昨日，冯时兰的家人在家中摆出她的遗像。18日，冯时兰昏迷，120拉着她辗转5家医院后，才得到救治。新京报记者 王嘉宁 摄

yesterday,When feng LAN family at home set out she's portrait.18,When feng LAN coma,120 took her toss five after hospital,To get treatment.The Beijing news reporter WangJiaNing perturbation

　　 针对近日引发关注的“120拉病人连跑5家医院不得收治，最后病人去世”的新闻，昨天，北京市卫生局副巡视员赵涛表示，市卫生局应急办正着手调研120和999的综合急救效率。

According to the recently caused concern"120 la patients even run 5 hospitals may not be treated,The patient died"news,yesterday,The municipal bureau of health deputy inspector ZhaoTao said,The municipal bureau of health emergency to do is to survey 120 and 999 comprehensive emergency efficiency.

　

　“转运2到3家应能找到收治医院” "Transshipment 2 to 3 home should be able to find the hospital treated"

　　主管北京市院前急救工作的赵涛介绍，目前，全市120、999急救体系平均每天出车转运病人1700-1800趟次。结合道路交通情况和两家急救中心的报告情况，一辆急救车拉上病人后，应该是转运2-3家医院以内，就能够找到收治病人的医院并返回。“连跑5家医院，都没床不能收治病人”的情况，应该是极少发生的个案。“通常情况下，在转运途中，急救医生会不断在医院和患者之间沟通，确保医院加床也要收治极危重症病人”。

The competent Beijing prehospital first aid work ZhaoTao is introduced,At present,The whole city 120/999 first aid system driving a day on average transport the patient 1700-1800 train times.Combining the road traffic conditions and two first aid center report situation,A car pulled ambulance after patients,Should be transfer 2-3 within hospitals,Can find treated the patient's hospital and return."Even run 5 hospitals,Never bed can't treated patients"situation,Should be rare case."usually,In transit,Emergency doctors will continue in the hospital and patients to communicate between,Ensure that the hospital extra bed will treated very critically ill patients".

　　本周，市卫生局应急办将统计全市急救车转运效率，“看看平均每转运一个病人，需要跑几家医院。周边医院不能接治的原因，是没床没设备，还是患者或家属不信任周边有急诊床位的普通医院，坚持要去三甲医院急诊。”

This week,The municipal bureau of health emergency do will statistics the ambulance transport efficiency,"Look at the average every transfer a patient,Need to run a few hospitals.Peripheral hospital can't meet to reason,Is no bed didn't equipment,Or the patient or family member distrust periphery have emergency bed general hospital,Insist on going to 3 armour hospital emergency."

　　

事件再曝抢救资源信息不联网 Events to exposure rescue resources information networking

　　去年以来，120和999两个院前急救系统“并网”运行，解决了多年来两大急救系统抢病人或屡屡出现急救“盲点”的老问题。但“120拉病人连跑5家医院，找不到急救床位”的突发事件，又将院前急救信息和医院内急诊抢救资源信息不联网的“棘手”问题，摆在卫生部门面前。

Since last year,120 and 999 two of prehospital emergency treatment system"Parallel in"operation,Solve the two major emergency system for many years the patient or frequent and first aid"Blind spot"Old problems.but"120 la patients even run 5 hospitals,Can't find emergency beds"contingency,And will of prehospital emergency treatment information and hospital emergency rescue resources in information networking"difficult"problems,In front of the health department.

　　赵涛说，目前，市卫生局应急办正在努力为“急救信息平台”立项，今后，120或999急救车在转运病人途中，就可以看到全市二级以上医院的急诊床位实时使用状态。

ZhaoTao said,At present,The municipal bureau of health emergency to do is hard for"Emergency information platform"project,In the future,120 or 999 ambulance during the transfer the patient on the way,You can see the whole city secondary above hospital emergency beds real-time operating condition.

