做完清宫手术胎儿仍在腹中 瑞昌市人民医院遭投诉 After the qing dynasty palace surgery fetus in the womb is still ruichang city people's hospital was complaints

　　

医院承认手术失误 当地卫生局已介入 Hospital admit operation mistakes local health bureau already intervention

　　再过几天，李华(化名)就要和丈夫在国庆节举办婚礼了。眼看婚期临近，可他们却怎么也高兴不起来，因为他们目前正在为一桩“生育风波”而奔波讨说法。

In a few days,Li hua(alias)Will and her husband in the National Day hold wedding.See day is near,But they actually how also not happy,Because they are for a pile"Fertility storm"For the statement.

　　两个多月前，怀孕的李华终于体会到初为人母的喜悦，夫妇俩甚至为未来小孩的起名争论不休。但没想到1周后，她却因“下身见红”被医院诊断为“先兆流产”，而忍受剧痛做了清宫手术。令一家人吃惊的是，在打胎后几天，她突感不适回医院复检，B超竟传出腹中“死婴”的心跳声。但此时产下健康宝宝的几率已很渺茫……、

More than two months ago,Pregnant li hua finally to experience the joy of the mother,The couple even for future children's names debate.But I didn't know after 1 week,She is because"Para see red"Is the hospital diagnosis for"Threatened abortion",And to endure pain made the qing dynasty palace surgery.Make a family surprise,In a few days after the end,She tu feeling unwell back to review the hospital,B to exceed unexpectedly efferent belly"Dead baby"Heartbeat of.But at the moment, gave birth to a healthy baby boy is very slim chance.../

　　

不慎摔跤导致孩子流产 He wrestling cause the child to abortion

　　家住九江瑞昌市赛湖农场府东新区的李华，今年22岁。2010年，曾在广州做服装生意的李华结识了比她大2岁的老乡周瑞峰，通过一段时间交往，两人很快确定为恋人关系，并于当年办理了结婚登记手续。由于两人忙于打理生意，为此他们一直抽不出时间举办婚礼。

Live in jiujiang ruichang city "lake farm house east new district li hua,22 years old this year.In 2010,,Worked in guangzhou do clothing business li hua meet than her big 2 years old ZhouRuiFeng villagers,Through a period of time communication,Two people quickly identified as relationship between lovers,And in the deal with the marriage registration formalities.As a result of two people are busy with the business,Therefore they always can't spare the time to hold wedding.

　　今年3月底，李华发现自己有怀孕征兆，于是来到医院检查，确诊怀孕。可是一家人没高兴多久，厄运就降临了。5月份，李华不慎摔跤导致孩子流产，在瑞昌市人民医院(系二级甲等医院)做了清宫手术，原本充满快乐的一家陷入了沉默。

By the end of march this year,Li hua found themselves with signs of pregnancy,He came to the hospital the examination,Diagnose pregnancy.But the family not happy how long,Bad luck came.may,Li hua immodesty wrestling cause the child to abortion,In ruichang city people's hospital(System level 2 class hospital)Did the qing dynasty palace surgery,Originally is full of happy a fell silent.

　　7月19日，李华发现自己又停经了几天，有些紧张的她来到了瑞昌市人民医院做检查，照过彩超之后发现李华又怀孕了。这个结果让一家人既紧张又惊喜。

July 19,Li hua found himself and menopause for a few days,Some nervous she came to ruichang city people's hospital for examination,As a colour to exceed then found li hua and pregnant.The result let family nervous and surprise.

　　

保胎却成清宫打胎 But choose to defend to the qing dynasty palace

　　正当他们满怀期待时，悲剧重新上演。7月22日，李华吃完晚饭后，觉得自己有些不对劲，到厕所一看，她自己吓了一跳，因为她下身见红了。“是不是流产了？”一种恐惧的念头出现在她的脑海。

As they were full of expectations,Tragedy staged again.July 22,,Li hua after dinner,Feel some wrong,To the toilet a look,She jumped out,Because she para see red."Is abortion the?"A fear of the idea came into her mind.

