去医院切除阑尾 却被误缝了输尿管 Go to a hospital excision appendix was false joint the ureter

　　

55岁的嘉兴患者因此得了肾结石，向医院索赔28万元 55 years of age have kidney stone patient so jiaxing,To the hospital claims 280000 yuan

　　

院方称“误缝属于手术并发症”，司法鉴定判医院承担56%的过错 The hospital said"False seam belongs to complications",The judicial appraisal sentenced to hospital take 56% of the fault

　　两年前，55岁的老许去嘉兴秀洲区某医院做阑尾切除手术，出院后身体一直感到不适。到医院一检查，发现右肾积水，右侧输尿管扩张。

Two years ago,55 years old xu in xiuzhou district of jiaxing go to a hospital doing appendectomy surgery,After the hospital has been feel ill.To the hospital a check,Find the right kidney seeper,The right ureter expansion.

　　换了家医院治疗，最终确诊他得了肾结石，但几次体外碎石都无法将结石排出。去年10月，嘉兴市第一医院为他进行腹腔镜手术，却意外发现，老许右侧输尿管有一段被缝住了。

In the hospital treatment,Eventually he got the kidney stone,But a few times in vitro rubble can will stone discharge.Last October,,The first hospital of jiaxing city for him in laparoscopic surgery,Unexpected discovery,Old xu ureteral on the right side of a section of the joint lived.

　　老许和家人思前想后，觉得问题出在阑尾切除手术上。他们找到当初做手术的医院，对方承认，输尿管是手术时误缝了。

Old xu and family think it through,Think the problem in appendectomy surgery.They found had surgery hospital,Each other admit,The operation error ureteral is received.

　　10月23日，这起医疗纠纷在秀洲区人民法院开庭。

On October 23,,The medical dispute in xiuzhou district people's court session.

　　

输尿管被误缝，患者索赔28万元 Ureteral be false joint,Patients claim 280000 yuan

　　老许告诉记者，当初阑尾手术后，自己就经常感到发热，手术刀疤红肿，而且不时有腰酸、腹痛等感觉，“我之前只以为是手术做得不好，没想到，旁边的器官被损伤了。”

Old xu told reporters,At the beginning the appendix surgery,His often feel fever,Surgical scar red,And from time to time have lumbar acid/Abdominal pain and so on feeling,"I only thought before operation is doing well,Didn't expect,Next to the organ is the damage."

　　发现问题后，老许在嘉兴第一医院切除了这段被缝合的输尿管，大概有2厘米，再进行输尿管外围缝合。

Found that the problem after,Old xu in the first hospital of jiaxing resection of the section of the suture of the ureter,About 2 cm,Further ureteral peripheral suture.

　　老许说，自己被误缝后，因为身体不适，辞去了原来工厂里搬货的体力活，“我坐久了会腰酸，小便也比之前少，只能做一些轻便的活，失去了工作能力。”

Old xu said,After he was mistakenly seam,Because the body is not,Resigned from the original factory to move goods of the physical strength live,"I sat for a long time will lumbar acid,Urine is less than before,Can only do some light work,Lost the ability to work."

　　除此之外，老许一家还认为，输尿管被误缝，和老许患上肾结石有直接关系。

In addition,Old xu a thought,Ureteral be false joint,And old xu suffering from kidney stones have direct relation.

　　“医生告诉我们，输尿管被误缝导致输尿管壁增生，腔体狭窄，加上线的拉力将输尿管压扁，致使排尿不畅，尿液滞留引起肾积水，积水时间一长，导致肾结石。”老许的外甥说。

"The doctor told us,Ureteral be false joint lead to ureteral wall hyperplasia,Cavity stenosis,Plus line tension will ureteral flattening,Cause emiction impeded,Urine retention cause kidney seeper,A long time, the water,Lead to kidney stones."Old xu nephew said.

　　在与做阑尾手术的医院协商不成后，老许将对方告上法庭，要求赔偿医疗费、误工费、残疾赔偿金等共计282109.36元。

In and do appendix operation hospital after the consultation fails,Old give each other to court,Claim compensation for medical expenses/Make compensations/Disability compensation the total of 282109.36 yuan.

　　

医院代理律师：误缝属于手术并发症 Attorney hospital:False seam belongs to complications

　　在庭审现场，被告医院的代理律师对老许住院治疗阑尾炎、医生误缝输尿管无异议，但他给出了一个让人吃惊的理由：“误缝输尿管属于手术并发症，即使阑尾炎这样的小手术也是有风险的，术前也和病人及家属说过风险。”

In the trial,The defendant hospital attorney to old xu hospitalization appendicitis/The doctor false joint ureteral no objection,But he gives a shocking reason:"False joint ureteral belong to complications,Even if appendicitis such small operation also has a risk,Preoperative also and patients and their family members said risk."

　　被告代理律师说，许某的阑尾位置比较特殊，在盲肠后位，紧贴右侧输尿管，要逆行切除，“医学有局限性，在治疗过程中，风险和手术并发症难免，当然如果医生足够认真仔细的话，会避免，所以医院要承担的过错，我们也不推卸。”

The defendant agency lawyer said,XuMou appendix position is special,In appendix a after,Close to the right ureter,To retrograde excision,"Medical limitations,During the course of treatment,Risk and surgical complications unavoidably,Of course if the doctor enough words carefully,Will avoid,So the hospital should assume fault,We also don't shuffle."

