old mother.I after the injury,A son and daughter are on loan to go to university."

　　一提及女儿，柳宏夫妇不禁心酸落泪。“女儿被好心人资助了5000元读完高中，又向好心人借了5000元上大学。为减轻家里的负担，她业余打工。一次打工到晚上9点多，走着回家，被摩托车撞断了脚踝……”柳宏犹感对不住女儿，呜呜地，随着妻子哭成了一个泪人。(林靖)

A daughter to,LiuHong couples can not help but feel sad tears."Daughter is good intention funded the 5000 yuan finished high school,And to good intention borrowed 5000 yuan go to college.In order to alleviate the burden of the family,She amateur job.A job to more than 9 o 'clock at night,Walk home,Be motorcycle bump broken ankle..."LiuHong of feeling sorry for her daughter,Toot ground starts,With his wife cry became a tears.(LinJing)