心脏病误当胃病治 农妇身亡 Heart disease error when stomach trouble to woman died

　　事发海口市石山镇一社区卫生室 当事医生称愿通过法律途径解决 The haikou city tor town a community clinic doctor be gratified the parties to be resolved through legal channels

　　海口市石山镇兴隆村农妇陈某玉因“腹痛”，来到石山墟社区卫生室看病，卫生室负责人陈某贤诊断为胃炎，进行输液吃药治疗。陈某玉回家服药后，于当晚11时许死亡。法医近日做出鉴定显示，陈某玉的死因是心肌炎致急性心力衰竭。死者家属认为，当事医生把心脏病当做胃病治疗是导致患者死亡的主要原因。目前，秀英区卫生局已介入协调，但双方并未达成一致。

Haikou city tor town xinglong village farmwife work his way up because of jade"Abdominal pain",Came to tor market community clinic doctor,The clinic work his way up the diagnosis of gastritis,Take the medicine treatment for infusion.After taking the work his way up jade home,In that night at about 11 death.Forensic recently to make appraisal display,Work his way up jade the cause of death is myocarditis cause acute heart failure.The family members of the deceased think,The parties to the doctor heart disease as stomach trouble treatment is the main reason for the cause death of patients.At present,3:00 area health bureau already involved in coordination,But both sides did not reach an agreement.

农妇心脏病被当胃病治疗 Countrywoman heart disease are when stomach disease treatment

　　经海口秀英区卫生局、石山镇卫生院、石山墟社区卫生室负责人陈某贤及死者家属证实，死者陈某玉于8月11日上午8时许来卫生室就诊，据她向医生反映的情况是“左肋下方腹部疼痛”。陈某贤称，当时他为陈某玉听了心跳，量了血压，均无异常，于是就诊断为胃炎，随后开具了针水和口服药。陈某贤称，陈某玉在注射药物完后，还曾表示“感觉好多了。”至于为何当晚回家后就死亡，他认为不是自己的责任。

The haikou 3:00 district health bureau/Tor township health centers/Tor market community clinic work his way up the head and the family members of the deceased confirmed,Work his way up the dead jade on August 11, at about 8 am to clinic to see a doctor,According to her doctors to reflect the situation is"Left rib beneath the abdominal pain".Work his way up and say,He was to work his way up jade listened to the heartbeat,Blood pressure,Are no abnormalities,,So he diagnosed with gastritis,Then open the needle water and oral medicine.Work his way up and say,Work his way up jade in the injection after drugs,Had said"Feel a lot better."As for why home that night after death,He thought that is not my responsibility.

　　秀英区卫生局许副局长称，胃部和心脏部位距离很近，社区卫生室没有心电图等设备，确诊存在一定难度。此外，按照相关规定，陈某贤作为“助理医师”，没有诊疗心脏病这种病情的权限。如果陈某贤有能力确诊为心脏病，应按规定建议病人到上级医疗机构就诊。

3:00 area health bureau deputy director xu said,The stomach and the heart region are close together,The community clinic no electrocardiogram and other equipment,There are some difficult diagnosis.In addition,According to the relevant provisions,As work his way up the"Assistant medical practitioners",No heart disease diagnosis and the limits of this condition.If work his way up and have the ability to diagnose for heart disease,According to regulations should be recommended that the patient to a medical institution at a higher level.

　　“这是一起误诊事件。”许副局长称，社区卫生室存在一定责任，秀英区卫生局对此事高度重视，已经多次组织双方协调，但始终没有达成一致意见。

"This is together the misdiagnosis event."Hui, deputy director of the said,The community clinic has certain responsibility,3:00 area health bureau to pay great attention to the matter,Both sides have to organize many coordination,But never come to an agreement.

　家属怀疑误诊开错药致人死 Family doubt misdiagnosis opend drug induced people die

　　据了解，陈某贤为陈某玉注射了“西咪替丁”、“维生素6”、生理盐水注射液，以及“吗丁啉”、“法莫替丁”、“多酶片”口服药，而死者当日中午及晚上分两次服用药物后，22时被发现死亡。

It is understood,The work his way up to work his way up jade given"cimetidine"/"Vitamin 6"/Physiological saline injection,and"Butyl Lin?"/"famotidine"/"Multienzyme tablet"Oral medicine,And the dead at noon that day and night at twice taking drugs,When 22 was found dead.

　　死者家属陈先生表示，“吗丁啉”的说明书上明确写着“心脏病患者(心律失常)，或低血钾时以及接受化疗的肿瘤患者应用时需注意，有可能加重心律紊乱……”；“西咪替丁”说明书上也明确表明，该药物会导致心律失常，严重心脏及呼吸系统疾患应慎用等。他认为，正是因为患有心脏病的陈某玉注射、服用了这类药物，导致心肌炎病情加重进而死亡。

The family members of the deceased Mr. Chen said,"Butyl Lin?"On the manual of clear written"Heart patients(arrhythmia),Or hypokalemia and chemotherapy of patients with tumor application should pay attention to,May exacerbate cardiac arrhythmia...";"cimetidine"The manual also made it clear that,The drug can lead to cardiac arrhythmia,Serious heart and respiratory system disease should be careful with, etc.He thinks,It is for people with heart disease work his way up jade injection/Taking the drugs,Cause myocarditis illness and death.

　　秀英区卫生局许副局长表示，这种说法能否成立，还需要进一步论证。当事医生坚称通过法律解决

3:00 area health bureau deputy director xu said,This statement can be established,Still need further demonstrated.The parties to the doctor insisted that through the law to solve

　　10月8日上午，记者就此事来到石山镇采访，发现事发的石山墟社区卫生室并没有受到此事影响，仍有不少当地居民前来就诊。

October 8th morning,Reporters on the matter came to tor town interview,Find the stone mountain of market community clinic are not under this influence,There are still many local residents to come round to see a doctor.

　　提及此事，当事医生陈某贤情绪略有激动，他坚持认为自己在此事上不存在过错，因为“按照患者当时的临床反映，患的就是胃病。”陈某贤说，自己虽然是助理医师，但从海口卫校毕业之后，已从业20多年，在此病患的处理过程中不是误诊，也不存在过错，对于死者家属提出的赔偿要求，他表示不能接受。

Mentioned it,The parties to work his way up the doctor the mood a little excited,He insists that his fault in this matter does not exist,because"According to patients at the time of clinical reflect,Suffer from is tummy bug."Said work his way up the,Although it is his assistant medical practitioners,But from the haikou after graduation,Has been working for more than 20 years,,In the patient treatment process is not misdiagnosis,There is no fault,For the family members of the deceased's request for financial compensation,He said can't accept.

　　那么海南医学院法医鉴定中心作出的法医病理学检验意见书“心肌炎致急性心力衰竭死亡”的结论又如何解释？陈某贤称，心脏类疾病超出了他和社区卫生室的诊疗范围，如果当时能确诊这种病情，他会建议患者到上级医疗机构治疗。

So of hainan medical college forensic appraisal center make forensic pathology inspection submissions"Myocarditis cause acute heart failure death"Conclusion and how to explain?Work his way up and say,Heart diseases beyond him and community clinic medical range,If at that time can diagnose the illness,He will suggest patients to higher medical institutions treatment.

　　陈某贤对记者表示，他不愿接受协调，希望通过法律途径解决。（南国都市报）

The work his way up to reporters,He is not willing to accept coordination,Hope to be resolved through legal channels.(Austral metropolis daily)