钉子扎伤脚，医院没当回事，结果发展成绝症； Nail broken foot,The hospital didn't seriously,Results developed into a fatal disease;

法官认为医院存过失，判其担责40% The judge decided that the hospital save negligence,The responsibility to bear 40%

“误诊”黑色素瘤患者索赔百万 "misdiagnosis"Melanoma patients claim one million

　　电影《非诚勿扰2》中有一个情节，孙红雷扮演的李香山脱下袜子，脚背上缠着纱布，解开后露出一颗大黑痣。李香山说这叫“黑色素瘤”，是不治之症，最终因为这颗痣让他对人生绝望，选择自杀……前不久，张强(化名)也不幸患上此症，生命垂危，然而引发此病的竟然是一次被钉子扎伤脚的小事故，由于在医院诊疗过程中医生没把这伤当回事，结果发展成绝症。日前，质疑医院“怠诊”，张强将其告上法庭索赔百万。

The movie[If you are the one 2]There is a plot,Sun hong2 lei2 play the LiXiangShan socks off,Instep covered with gauze,Untie out after a big pigmented naevus.LiXiangShan said this call"melanoma",Is an incurable disease,Finally because it a mole let him to despair of life,Suicide...Not long ago,B: mr.zhang qiang(alias)Unfortunately, these also have,dying,But cause the disease of unexpectedly is a nail was broken foot little accident,Because in the process of diagnosis and treatment in the hospital doctor didn't put this hurt seriously,Results developed into a fatal disease.a,Questioned the hospital"Idle diagnosis",B: mr.zhang qiang will the court claim one million.

　　主审此案的是历下法院的田丰法官，他向记者讲述了这起纠纷的细节。家住济南城郊的张强是名建筑工人，几年前在工地施工时不小心被钉子扎伤了脚。当时只是简单的处理了一下。可是，没过多久张强发现，被钉子扎上的地方出现了一个类似于“黑瘤子”的东西，出血且发炎。感觉情况不好，张强来到省城一大型综合医院就诊。大夫认为这是一个化脓性肉芽肿，建议张强做个简单的手术切除就可以了，手术后医院也没有对切除下来的肿物进行病理检验。孰料，手术后张强发现自己的伤口处又出现了“黑瘤子”而且越来越大，就来到另一家医院做检查。结果另一家医院的结论让他感觉晴天霹雳——恶性黑色素瘤，而且已经到了很危险的状态。

The referee is just the case court judge ford,He told the reporters about the details of the dispute.Live in jinan suburban b: mr.zhang qiang was a construction worker,A few years ago in the construction site without careful nail was hurt his leg.At that time only simple processing it.but,It wasn't long before b: mr.zhang qiang found,Red is a place there was a similar to"Black tumors"things,Bleeding and inflammation.Feel well,B: mr.zhang qiang to provincial capital a large comprehensive hospital.The doctor think this is a pyogenic granuloma,B: mr.zhang qiang suggested a simple surgical resection is ok,Hospital after surgery and not removed from the cele for pathology inspection.ShuLiao,B: mr.zhang qiang after surgery found his wound appeared again"Black tumors"And more and more,They came to another hospital inspection.Results another hospital conclusion made him feel a bolt from the blue - malignant melanoma,And has the very dangerous state.

　　确诊为恶性黑色素瘤后，张强四处求医，花去了半辈子的积蓄，病情依旧不见好转，现生活已不能自理，随时面临死亡危险。这时，张强开始质疑是第一家就诊的医院“害了他”。

After diagnosed malignant melanoma,B: mr.zhang qiang healed around,Spend the rest of my life savings,The illness is still not get better,Now life has cannot provide for oneself,Faced with the risk of death at any time.At this time,B: mr.zhang qiang questioning is the first a medical hospital"Hurt his".

　　张强认为，自己第一次去医院就诊时，医生没有做病理检验，结果失去了早期诊断、早期治愈的最佳治疗时机，造成现在自己恶性肿瘤病情恶化。因此，张强认为医院要为这一后果担责。据此，张强以医院的医疗行为存在严重过失，过失与自己身体现状存在因果关系为由，将医院告上法庭，索赔医疗费、误工费、精神损害抚慰金等一百多万元。

B: mr.zhang qiang think,His first when to go to a hospital,The doctor didn't do pathology inspection,Results lost early diagnosis/Early cure. The best treatment opportunity,Cause now own malignant tumor take a turn for the worse.so,B: mr.zhang qiang think hospital for the consequences of the bear.According to,B: mr.zhang qiang with the hospital medical behavior have serious fault,Negligence of his body and the existing on the causal relationship,The court,Medical claim/Make compensations/Mental injury solatium and more than one hundred yuan.

　　接手此案后，田丰法官调查认为，本案的争议焦点为：医院对张强的诊疗行为是否具有过错？如有过错，该过错与张强目前的身体状况之间有无因果关系及关联度？

Took over after the case,Ford believed that the judge,The case for the dispute focus:B: mr.zhang qiang hospital for medical behavior have fault?If there is a fault,The fault and b: mr.zhang qiang current health have causal relationship between and correlation?

　　根据法医临床司法鉴定意见书，对医院实施的诊疗行为是否存有过错及与张强的身体现状之间有无因果关系分别进行了分析说明，结论认定医院对张强的诊治过程中存在一定过失，医院的过失与张强身体现状有一定因果关系；　其关联度为次要责任。

According to the forensic clinical judicial authentication opinions,To the implementation of hospital medical behavior is being fault and b: mr.zhang qiang body status have causal relationship between were analyzed and illustrated,Conclusion that hospital to b: mr.zhang qiang in the process of diagnosis and treatment of there is fault,The fault of the hospital and b: mr.zhang qiang body situation has certain causal relationship;The correlation degree for the secondary liability.

　　但患者病情恶化，现多处转移，是患者的原发疾病自然发展的结果，为此医院应承担与其过错相适应的赔偿责任。据此，法官一审判定医院的赔偿比例为40%。(记者 李世武)

But patients take a turn for the worse,Now multiple metastases,Is the patient's primary diseases are the result of the development of nature,Therefore the hospital should adapt to its fault liability to pay compensation.According to,The judge first decision hospital compensation ratio is 40%.(Reporter LiShiWu)