　　

司法鉴定医院承担56%的过错，老许不认可 The judicial appraisal hospital take 56% of the fault,Old xu not recognized

　　被告医院代理律师的“误缝属于手术并发症”的说法，老许方面表示无法接受。因为双方存在巨大差异，秀洲区人民法院委托第三方机构——浙江大学司法鉴定中心对此案进行了鉴定。

The defendant hospital the attorney's"False seam belongs to complications"that,Old xu said can't accept it.Because of the great differences between the two sides,Xiuzhou district people's court to entrust the third party agencies - zhejiang university judicial authentication center to identify the case.

　　鉴定结果是：医院承担56%的过错，许某的伤残等级为十级。

Appraisal result is:Hospital take 56% of the fault,XuMou disability grade for 10 level.

　　对此，老许方面依然不认可。

this,Old xu aspects still not approved.

　　“当时病人是在全身麻醉状态下手术的，难道要由一个全麻状态下的患者承担剩下的44%的责任吗？”为老许辩护的沈律师说，他们要求重新进行鉴定。

"When the patient is under general anesthesia surgery,Don't want to by a general state of the patients take the rest of the 44% of the responsibility?"To defend the old xu shen lawyer said,They asked for a new appraisal.

　　对于这起离奇的医疗纠纷，法院将择期再审。

For the extraordinary medical disputes,The court will option forward retrial.

　　

省内医学专家表示，误缝可以避免 Province medical experts say,False joint can be avoided

　　浙江大学附属第二医院泌尿外科副主任医师沈肖曹：阑尾切除手术中误缝合输尿管，这种情况确实不多见。

Zhejiang university second affiliated hospital uropoiesis surgical department deputy chief physician ShenXiao cao:Appendectomy surgery false suture ureter,This kind of situation really rare.

　　沈肖曹说，为什么会发生输尿管被误缝的情况，因为没有看到具体病例，不能妄加判断，但如果是后位阑尾并与腹膜后输尿管周围有粘连，手术过程中有发生输尿管损伤的可能性。

ShenXiao cao said,Why is this happening ureter was false joint,Because there is no see specific cases,Can't laugh judgment,But if it is a after appendix and with retroperitoneal ureteral around adhesion,During the operation of ureteral injury happen the possibility.

　　至于误缝引发的肾积水，经过治疗病情会有好转，但是恢复到什么程度，就要看病人个体的差异了。

As for the error caused by the joint hydronephrosis,After treatment condition will be better,But back to what extent,Will the doctor one individual difference the.

　　浙江大学病理学与法医学研究所所长周韧教授：输尿管位于腹膜后，一般阑尾切除术时不易造成损伤。在阑尾切除手术时，发生误缝输尿管的几率很低。

Zhejiang university pathology and forensic medicine institute director ZhouRen professor:Ureteral located in retroperitoneal,General appendectomy to cause damage.In appendectomy surgery,Wrongly seam ureteral probability is very low.

　　有经验的医生在做手术前，对手术部位周围的脏器应该有充分的了解，即使是异位的阑尾，术前也应能考虑到， 像这样的情况应该是可以避免的。

Experienced doctors before in surgery,Surgical site to surrounding organs should have a full understanding,Even ectopic appendix,Preoperative also should be able to consider, Situations like this should be avoided.

　　如果病人是反复发作的盲肠后位阑尾炎，且与输尿管发生粘连，分离不慎可能会对输尿管造成损伤。

If the patient is repeated attacks of appendix a appendicitis after,And with ureteral happen adhesion,Separation he may damage of ureter.

　　

上海相似案例，患者获赔12.8万元 Shanghai similar case,Patients HuoPei 128000 yuan

　　2000年4月12日，52岁的于伟明在上海市某医院做阑尾切除手术。术后多次感到右腰部疼痛，后被诊断出输尿管结石，右肾功能丧失，但原因不明。

On April 12, 2000,52 years old in Shanghai YuWeiMing a hospital for having your appendix removed.Many feel the right flank pain,After being diagnosed with ureteral calculi,Right renal loss,But for reasons unknown.

　　2001年2月，经另一家医院剖腹探查，于伟明的输尿管中间的2～3厘米被结扎，系人为造成。于伟明立即与当初做阑尾切除手术的医院交涉，医院承认于伟明的输尿管被医生误扎。

In February 2001,After another hospital laparotomy,YuWeiMing of ureter in the middle of the 2 ~ 3 cm by ligation,System man-made.YuWeiMing immediately and had to do appendectomy surgery hospital bargaining,The hospital YuWeiMing admitted the ureter was the doctor false firm.

　　经法院调解，医院最终赔偿于伟明人民币12.8万元。(通讯员 秀舟 记者 黄娜 张琴)

The court mediation,The hospital finally compensation YuWeiMing RMB 128000 yuan.(Correspondent show subjective reporter HuangNa musical instrument)