　　

根本还是改革医疗资源配置 Fundamental or reform medical resource allocation

　　赵涛坦言，能建立这样的院前院内急救信息实时共享平台，一定程度上，有助于提高急救车转运病人的准确性和效率。不过，对于解决大医院急诊床位爆满，无力收治新病人的老问题，仍是“治标不治本”。

ZhaoTao said,Can set up such prehospital emergency information in real-time sharing platform,A certain extent,Help improve the ambulance transport the patient's accuracy and efficiency.but,For solving large-scale hospital emergency beds full,Unable to new patients were the old problems,Is still"Take temporary solution not effect a permanent cure".

　　北京市卫生局相关负责人认为，根本问题，还要通过医疗资源配置改革，畅通复杂慢性病患者在度过急性抢救期后，向专科病房或基层医院的转诊“绿色通道”。

The municipal bureau of health related officials think,Fundamental problem,Also through the medical resource allocation reform,Clear complex in patients with chronic diseases through acute rescue period,To junior ward or grassroots hospital referral"Green channel".

　　■ 回访

S return visit

　　

冯时兰最后5小时的求生路 When the last 5 hours von Abram survival way

　　家中昏迷向120求救，转运5家医院被拒后租“黑床”留院，抢救无效后返回家中

A home to 120 for help,Transshipment 5 hospitals after rejected rent"Black bed"Leave courtyard,Rescue invalid to return home

　　李德斌一个人蹲在灶台前，一把把地添着柴禾烧炕。这在以前，是老伴冯时兰的活。

LiDeBin a person squatting on before the hearth,YiBaBa adding the fire wood burning kang.This in the past,When is his wife von jehoram the live.

　　数不清多少日子，冯时兰的生活大多集中在家里。

How many days countless,When von Abram life mostly concentrated in the home.

　　白天，她会坐在炕头，把晾干的花生剥皮，用盐水煮好给儿子端去，晚上把炕烧得热乎乎的，等老头儿回来。

The day,She will sit on the kang,The dry peanut peeling,Use brine cooked to the son to end,In the evening the kang burned warm,Etc old man come back.

　　冯时兰生命的最后时刻，是在路上度过的——在偌大的城市里找一张容得下自己的床位，好让医生挽回她的生命——她没能如愿。

When von Syria at the end of life,Is on the road through -- in big cities find a hold their own beds,Let the doctor save her life -- she can't fulfill a wish.

　　

老伴轻唤“时兰”无应答 Light called her"Abram when"No answer

　　11月18日，周日，大风。

On November 18,Sunday,winds.

　　冯时兰中午烙了一张大“糊饼”，白菜馅，自家磨的细玉米面，她饭量一直不错，吃了足足大半张。

When burning noon feng Abram a large"Paste cake",White CaiXian,Their grinding fine corn flour,She has always been good appetite,Eat for most of the zhang.

　　晚上6时许，在附近服装厂上班的老伴儿李德斌回到家中，见冯时兰躺在炕上，棉被裹得严实，打着呼噜，他想老伴儿定是睡着了，怕吵醒冯时兰，李德斌把门插好去做饭。

At 6 PM xu,In nearby clothing factory work LiDeBin husband or wife came home,See when feng LAN lying on kang,Quilt wrapping view tight,Dozen shout,He wants to husband or wife must be asleep,Afraid wake when feng LAN,LiDeBin closed the door to go to cook.

　　当晚7时饭菜做好，李德斌唤冯时兰吃饭时，发现没有回应。

That night at 7 food well,LiDeBin pile von when having a meal when LAN,Found no response.

　　他走到炕沿，轻拍冯时兰肩膀，唤着“时兰”，但老伴没睁眼也没言语，李德斌心里一沉，拿起电话，“你妈不合适了，赶紧过来。”

He walked to the edge of a kang,Pat von shoulder when LAN,Calls the"Abram when",But his wife didn't open your eyes didn't words,LiDeBin sink in the heart,Picked up the phone,"Your mama don't fit anymore,Hurriedly come over to."

　　家人说，三年前，冯时兰在北京263医院诊断出粒性细胞白血病，医生建议她药物保守治疗。

Family said,Three years ago,When von Syria in 263 hospital of Beijing diagnosed grain sex cell leukemia,The doctor suggested that she medicine conservative treatment.

