深圳市第二人民医院甲乳外科乱收费事件又有新的进展。昨日，发帖爆出“QQ网聊深圳市二院乱收费黑幕”的“天外来客sz”在天涯论坛上再次爆料，称自己发布的QQ聊天图片的确是制作的，但是爆料的内容却是千真万确的。对于医院“自查”的回应，爆料者还用通俗的语言对医学专业问题进行了科普，指出市二院甲乳外科故意偷换概念达到多收喉返神经探查术费用的目的，自己并未恶意造谣诽谤。

Shenzhen second people's hospital a milk surgical fees events and new progress.yesterday,Out post"QQ chat net shenzhen two school collects fees in disorder shady"of"Extraterrestrial sz"In the BBS on blog again,Said they release QQ chat pictures really is made,But the content of the support it is true.For hospital"self-examination"response,The blackout in popular language to professional medical problems in the popular science,Points out that city 2 yuan a milk surgery than intentionally concept to collect more laryngeal recurrent nerve exploratory operation cost purpose,You haven't malicious rumormongering slander.

　　记者从市卫人委和市社保局获悉，调查组对二医院乱收费的调查还在进行，有了结果一定会公布。此外，市卫人委表示，将配合公安部门曝光造假者的身份。

Reporters from the city who committee and city social security bureau learned that,Investigation team to two hospitals of chaos, investigations,The results will be announced.In addition,Who said the city committee,Will cooperate with the public security department exposure fraudsters identity.

关于图片“图片造假只是一个爆料的形式” About the picture"Picture fraud is just a form of support"

　　“天外来客sz”在昨日的帖子中，针对医院对媒体作出的回应进行了说明。

"Extraterrestrial sz"In yesterday's posts,According to the hospital the response to the media are illustrated.

　　医院经过调查，确定在医生办公室拍摄聊天记录的图片为造假。“天外来客sz”在说明中承认，QQ聊天的图片的确是制作的，这样做的目的是为了更简单、更直接地让网友了解爆料内容。“这只是一个爆料的形式。像是写小说时用第一人称并不代表就是发生在自己身上的事情一样。但不同的是，小说是虚构的，而我们爆料的内容却是千真万确的。”

Hospital after investigation,Sure in the doctor's office shooting chat record pictures for fraud."Extraterrestrial sz"When in this specification admit,QQ chat pictures really is made,The aim is to more simple/More directly let netizen leaks to understand the content."This is just a form of support.Like to write novels in the first person doesn't mean it happened in yourself things.But the difference is,The novel is fictitious,And we kept content it is true."

关于喉返神经探查术“甲状腺手术中的探查不能收费” About laryngeal recurrent nerve exploration technique"The probe can't charge thyroid surgery"

　　医院指出，为了保护喉返神经，避免术后声音嘶哑或失音，甲状腺手术必须做“喉返神经探查术”，手术收费按照市物价局收费标准进行收费，没有发现违规收费。

Hospital pointed out that,In order to protect the recurrent laryngeal nerve,Avoid postoperative rustiness or aphonia,Thyroid surgery must do"Laryngeal recurrent nerve exploration technique",The operation fee according to municipal price bureau charge fee standard,Found no illegal charge.

　　“天外来客sz”则在帖子中用最通俗的语言对“喉返神经探查术”进行了科普教育——医生在做甲状腺手术时，不小心就会损伤旁边的喉返神经，后果就是声音嘶哑，发不出声音来。因此医生在做这种手术的时候会非常仔细，避免损伤这根神经。有的时候医生会在手术中把这根神经解剖显露出来，这样就不容易损伤。但并不是每个医生都这样。“一是很多简单的甲状腺手术根本不容易损伤，二是在解剖的过程中反而会增加损伤的机会。”只有发生了或者怀疑有喉返神经损伤，才需要进行喉返神经探查。

"Extraterrestrial sz"In the post with the most popular languages"Laryngeal recurrent nerve exploration technique"The popular science education - the doctor doing when thyroid surgery,Accidentally will damage next to the recurrent laryngeal nerve,The result is hoarse voice,Send out sound.So the doctor doing this kind of operation time will be very carefully,Avoid damage the nervous.Sometimes doctors would during an operation connect this neural anatomy revealed,This is not easy to damage.But not every doctors are so."One is a lot of simple thyroid surgery not easy to damage,The second is in the process of anatomy, on the contrary, will increase the chance of injury."Only happened or suspected of laryngeal recurrent nerve injury,To the need for laryngeal recurrent nerve exploration.

　　“天外来客sz”说，喉返神经探查术和甲状腺手术是两个手术。至于在做甲状腺手术的时候把喉返神经解剖出来避免损伤，这个是甲状腺手术应该做的，是不能收费的。现在，市二院甲乳外科就把正常应该做的神经解剖和显露，当做神经探查术来收费，是故意偷换概念以达到多收费的目的。

"Extraterrestrial sz"said,Laryngeal recurrent nerve exploration technique and thyroid surgery is two surgery.As for doing thyroid surgery of laryngeal recurrent nerve anatomical out to avoid damage,This is thyroid surgery should do,Is not to charge.now,City 2 yuan a milk surgery is the normal should do neuroanatomy and revealed,As neural probe technique to charge,Intentionally concept than in order to achieve the purpose of more fees.

关于两把刀“双侧乳腺非微创手术一把刀解决” About two swords"Bilateral breast the minimally invasive surgery to solve a knife"

　　针对乳腺微创手术中用两把刀的问题。医院的回应是，双侧乳腺手术方法选择符合医疗原则，用一把刀容易造成局部麻醉药超过极量，引发麻醉药品中毒，也容易将一侧可能存的癌细胞带到另一侧乳腺。

According to breast minimally invasive surgery with two swords problem.The hospital response,Double side mammary gland surgical method choose medical principle,Use a knife easy to cause the local anesthetics more than maximal dose,Cause narcotic drugs poisoning,Also easy will side may save of cancer cells to the other side of the mammary gland.

　　对此，“天外来客sz”认为这种解释更是可笑。“因为那些不用微创手术，采用普通开刀手术的病人，即使是两边乳房都有肿块，也是一次一把手术刀解决，这难道就不怕种植转移了？”也就是说，一个病人要是说想要做微创，就会让你分2次用2把刀，以防“转移”。如果改为普通手术，就不再考虑“转移”问题了，一把刀就解决了。(记者/向雨航 刘昊)

this,"Extraterrestrial sz"Think that this explanation is ridiculous."For those who don't minimally invasive surgery,Using common surgical operation patients,Even if both sides have breast mass,Is also a a scalpel to solve,This isn't you aren't afraid to transfer the planting?"That is,A patient said if want to do minimally invasive,Will let you two points in 2 knife,In case"transfer".If instead of general surgery,It is no longer considered"transfer"The problem,A knife is solved.(Reporter/to rain LiuHao navigation)