　　当晚7时左右，她在家人的陪同下来到了瑞昌市人民医院就诊，希望能保住胎儿，而正是这次检查让他们做了一个至今认为最错误的决定。“人民医院在瑞昌算是最好的医院，没想到这里却让我失去了孩子。”李华告诉记者，那晚是妇产科的医生熊丹值班，熊丹结合她的病史及彩超检查，判断她系“先兆流产”，并建议她马上做清宫手术。再次流产的噩耗击溃了李华和在场的家人，而此时正在深圳做工程的周瑞峰闻讯后也连夜坐飞机赶了回来。

That night at about 7,She was accompanied by family came to ruichang city people's hospital,Hope I can keep the fetus,And it is this check that they made a now think that the most wrong decision."In most people's hospital is the best hospital,Thought here but let me lost children."Li hua told reporters,The night was department of gynaecology and obstetrics doctor XiongDan duty,XiongDan combined with her history and colour to exceed examination,Judgment she system"Threatened abortion",And advised her to do right now the qing dynasty palace surgery.The news of the defeat again abortion li hua and the presence of the family,This is the shenzhen do a project in ZhouRuiFeng after sitting out overnight plane back.

　　“因为怕疼，当时我不肯做清宫手术。但熊丹说不做的话就先吃药，到时候还是要做清宫手术，因为并没有流干净。我想既然早晚都要做，那不如早做。”李华说，当晚在熊丹的劝说下，她即刻做了清宫手术。

"Because of the fear of pain,I was unwilling to do the qing dynasty palace surgery.But XiongDan said don't do, you can first take the medicine,When the qing dynasty palace still need to do surgery,Because did not flow clean.I think now that morning and evening to do,That as early."Li hua said,That night in XiongDan persuasion,She immediately made the qing dynasty palace surgery.

　　

清宫之后胎儿仍在腹中 After the qing dynasty palace fetus is still in the womb

　　术后当晚，李华带着失去亲生骨肉的痛苦离开医院回到家休养。当她一家人都以为事情就这样过去的时候，一份复查结果，又让事情再起波澜。

The postoperative,Li hua with their own flesh and blood to lose the pain leave the hospital returned home recreation.When her family all thought it was the past time,A review of the results,And let things comeback waves.

　　7月28日，也是李华术后一周的日期，李华发现自己腹部有点不适。她没有多想，独自去瑞昌市妇幼保健院做了一次复查，但结果却让她傻了眼：子宫腔内近左侧子宫角部可见妊娠囊回声。当她流着泪从医院回来告诉丈夫周瑞峰这个结果时，一家人难以相信这个事实。

On July 28,,Is li hua postoperative week date,Li hua found himself a little abdominal discomfort.She didn't want to think more,Go alone ruichang city maternal and child care service centre made a review,But only to let her silly eye:Uterine cavity near the left uterine corner visible pregnancy cystic echo.When she was in tears came back from the hospital told her husband ZhouRuiFeng the results,The family is difficult to believe that this fact.

　　因为医生的疏忽，造成清宫没清干净，有残留物遗留在子宫内，这样的病例周瑞峰听说过。但接受清宫手术后却仍然有一个完好的孩子留在宫内，他们是闻所未闻。夫妇俩既痛心，又气愤。

Because the doctor's negligence,Cause the qing dynasty palace didn't clean it up,A residue left in utero,Such cases ZhouRuiFeng heard of.But accept the qing dynasty palace after surgery but still have a good children stay in house,They are never heard of before.The couple is grieved,And angry.

　　“明明已经流产了，而且做了清宫手术，为什么还会有妊娠囊？”周瑞峰十分疑惑，妇幼保健院医生的诊断更是让他迷惑：疑似宫外孕，建议去省妇幼保健院做进一步检查。当天，夫妻俩赶到省妇幼保健院做进一步检查，做完B超以后，医生的诊断结果却是：早孕。

"Clearly has had a miscarriage,And do the qing dynasty palace surgery,Why are there still gestational sac?"ZhouRuiFeng very confused,Maternal and children health care centers of the doctor's diagnosis is to let his temptation:Suspected ectopic pregnancy,The proposal goes to provincial maternal and child care service centre for further examination.The day,The couple arrived at the provincial maternal and child care service centre for further examination,Finished after B to exceed,The doctor's diagnosis is:pregnancies.

　　早孕是不是意味着孩子还能保住？周瑞峰夫妻俩心里泛起了一丝希望。

Results mean that the child still can keep?ZhouRuiFeng a couple on heart a glimmer of hope for.

　　

患者再度做人流手术 Patients do again the stream of people surgery

　　可更痛苦的现实是，他们要对这个胎儿作出取舍：要还是不要？

But the reality is more painful,They want to the fetus to choose between them:To or not to?

