“熊猫血”孕妇失血死亡案宣判 "Panda blood"Blood of pregnant women with first-degree murder in the death sentence

法院一审判决两医院和血液中心赔偿董明霞家人35万元 The court verdict two hospitals and blood center compensation DongMingXia family 350000 yuan

　　四年前，济南济阳县Rh阴性O型血(俗称“熊猫血”)孕妇董明霞流产手术后苦等六小时未能输上血，最终失血过多死亡，家属将当时治疗的两家医院和血液中心告上法庭。11月1日，济南历下区法院作出一审判决，两家医院和血液中心共赔偿约35万元。

Four years ago,Jinan JiYangXian Rh negative type O blood(Commonly known as"Panda blood")Pregnant women DongMingXia abortion surgery bitter and so on six hours failed to lose the blood,Final bled to death,Families will at that time treatment of two hospitals and blood center court.On November 1,,Jinan LiXiaOu court to make a judgment of first instance,Two hospitals and blood center for a total of about 350000 yuan.

　　2008年10月9日，董明霞引产手术后大出血，因本身为“熊猫血”，被紧急从济阳转到省城的医院。按法律规定，医院要等待血液检验完毕才能输血，虽然董明霞家人一再表示他们承担一切后果，要求医院马上输血，但医院坚持按规定办事。最终董明霞因失血过多去世。事后，董明霞家人将两医院和血液中心告上法庭。

On October 9, 2008,DongMingXia induced labor surgery hemorrhea,For itself for"Panda blood",Is emergency from jiyang turned to provincial capital hospital.According to the law,,The hospital want to wait for blood surveyed to blood transfusion,Although DongMingXia family repeatedly said they take the consequences,Blood transfusion requirements hospital immediately,But to the hospital by the book.Finally DongMingXia for bled to death.afterwards,DongMingXia family will be two hospitals and blood center court.

　　案件审理后，董明霞家人提出申请，对三被告实施的医疗行为是否存在过错，若有过错与董明霞的死亡后果之间是否存在因果关系以及各自的参与度进行鉴定。

Cases after trial,The application DongMingXia family,The defendant to three of the implementation of the medical behavior whether there is fault,If there is a fault and DongMingXia consequences of death between whether there is causality and their participation in identification.

　　2011年12月，鉴定中心出具鉴定意见书，分析认为，作为首诊医院，济阳某医院为董明霞实施的医疗行为存在过错，与其死亡后果之间存在因果关系，系主要因素，医疗过错的参与度拟为70%左右；作为二次接诊医院，省城某医院和血液中心为董明霞实施的医疗行为均存在过错，与其死亡后果之间存在一定的因果关系，医疗过错的参与度各拟为10%左右。同时认为，董明霞因中孕难免流产，中度贫血入院，引产术后胎盘滞留不下，清宫手术中发生大出血，加之董明霞为Rh阴性O型的稀有血型，是发生引产术后大出血致后来抢救难度加大的不利因素。

In December of 2011,Appraisal center issue appraisal opinions,According to analysis,As the first clinical hospital,He YangMou hospital for DongMingXia implementation of medical behavior existence fault,Instead of death between consequences causal relationship,System main factors,Medical treatment fault participation wishes to around 70%;As a secondary accepts the hospital,Provincial capital a hospital and blood center for DongMingXia implementation of medical behavior there is a fault,Instead of death between the consequences are certain causal relationship,Medical treatment fault participation of the quasi is about 10%.At the same time that,DongMingXia for quantities of inevitable abortion,Moderate anemia admission,No postoperative induced labor retained placenta,The qing dynasty palace surgery produce massive haemorrhage,Together with DongMingXia for Rh negative O type of rare blood type,Postoperative hemorrhage occurs induced labor to later rescue difficulty increasing adverse factors.