　　在邻居们印象里，冯时兰勤快，以前地少，但靠着七亩多口粮田，省吃俭用给两个儿子盖了大瓦房。生病后虽然不种地，但侍弄菜园子，吃不完的菜都给俩儿子送去，“韭菜都是洗好的，豆角也是择好的，黄瓜挑顺溜的，长的不好看的都是自己吃，像超市里一样整齐。”

In the neighbors impression,Feng LAN diligent when,Agone less,But by seven acres grain ration farmland,Pinch and scrape to two sons cover the old.After falling ill while not sow the land,But able to garden,Eat food to send two sons,"Chinese chive are washing,String beans also choose the good,Cucumber pick the ShunLiu,Long not good-looking is you eat,Like the supermarket as tidy."

　　冯时兰几乎每周都去卫生所做血常规，根据血液成分控制用药。每年七八月份会因发烧住一次院，一周以后退烧就出院了。但从来没出现过昏迷。

Von when nearly every week to Syria to health center to do routine blood,According to the blood composition control drug.Every year in August seven for fever live a court,A week later it was released from the hospital fever.But never been coma.

　　“我们还能去哪？” "We can go?"

　　大儿子李志刚立即叫来120。大约10分钟急救车赶到。昏迷的冯时兰随即被抬上救护车，开始了长达5个小时的求救之旅。

The first host immediately call 120.About 10 minutes the emergency services arrived.Insensible when von Abram was carried in an ambulance immediately,Start for more than five hours of distress trip.

　　急救车驶出村口拐弯时，冯时兰吐了。

Ambulance pulled out of the village,When feng LAN vomitted.

　　在北京263医院，冯时兰做了脑CT、心电图。心电图显示时间是当晚8时40分。

In 263 hospital of Beijing,When feng LAN did brain CT/electrocardiogram.An ecg showed that night time is 8 40 points.

　　医院给冯时兰输液后告诉家属，“病人是深度昏迷，很危险，我们是二级医院，建议转院，别耽误了。”

The hospital to von Abram after infusion when told the patient's family,"The patient is deep coma,It is dangerous to,We are secondary hospital,Suggest to a hospital,Don't delay the."

　　医院建议去民航总医院，或者军区总医院和朝阳医院。

Hospital advice to civil aviation general hospital,Or military general hospital and chaoyang hospital.

　　冯时兰挂着输液袋，被送上第二辆120救护车，到第二家医院时大约21时50分。

Von Abram when hanging infusion bag,Into a second 120 ambulance,In the second family hospital about 21 at.

　　二儿媳一下车就去挂号，冯时兰也被推进急诊室，就在医生与120急救人员交接说明病情时，听到粒性细胞白血病，医生告诉家属，“我们医院没血液科，看不了。”

Second daughter-in-law a get off to register,When feng LAN was also promote the emergency room,The doctors and 120 emergency personnel handover shows their condition,Hear grain sex cell leukemia,The doctor told the patient's family,"Our hospital didn't hematology department,Can't see the."

　　在急救室躺了不到两分钟，冯时兰又被抬到还没来得及结账的急救车上。

In the first aid room lay less than two minutes,When feng LAN was carried to the haven't enough time to checkout the first aid.

　　到达第三家医院时，李志刚怕母亲被吹感冒，留她在车上，找来急诊医生。

Reach a third hospital,Host afraid of mother was blown cold,Leave her in the car,Seek to emergency doctors.

　　李志刚说，医生只是上车看了看，“没抢救室。”说完便走回急诊室。李志刚和家人急了，一路追着医生，来到急诊室，“我们还能去哪儿？为什么收不了？”医生又告诉他们，“没抢救仪器。”

Host said,The doctor just get on the car looked at,"Intensive care is not."And then they went back to the emergency room.Host and family nasty,Chase the doctor,Came to the emergency room,"We can go?Why do not receive?"The doctor and I told them,"No rescue instrument."