　　此时，李华夫妇正在为要不要孩子发愁，因为胎儿在手术中可能遭受过器械的直接伤害，或术中、术后用药中还有孕妇禁用药物，他们担心孩子今后出生会留下后遗症，谁也不敢保证孩子的健康。他们多方征询了有关专家的意见，并向他们进行了咨询，多数认为：清宫手术对孩子的伤害很大，谁也不能保证孩子出生后，会不会缺胳膊少腿，所以这孩子最好不要。

At this time,Li hua couple is to don't worry about the children,Because the fetus in the surgery may suffer a instrument of direct damage,Or intraoperative/The use of banned drugs and pregnant women,They worry that children born in the future will leave sequela,No one can guarantee the health of children.They asked for the relevant experts,And to seek advice,Most think:The qing dynasty palace surgery in children's great damage,Nobody can guarantee after the baby is born,Will not lack the arm little leg,So the child had better not.

　　专家的说法，彻底击碎了俩人的希望。夫妻俩思索再三，最后决定于8月3日在省妇幼保健院做了一次吸宫人流手术。“手术做完以后，医生告诉我说，从李华的体内刮出宫内组织约20g，能看到明显的绒毛，那就是我的孩子。”周瑞峰说道。

Experts say,Completely shattered two people of hope.A couple thinking over and over again,The final decision on August 3, in the provincial maternal and child care service centre made a suction palace the stream of people surgery."Operation finished,The doctor told me that,From li hua body blow out house organization about 20 g,Can see the obvious villi,That is my child."ZhouRuiFeng said.

　　

医院承认手术失误 Hospital admit mistake operation

　　这段时间，李华夫妇俩一直在医院里奔波，想为自己不寻常的经历向瑞昌市人民医院讨说法，但一直都没有等到有关人员的正面回复。9月25日下午，记者来到瑞昌市人民医院住院部三楼妇产科，主治医生熊丹婉拒了记者的采访。随后，记者在瑞昌市卫生局有关领导的帮助下，找到了负责调解此事的院方法律顾问、江西惟民律师事务所罗嗣音律师，对李华做完人流手术后肚里仍存活胎儿的事，他代表医院认为她反映的情况基本属实。

This period of time,Li hua the couple has been in the hospital on the run,Want to make our unusual experiences to ruichang city people's hospital for saying,But never wait for relevant personnel of positive reply.On September 25th afternoon,The reporter comes to ruichang city people's hospital in-patient department on the third floor of the department of gynaecology and obstetrics,Attending physician XiongDan declined reporter's interview.then,Reporter in ruichang city health bureau under the help of the relevant leaders,Found responsible for the mediation of the hospital this legal adviser/Jiangxi but people LuoSiYin law firm lawyers,The stream of people surgery to li hua finished after his stomach still alive the fetus,He represented the hospital think she reflects the basic situation is true.

　　罗律师说，确实是手术中的失误，技术方面有缺陷，但此事不属医疗事故，因为医务人员在清宫手术过程中没有清干净，致使患者没有达到治疗目的，这是医疗过错，但诊断没问题。为此，院方对患者及其家属表示歉意，愿意通过协商，对患者李华因再次终止妊娠的医疗费、交通费和营养费等费用负责，给予一万元补偿。

ROM. Lawyer said,It is the faults in the operation,Technology has defects,But it does not belong to medical accident,Because the medical staff in the qing dynasty palace during the operation without clear clean,The patients did not achieve the goal of therapeutic management,This is medical treatment fault,But diagnosis no problem.therefore,The hospital patients and their families to apologize,Willing to through consultation,Li hua to patients for medical termination of pregnancy again/Transportation and YingYangFei responsible for expenses,Give ten thousand yuan compensation.

　　“可他们一口咬定要我们医院赔35万元，否则就免谈。”罗律师坦言，人流手术中发生漏吸，医院有责任，院方愿意赔偿，但必须遵循公平、合理的标准。由于患者提出35万元赔偿数目过大，院方无法满足他们的要求，并以书面形式告知患者及其家属通过县级以上医学会起先医疗事故技术鉴定，然后再根据医疗事故或过错及责任大小，再通过司法途径解决。

"But they cling to our hospital to pay 350000 yuan,Or business is not possible."ROM. Lawyer said,The stream of people surgery leakage occurred in suction,Hospital has the responsibility,The hospital would like to compensate,But must follow the fair/Reasonable standard.In patients with 350000 yuan compensation is put forward too number,The hospital to meet their demands,And in a written form to their patients and their families at or above the county level through the first medical association medical accident technical appraisal,Then, according to the medical accident or fault and responsibility size,Then through the judicial way to solve.

