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　　辽宁省东港市发生疑似医源性感染事件，已导致120名患者疑似集体感染丙肝。

Liaoning province DongGangShi happened iatrogenic infection suspected event,Has led to 120 patients suspected collective infection hepatitis c.

　　5日，在记者调查时，有患者反映称，多人多次共用针头是此次丙肝感染事件的原因。而这起事件更折射出基层医疗机构内部管理混乱、外部监管乏力的漏洞。

5,,At the press survey,Have patients reflect says,Many times the sharing of needles is the hepatitis c infection the cause of the event.And the incident more reflects the basic medical institutions internal management confusion/External supervision weak loopholes.

　　“因为得了丙肝，我得在医院里过大年了，很难接受。”2月5日，60岁的东港女患者梁国荣在接受记者采访时说。她是此次东港丙肝感染事件的被感染者之一。

"Because got hepatitis c,I have had a great year in the hospital,Difficult to accept."On February 5,Sixty years old female patients which LiangGuoRong when accepting a reporter to interview.She is the donggang hepatitis c infection events of infected people.

　近百人感染丙肝，门诊部医生被刑拘 Nearly people infected with hepatitis c,Clinic doctor was XingJu

　　1月28日，东港市卫生局接到群众举报称，多名患者在东港市社会保险医疗门诊部接受静脉曲张治疗后，疑似感染丙肝病毒。

1 month and day,DongGangShi health bureau to the masses to report says,Many patients in the DongGangShi social insurance medical clinic accept varicose vein after treatment,Suspected infection hepatitis c virus.

　　接到举报后，东港市卫生局统计发现，先后有120人在该门诊部接受治疗，其中96人丙肝病毒检查呈阳性。截止到1月29日，95人入院接受相关观察治疗。初步判断，疑似集体感染丙肝与门诊部的医疗行为有关。

Receives reports,DongGangShi health statistics found,There have been 120 people in the clinic for treatment,96 of them have hepatitis c virus test was positive.By the end of January 29,,95 people to accept the observed treatment.Preliminary judgment,Suspected collective infection hepatitis c and clinic medical behavior related.

　　2月1日，东港市社保门诊部被勒令停业整顿，门诊部医生薛峰被公安机关刑拘。

On February 1,,DongGangShi social security clinic were ordered to suspend business,Clinic doctor XueFeng by the public security organs of XingJu.

　　据了解，感染患者得到了免费治疗。目前住院患者的医疗救治工作正在按照辽宁省医疗专家组制定的医疗救治方案有序开展，患者症状有一定好转。

It is understood,Infection patients got free treatment.At present of hospitalized patients with medical treatment work is in accordance with the medical group in liaoning province for medical treatment scheme and orderly development,Symptoms have improved.

　患者称，医生违反规定致交叉感染 Patients said,The doctor in violation of regulations to cross infection

　　“这家门诊在东港特别有名，都开了好多年了，又是社保定点的，谁能想到治到半道儿多出这么个病？”在东港市中心医院感染科215病房，记者见到了患者梁国荣，病床卡上的诊断一栏写着“急性黄疸型肝炎”，即俗称的丙肝。

"The clinic in donggang city, especially famous,Are open for many years,Social security is the point,Who can think of to the on the way to a disease?"In DongGangShi center hospital infection families and 215 ward,Reporters saw the LiangGuoRong patients,The diagnosis of sickbed card written a column"Acute jaundice hepatitis",That is commonly known as the c.

　　“我是看了电视广告才去这个门诊部的，广告上说他们引进了新技术，能一次性治好静脉曲张。”2012年12月14日，梁国荣慕名来到东港社会保险医疗门诊部找医生薛峰给自己治疗。

"I am watching TV advertising to the clinic in,The AD says they introduced a new technology,Can one-time cure varicose veins."December 14, 2012,LiangGuoRong traveled to donggang social insurance medical clinic in search of a doctor for his XueFeng treatment.

　　据多名患者向记者反映，薛峰的治疗方法一共分三步：先给患者抽血，然后将自己配剂的药水注射进患者体内，最后再进行半小时高温理疗。整个疗程“到治愈为止”，价格则“视病情而定”，从1000多元到2000多元不等。

According to many patients reflect to the reporter,XueFeng treatment for a total of three points:Give patients blood,Then will his dispensing potions injection into the patients' bodies,Then for half an hour high temperature physical therapy.The whole course"To heal so far",Price is"Apparent illness and decide",From 1000 yuan to 2000 yuan range.