　　综观对董明霞整个医疗救治过程，结合鉴定意见分析，法院审理认为，济阳某医院对董明霞的医疗过错行为与其死亡后果之间存在直接因果关系，且是主要过错，承担80%的责任；省城某医院存在医疗过错，与董明霞死亡后果之间存在一定的因果关系，属次要过错，担责10%；某血液中心存在过错，与董明霞死亡后果之间存在一定的因果关系，担责10%。董明霞本人虽为“熊猫血”，加之入院时为中度贫血体质，但这些因素不是其自身过错，并不必然导致死亡后果发生，且对导致死亡后果的原因力相对较弱，故不应再承担责任。

Throughout the whole process of DongMingXia medical treatment,Combination with the expert opinion analysis,Court think,He YangMou hospital to DongMingXia medical fault behavior and consequence death between direct causality,And is the main fault,Assume the responsibility of 80%;A hospital medical treatment fault existing provincial capital,And DongMingXia consequences death between certain causal relationship,Secondary fault,The bear 10%;A blood center existence fault,And DongMingXia consequences death between certain causal relationship,The bear 10%.DongMingXia I have to"Panda blood",Together with admission for moderate anemia constitution,But these factors are not their own fault,Death does not necessarily lead to happen,And the cause of death to the cause of the consequences of relatively weak force,It should not be to bear the responsibility.

　　11月1日，济南历下区法院作出一审判决，两医院和血液中心按照各责任比例赔偿董明霞家人医疗费、死亡赔偿金、丧葬费、抚养费、精神损害抚慰金等总计约35万元。接到一审判决书后，双方当事人均未表示是否上诉。

On November 1,,Jinan LiXiaOu court to make a judgment of first instance,Two hospitals and blood center according to the proportion of DongMingXia responsibility for family medical expenses/Death compensation/Funeral expenses/support/Mental injury solatium, total about 350000 yuan.After receiving the written judgment of first instance,Both parties shall not said whether appeal.

主审法官详解案件医院和血液中心责任划定 The presiding judge explanation case hospitals and blood center defined responsibility

医院处置有误 血站应对不力 The hospital to deal with incorrect disposal of poor blood stations

　　根据判决，首诊医院、转诊医院和血液中心按8:1:1担责，对三方责任的划定，主审法官进行了详细的解读。

According to the judgment,The first clinical hospital/Referral hospital and blood center 8:1:1 according to bear responsibility,The designation of the party's liability for three,The presiding judge makes a detailed reading.

引产后大出血本可以避免 After the hemorrhage induced labor can be avoided

　　主审法官指出，作为首诊医院，济阳某医院在对董明霞的救治过程中存在四处不当，是导致董明霞失血过多死亡的直接和主要原因。首诊医院应承担主要过错，对董明霞死亡后果负有80%责任。

Presiding judge pointed out that,As the first clinical hospital,He YangMou in hospital for the treatment of DongMingXia existing in the course of improper around,In DongMingXia bled to death the direct and main reason.The first clinical hospital shall bear the main fault,Responsible for the consequences of DongMingXia death 80% responsibility.

　　第一，引产手术前，本应首先采取措施纠正董明霞的贫血体质，并对手术中可能出现的出血采取积极的防范措施。但医院没有采取任何措施，存在医疗过错。

The first,Induced labor before the operation,This should be the first to take steps to correct DongMingXia anemia constitution,And may arise in the operation of bleeding take active preventive measures.But the hospital did not take any measures,Existing medical treatment fault.

　　第二，引产后大出血本可以避免而没能有效避免。发生胎盘滞留时，医院没有按常规先配血备用再进行清宫手术。如果先行配血，仍有机会及时发现董明霞为稀有血型，在取得Rh阴性O型血后再对胎盘滞留情况进行处理，则可以避免大出血。

The second,After the hemorrhage induced labor can avoid without can effectively avoid.Occur when retained placenta,The hospital did not press conventional first matching spare further the qing dynasty palace surgery.If the first matching,Still have the opportunity to discover in time DongMingXia for rare blood type,In achieving Rh negative type O blood again to retained placenta after processing situation,It can avoid hemorrhaging.