　　罗律师再次表态，医院愿意跟患者李女士协商赔偿事宜。但李华却认为，“我要求误工费、营养费和精神损失费等，我仔细算过，35万元不过分。”自己发现清宫手术失败后，她到省城做了第二次手术。尽管费用不高，她和丈夫却忧心不断：以后生育能力是否会受影响？

ROM. Lawyer said again,The hospital with patients to ms. Li consultation for matters concerned.But li hua but think,"I make compensations for/YingYangFei and spiritual damages, etc,I am careful to calculate,350000 yuan not too."Discover the qing dynasty palace surgery after failure,Her to the provincial capital to do a second operation.Though the cost is not high,She and her husband are constantly worried:Later fertility would affected?

　　

专家：刮宫后胎儿继续存活很罕见 experts:After dilatation and curettage fetal continue to live is very rare

　　昨日，记者就李女士的遭遇采访了省城某医院妇产科资深医生彭教授。她说，女人在怀孕前三个月，如果见红了，一般判断是宫外孕或者是流产，所以说熊丹判断李华流产是没错的。但正常发育的婴儿在40到50天已可以测得心管搏动等生命特征，否则有3种情况可以考虑：婴儿死亡、婴儿发育或受孕时间较晚。此时，医生一般比较谨慎，不会轻易做出结论，尽量用中性的语言给患者提出建议，选择继续观察或进行人流。不过，有经验的医生也可能会根据产妇的具体情况做出判断。

yesterday,Reporters were interviewed li encounter a provincial capital in the department of obstetrics and gynecology hospital senior doctor professor peng.She said,The woman in the first three months of pregnancy,If see red,The general judgment is ectopic pregnancy or abortion,So XiongDan judge li hua abortion is right.But the normal development of the baby in the 40 to 50 days already it can measure such as beating heart tube life characteristics,Otherwise there are three kind of circumstance can consider:Infant death/Baby development or time to conception late.At this time,The doctor is compared commonly cautious,Will not easily make conclusion,Try to use neutral language to put forward the proposal patients,Choose to continue to observe or people.but,Experienced doctors also may according to the specific circumstances of maternal judgement.

　　此外，目前人流手术中漏吸的几率不大，不会超过10%，而刮宫后胎儿继续存活的状况属于极为罕见。从这点可以说明，实施手术医生缺乏责任心或实施手术者技术不过硬。因为，刮宫过程全凭实施手术医生的手感和经验进行，如实施手术医生技术欠佳就会出现漏刮状况。

In addition,At present in the stream of people surgery leakage suction chance is not big,Not more than 10%,And after dilatation and curettage fetal continue to survive status is extremely rare.From this point can explain,Surgery doctors lack of sense of responsibility or implementation of the surgical technique is not perfect.because,The process of dilatation and curettage all by surgery doctors feel and experience,Such as surgery doctor poor technology will appear leakage scraping condition.

　　她同时指出，患者李女士在胎儿存活时再接受手术，主要是患者身体受的伤害非常大，但术后丧失生育功能的可能性不大。

She also points out that,Patients with ms. Li in the fetus survival back surgery,Mainly patients body hurt is very large,But the loss of the reproductive function is unlikely.

　　至记者发稿时，瑞昌市卫生局已经介入此事调查。该局还因熊丹医生在对患者治疗不彻底的情况下，未要求患者住院观察治疗，和在门诊病历中也未书写相关体格检查、诊断、注意事项等不规范原因，决定给予熊丹医生全市卫生系统通报批评，并责成瑞昌市人民医院依据《瑞昌市卫生局医疗事故(差错)责任办法追究暂行办法》进行相关责任追究。(江南都市报 文/图 记者袁晓华 实习生高以理 刘杰灵)

To a reporter,Ruichang city health bureau has been involved in this investigation.The bureau for XiongDan doctor in the patients under the condition of not completely,Not required in-hospital observation treatment,And in the outpatient records also not writing related physical examination/diagnosis/Attention is not standard reason,Decided to give XiongDan doctor the municipal public health system criticized,And oblige ruichang city people's hospital basis[Ruichang city health bureau medical accident(error)To the provisional measures shall be investigated for responsibility]Related accountability.(Jiangnan metropolis daily text/diagram reporter YuanXiaoHua interns high Daniel LiuJieLing)