　　但是梁国荣很快发现了让人担心的事情：抽血之前不验血，注射药水的时候，药水瓶子上的针头始终不换，下面的人接着使用。她说，当时她曾一度质疑“为何医生不注重卫生”，但“其他人都没吱声，我也就随大溜了”。

But LiangGuoRong soon found a worry:Blood before the blood test,Injection of liquid,Liquid medicine bottle a needle always don't change,The following people and then use.She said,She was once questioned"Why the doctor does not pay attention to health",but"Others didn't tweek,I will follow the general trend for".

　　20多天后，梁国荣感觉到身体状况出现了异样：“一开始是感冒，睡不好觉，还恶心厌食，觉得肚子胀。当时以为是上火，直到后来尿都发红了，才赶紧上医院检查，结果查出来得了丙肝。”

More than twenty days,LiangGuoRong feel strange body appeared:"A beginning is cold,Sleep well,Also nausea anorexia,Feel belly bulge.Thought is fire,Until all the red urine,Just to the hospital inspection,The results found come the c."

　　东港市中心医院感染科主任崔维告诉记者，急性丙型肝炎的治愈率相对来说比较高，但任何一种感染疾病的治疗都无法保证百分之百清除病毒，还要看患者的个人体质。

DongGangShi center hospital infection of director of division of CuiWei told reporters,The acute hepatitis c are relatively high cure rate,But any kind of infection and the treatment of diseases can guarantee one hundred percent get rid of the virus,Also see patients individual constitution.

　　患者普遍认为，门诊部医生没有严格遵守相关工作制度和操作规范，违反了一人一针一管一消毒的基本原则，导致交叉感染。但这一结论目前尚未得到辽宁省医疗专家组确认。

Patients generally think,Clinic doctors are not strictly abide by relevant working system and operating condition,Violation of the one needle a tube of a basic principle of disinfection,Cause cross infection.But this has not been a conclusion the liaoning province medical group confirmed.

　社保门诊部外包经营，管理混乱 Social security clinic outsourcing business,Management confusion

　　记者了解到，主治医生薛峰为社保门诊部外聘人员。梁国荣说：“他跟医院里的其他人都穿着一样的衣服，根本看不出来什么差别。”

The reporter understands,Doctor XueFeng for social security clinic external personnel.LiangGuoRong said:"He and the rest of the hospital wore the same clothes,What is the difference between fundamental look not to come out."

　　该门诊部法人代表张文杰说，东港社保门诊部1994年10月成立，虽然是综合性门诊，拥有四五十名事业编制的医护人员，但性质上却是自收自支的社会医疗机构，经济上难以为继。

The clinic legal representative ZhangWenJie said,Donggang city social security clinic established in October 1994,Although it is comprehensive outpatient service,With forty or fifty name business establishment of health care workers,But nature is to raise social medical institutions,Economically unsustainable.

　　为了维系医院的生存，2012年秋天，他经人介绍认识了来自丹东市凤城市第三人民医院的外科医生薛峰。薛峰掌握了一套“微创介入溶栓通脉疗法”，用来治疗静脉曲张。这种方法在山西、北京等地有医院采用，但在东港当地还未有先例。

In order to maintain the survival of the hospital,In the autumn of 2012,He have been introduced from dandong FengChengShi third people's hospital XueFeng surgeon.XueFeng master a set of"Minimally invasive intervention thrombolysis pass pulse therapy",Used for the treatment of varicose veins.This method in shanxi/Beijing of the hospital,But in donggang local no precedent.

　　“我们这里患有下肢静脉曲张的人很多。”张文杰说，他当时觉得这是个“还当地人健康”的好机会。于是，与薛峰签订了为期一年的承包协议，承包价75000元。

"We here have lower limb varicosity many people."ZhangWenJie said,He felt it was a"Also local health"Good opportunity.so,And XueFeng signed a one-year contract agreement,Price 75000 yuan.