　　第三，转院措施不当。医院发现董明霞为Rh阴性O型血时，不是立即联合相关科室共同抢救，而是急于将其做转院处理，存在医疗过错。董明霞不属于因医院技术和设备条件有限而不能诊治的病员，医院在没有与省城医院充分联系、并落实对方确实存有Rh阴性O型血的情况下，贸然将董明霞转院。转院需要一小时左右，董明霞在转院前已因大出血成为重度贫血体质的危重病人，在没得到有效止血和输血的情况下转院，风险极大，极为不当。

The third,Improper measures of hospital.Hospital found that DongMingXia for Rh negative when type O blood,Not immediately joint related department common rescue,But eager to do the hospital treatment,Existing medical treatment fault.DongMingXia do not belong to the hospital because of technology and equipment co., LTD., and cannot make a diagnosis and give treatment condition of the patient,The hospital is in no and provincial capital hospital full contact/And carry out each other really being Rh negative type O blood cases,Rushed to a hospital will DongMingXia.A hospital need an hour or so,DongMingXia in hospital before being transferred for hemorrhage has become severe anemia constitution of critically ill patients,In not effectively stop bleeding and transfusion under the condition of the hospital,Risk greatly,An extremely improper.

　　第四，医院没有采取“配合型输血”原则积极抢救患者。

The fourth,Hospital did not take"Fit type blood transfusion"Principles actively rescue patients.

转诊医院未尽到义务 Referral hospital did not fulfill the obligation

　　“从病历记载的抢救记录可以看出，董明霞转院后，医院采取了各种措施积极抢救董明霞。”法官告诉记者，虽然转诊医院产科在救治方面没有明显的医疗过错，但是没有尽到“配合型输血”的义务，与董明霞死亡也存在一定因果关系。

"Medical records from rescue record can be seen,DongMingXia after hospital,Hospital took various measures to actively rescue DongMingXia."The judge told reporters,Although referral hospital maternity in the treatment has no obvious medical treatment fault,But not doing"Fit type blood transfusion"obligations,And DongMingXia death also exists certain causal relationship.

　　判决书提到，根据《临床输血技术规范》第十条的规定，转诊医院在董明霞病情危重、短时间内又得不到Rh阴性O型血的情况下，为了抢救患者性命，本应该采取配合型输血的办法，给董明霞输注配血相合的红细胞。医院没有尽到科学安全的输血以抢救患者生命的高度注意义务，存在医疗过错，但属于次要过错，承担10%责任。

Judgment mentioned,According to[Clinical blood transfusion technical specifications]The provisions of article 10,Referral hospital in DongMingXia illness critically ill/A short time and not Rh negative type O blood cases,In order to rescue patients lives,This should take fit type blood transfusion way,To DongMingXia infusion matching with red blood cells.The hospital did not fulfill the scientific safe blood transfusion to rescue patients life height duty of care,Existing medical treatment fault,But belongs to secondary fault,Responsibility for 10%.

血液中心缺少应对措施 Blood center lack of response

　　主审法官认为，除去院方的医疗过错，血液中心也有过错，从而一定程度上造成了董明霞的死亡。根据2005年卫生部《血站管理办法》的规定，血液中心有向医院及时提供各种血型血液的责任。在这起“孕妇失血死亡”事件中，血液中心由于平时没有准备足够的Rh阴性血，也没有完善的应对Rh阴性血型病人供血的紧急措施或预案，从而使董明霞失去了及时获得救治的机会，存在过错，应承担10%责任。(记者 廖雯颖)

Presiding judge think,Remove the hospital medical fault,Blood center also have fault,To a certain extent caused the death of DongMingXia.According to the ministry of health in 2005[The measures for the administration of the blood stations]regulations,The blood center has to provide all kinds of blood type hospital blood responsibility.In the"Pregnant women died of blood"event,Blood center because usually didn't prepare enough rh-negative blood,Also does not have the perfect deal with Rh negative blood group patients blood emergency measures or plan,So that DongMingXia lost the chance to get timely treatment,Existence fault,Assume responsibility 10%.(Reporter LiaoWenYing)