　　医生被家属缠得无奈，告诉他们可以去东直门附近的一家医院试一试。

The doctor was bound to families helpless,Tell them can go to dongzhimen a nearby hospital try.

　　家属回忆，这家医院急诊室有一位医生值班，听了家属的描述后，直接以“医院小，没地方儿了”为由拒收。李志刚不解，“‘这是中医院’也能成为拒绝的理由。”

Family memories,The hospital emergency room have a doctor on duty,Listen to the description of the family after,Directly to"Hospital small,No place to son"For rejection.Host don't understand,"‘This is hospital of traditional Chinese medicine’Can also be reasons for refusing."

　　

家属被迫租黑床留医院 Families were forced to rent black bed leave hospital

　　儿媳孙女士说，当时，他们决定最后一搏，去附近的协和医院。

Daughter-in-law said sun,At that time,They decided to the last stroke,To a nearby the union medical college hospital.

　　赶到协和医院时，家属们得到的仍是噩耗——最后一张床正在抢救一位患者。“你们不收没地方收了。”一家人央求了大约10分钟，冯时兰还挂着输液袋，在急救车里等待。

When to union medical college hospital,Family members get is still news - finally a bed are rescue a patients."You don't accept no place to accept."The family begged for about 10 minutes,When von orchid still hang infusion bag,In waiting for the ambulance.

　　最后，医生妥协了，“都到这了，推进来吧。”

finally,The doctor compromise the,"To this the,Propulsion come."

　　没有床位，李志刚只能租“黑床”（外部人员钻医院床位紧缺的空子，放置在急诊室出租牟利的床位），500块钱12个小时，冯时兰终于离开救护车，此时已经是当晚11时50分。

No beds,Host can rent"Black bed"(External personnel drill hospital beds take advantage of the loopholes in the shortage,Placed in the emergency room rent money making beds),500 dollars to 12 hours,When feng LAN finally left the ambulance,Now when the night is 11 50 points.

　　医生挠冯时兰的脚心、手心，用小锤敲她的膝盖，冯时兰都有反应，但体温39.3℃，高烧。

The doctor when flexible von jehoram the arch/palm,Use a small hammer knock on her knees,When feng LAN has reaction,But the body temperature 39.3 ℃,High fever.

　　医生告诉李志刚，用毛巾冷敷。没毛巾，李志刚只好用卫生纸蘸凉水，纸用没了，李志刚就用手蘸凉水，放在母亲滚烫的头上。

The doctor told host,A cold compress with towel.No towel,Host have to use toilet paper dips in cold water,Paper with no,Host is by hand in cold water,In the mother hot head.

　　

曾想到饭店过66岁大寿 Thought hotel over 66 years old birthday

　　19日7时，冯时兰的体温升到42℃，体温计的刻度已经顶到头了。李志刚再怎么叫妈，冯时兰也不应了。

19 and when,When feng LAN temperature up to 42 ℃,Thermometer calibration have been the end of the top.Host how again call mom,When feng LAN also should not be the.

　　冯时兰今年66岁，一家人原想着要到饭店庆寿，儿媳还准备去订寿桃。

When von Abram was 66 years old,The family original thinking of going to the hotel celebration of life,Daughter-in-law also ready to order peach.

　　但在19日那天，冯时兰已经离不开呼吸机了，医生告诉家属，“零希望”、“只能延长时间了。”

But in the nineteenth day,When feng LAN has been without breathing machine,The doctor told the patient's family,"Zero hope"/"Can only extend the time."

　　家人说，当天晚上9时许，冯时兰被拉回家，离开呼吸机，她早前的呼噜声变成微弱断续的喘息。20日凌晨，冯时兰紧闭的双眼渗出泪水，1时5分，冯时兰没喘上来最后一口气。

Family said,That night at about 9,When feng LAN is pulled to go home,Leave breathing machine,Her earlier grunt become weak intermittent wheeze.At 20,When the eyes of a closed von Abram seepage tears,1 5 points,When feng LAN didn't take up last breath.

　　新京报记者 范春旭 魏铭言

The Beijing news reporter FanChunXu wei MingYan