患者到医院做手术，事先约定好由医院的主任医生主刀，手术时，主刀医生却换成了主任医生的助手。手术后，患者持续高烧并感染，导致终身残疾。患者认为，由于医院随意更换主刀医生，导致手术不成功，将医院告上法庭索赔150万元。医院认为，更换主刀医生并不违法。司法鉴定认定医院负主要责任，庭审中，两位专家认为医院手续没有过错，法院采纳了出庭专家的意见。近日，西山法院对此案作出一审判决：由医院赔偿患者19万余元。

Patients to the hospital for surgery,Agree beforehand by the director of the hospital doctors operate,When the operation,The surgeon was changed, director of the doctor's assistant.After the operation,For patients with high fever and infection,Lead to permanent disability.Patients think,Due to the hospital change at the surgeon,Lead to the operation not success,To the hospital to court claims 1.5 million yuan.Hospital think,Replace the surgeon is not illegal.Mainly responsible for the judicial authentication as hospital,In the trial,Two experts think hospital formalities no fault,Adopted by the court in the expert's opinion.recently,Xishan court verdict to the case:By hospital for patients with more than 190000 yuan.

患者 In patients with

　　手术后致残 After the operation, disability

　　2010年1月10日，汤女士到云南省肿瘤医院就诊，被告知患有“腹膜后包块”，让她住院治疗。同年1月21日，省肿瘤医院准备为汤女士施行手术，家属签订手术同意书时，写明手术主刀医生是科主任李某，第一助手为栗某。汤女士家属说，第二天，汤女士被推进手术室，李某却不在现场，而是由第一助手栗某实施手术。“手术后出现了严重的感染，持续发高烧，医院也没有采取有效的用药和治疗措施。”汤女士持续高烧10多天后，在家属强烈要求下，院方连夜进行了第二次手术，汤女士的大部分小肠被切除，之后多器官出现衰竭，生命垂危。省肿瘤医院提出请南京军区南京总医院医生前来进行会诊后，汤女士被转入南京军区南京总医院进行治疗，终于保住了性命。汤女士手术被切除小肠，失去了消化吸收功能，她从此不能和常人一样吃东西，每天靠补充营养液来维持生命。

On January 10, 2010,Soup lady to yunnan province tumor hospital,Was told that with"Retroperitoneal bag piece",Let her in the hospital treatment.In the same year on January 21,,Provincial tumor hospital preparation for soup lady surgery,Family members sign a consent form,Of surgery is the surgeon branch director li mou,The first assistant for chestnut one.Soup lady's family said,The second day,Soup was promoting the operating room,Li mou, but not the site,But by the first assistant chestnut a surgery."After the surgery appeared serious infection,For a high fever,The hospital did not take effective drugs and treatment measures."Soup lady for a fever more than 10 days,Under the family strong demand,The hospital after the second surgery,Soup lady most of the small intestine is removed,After multiple organ failure,In critical condition.Provincial tumor hospital, please put forward the doctor visit nanjing military after consultation,Soup lady be moved to nanjing general hospital of nanjing military region,Finally saved lives.Soup lady intestinal surgery is removed,Lost the digestion and absorption function,Now she can't eat as much as normal people,Every day by replenish nutrients to maintain life.

　　汤女士认为，省肿瘤医院在未正确诊断疾病的情况下，草率进行手术，且违背手术同意书更换主刀医师，造成她严重感染。于是她将省肿瘤医院告上法庭，索赔各种损失150万元。

Soup lady thinks,Provincial tumor hospital in accurate diagnosis cases of the disease,Hasty surgery,And contrary to the consent form to replace operator,Cause she serious infection.So she to court the provincial tumor hospital,Claim of loss of 1.5 million yuan.

　　云南鼎丰司法鉴定中心对这起纠纷进行了鉴定，指出了医院在这起诊疗中存在6大过错，术前对汤女士病情情况的复杂程度估计不足，未进行术前讨论。手术当天，医院将李主任更换为栗主治医生，不符合医疗原则，医院负主要责任。

Yunnan DingFeng judicial authentication center was carried out on the dispute,Points out that the hospital in the diagnosis and treatment in 6 big fault,Preoperative to soup lady condition of the complexity of the estimate,Not preoperative discussion.On the day of surgery,Hospital will replace the director li for chestnut doctor,Do not conform to the principle of medical treatment,Mainly responsible for the hospital.

　医院 The hospital

　　换医生不违法 Change the doctor not illegal

　　“就好比同一辆车上，有4个会开车的驾驶员，都有驾照谁来开车都一样，一个拥有20年驾龄的老司机，不一定就比一个只拥有10年驾龄的司机开得好。”法庭上，医院方的代理人说，李医生和栗医生都有相同的执业医师执照。不能因为患者期望是主任李医生来做手术，最后做手术的医生换成栗医生，医院就违法。医院表示，他们的诊疗行为符合医疗规范，提供的医疗服务已经超出了预期，是汤女士本身的病情重，反而汤女士还应当感谢医院，他们不应赔偿。对于法院委托的这份鉴定结论，医院并不认可，这份鉴定不能作为定案依据，他们不应承担赔偿责任。

"Like the same car,There are four will drive the driver,Who has a driver's license to drive all the same,With a 20 years driving experience of the old driver,Is not necessarily better than one only has 10 years of driving experience driver drive well."The court,Agent for hospital said,Dr. Lee and chestnut doctors have the same license medical practitioners.Cannot because patients expect is li, director of the doctor to do the surgery,Finally surgery doctor for chestnut doctor,The hospital is illegal.The hospital says,They conform to the medical diagnosis and treatment of behavior norms,To provide medical services have exceeded expectations,The condition of heavy is soup lady itself,Instead of soup lady should also thanks to the hospital,They should not pay for it.For the appraisal conclusion authorized by the court,Is not recognized by the hospital,The appraisal cannot serve as final basis,They do not assume the liability for compensation.

一审 The first instance

　　判医院赔19万 190000 to the hospital

　　西山法院审理认为：对于司法鉴定的分析说明依据不足，庭审中，有两位专家就被告行医是否具有过错进行陈述，认为医院没有过错，没有采信司法鉴定书中肿瘤医院应承担主要责任的意见，肿瘤医院承担20%责任。

Xishan court:For the analysis basis of judicial authentication,In the trial,There are two expert statement on whether the defendant doctor has fault,Don't think the hospital fault,No letter in the judicial appraisal of tumor hospital should bear the main responsibility,The tumor hospital liable for 20%.

　　于是，西山法院作出一审判决：由省肿瘤医院一次性赔偿汤女士医疗费、残疾赔偿金、被抚养人生活费、护理费、住院伙食补助费、交通费、精神损害抚慰金共计19万余元。

so,Xishan court verdict:By the provincial tumor hospital one-time compensation soup lady medical treatment/Disability compensation/By raising people's living/nurse/The hospital food subsidies/transportation/Mental injury solatium totaling more than 190000 yuan.

　　一审宣判后，汤女士表示将向昆明中院提起上诉。(柏立诚)

After the first sentence,Soup lady said it will appeal to kunming, then.(BaiLiCheng)