　　2012年10月22日，薛峰成为了社保门诊部的外科大夫。“因为技术需要保密，薛峰如何处置病人并不让其他人知晓。”张文杰说，“我原来就不止一次说过他，让他每人每次都要血检，让他做到针管一次性使用，他就是不听啊。”

On October 22, 2012,XueFeng become the social security of the outpatient department of the surgeon."Because the technology need to be kept secret,How to deal with the XueFeng patients do not let others know."ZhangWenJie said,"I originally said he more than once,Let him each time each blood tests,Let him do disposable syringes,He just won't listen to ah."

　　“我知道公立医院不允许对外出租科室，但好像没有针对我们社会医疗机构的。”张文杰说，在咨询“是否可引进医生”时，他并没有向上级医疗主管部门说明门诊部搞外包经营的情况。

"I know that public hospital does not allow foreign rental department,But he doesn't seem to have in our society of medical institutions."ZhangWenJie said,In consultation"Could you introduce the doctor"when,He did not to the superior department in charge of medical treatment that make outsourcing management situation of the outpatient department.

　　东港市卫生局副局长姚增玲说，“外包外聘”的医疗经营方式违反了国家的相关法律。早在1994年，我国颁布的《医疗机构管理条例》第四十四、四十六条便规定了医疗机构不得出租转让。在2004年卫生部补充规定科室承租也要参照此条例执行。

DongGangShi health bureau deputy director YaoZengLing said,"Outsourcing external"Medical mode of operation in violation of the relevant laws of the country.As early as in 1994,Issued by the China[The regulations on the administration of medical institutions]44/Article 46 the provisions and medical institutions shall not be leased transfer.In 2004 the ministry of health department the supplementary provisions will refer to the regulations.

　相关职能部门监管乏力遭质疑 Related functional departments supervision fatigue has been questioned

　　门诊部内部管理混乱，那相关职能部门为什么没有进行有效的监管？

Out-patient department internal management confusion,The related functional departments why no effective supervision?

　　姚增玲说，在东港市有360家医疗机构，而负责稽查的卫生部门人员只有两人。这两个人每个医疗机构都要走一遍、看个全，如此一年下来，每个医疗机构也只能去一次。

YaoZengLing said,In DongGangShi have 360 medical institutions,And is responsible for the inspection of the department of health personnel only two people.The two men each medical institutions to go again/To see all,So a year come down,Every medical institutions can only once.

　　“去年7月，我们的监管部门曾经检查过社保门诊部，并就这家医院存在的一些问题提出过相关意见，也下过意见书，但是并没有什么效果。”姚增玲说。而社保门诊部外包外聘的违法现象恰恰就出现在检查后的3个月。

"In July last year,Our regulators have checked the outpatient department of social security,And there are some problems in the hospital proposed relevant opinions,Also the submissions,But there is no effect."YaoZengLing said.And social security clinic outsourcing external illegal phenomenon just appeared in the inspection after 3 months.

　　“社保门诊部在行政上隶属于社保局，业务上却归卫生局管理，连卫生局开会都把我们和个人小诊所安排坐在一起。”张文杰说，正是源自“一套人马两个班子”，造成了“龙多不治水”的窘困局面。

"Social security in the outpatient department of administration under the social security bureau,Business but to health management,Even the health bureau of the meeting we and individual small clinic arrangement sit together."ZhangWenJie said,It is derived from the"A set of Sagittarius two group",caused"Dragon not more water conservancy"Dilemma of the situation.

　　但患者普遍质疑，人手少不能成为职能部门监管乏力的理由。

But patients commonly questioned,People can't be less functional departments supervision weak reason.

　　患者还指出，这家医院在当地电视台为“静脉曲张”的治疗做了大量的广告。“连我们都能在电视上看到广告，为什么相关的监管部门会看不到？”

Patients also pointed out that,The hospital in a local television station"Varicose veins"Treatment did a lot of advertising."Even we can see on TV advertising,Why the supervision of the relevant departments will see?"

　　据了解，医疗类广告要播出，必须上报省一级卫生主管部门审批，之前要由市卫生局出具审核意见，而东港市卫生局从未受理过这一广告的审批。（记者 辛 阳 人民网记者 王 磊 边 晗）

It is understood,Medical ads to broadcast,Must report to provincial health department for examination and approval,By the municipal health bureau before issue audit opinion,And DongGangShi health bureau has never accepted the advertising for examination and approval.(Reporter symplectic Yang people net reporter wang lei Han edge)