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患者接受手术异物留体内 昏迷6天后二次开胸--亲稳网络舆情监控室
2013-02-17
金女士在安贞医院做心脏手术时导丝断裂,遗留在体内,导致她不得不做二次手术。记者昨天获悉,市二中院终审判决安贞医院有过错,赔偿金女士42万余元。
Ms king anzhen hospital in cardiac surgery when guide fracture,Legacy in the body,Cause she had to do a second surgery.Reporters learned yesterday,Lu guoqiang, a final decision in the anzhen hospital in fault,Ms damages of more than 420000 yuan.
金女士诉称,她因先天性心脏病入住首都医科大学附属北京安贞医院。在进行手术过程中,用于介入治疗的导丝突然断裂,医院立即用3个支架将导丝固定在冠状动脉的管壁上,导致她大面积心肌梗死,断裂的导丝遗留在体内。经抢救,她在昏迷6天后苏醒。术后复查发现,手术中为固定导丝而放置的一个支架被堵塞。此后,安贞医院给她进行了第二次开胸手术,将没有被支架压住的导丝取出,并对堵塞的冠状动脉做了搭桥手术。金女士说,术后,她出现了大量的胸腔积液,先后进行了4次胸腔穿刺抽液。
Ms king v. says,She for congenital heart disease in capital medical university affiliated Beijing anzhen hospital.In the operation process,Used for intervention treatment guide suddenly fracture,The hospital immediately use three support will guide fixed in coronary artery of the wall,Led to her large myocardial infarction,Broken thread left in the body.After the rescue,She is in a coma to six days later.The review found that,Surgery for fixed guide and placed a stent was blocked.Since then,Anzhen hospital to give her a second thoracotomy,Will not be support pressure live guide take out,And the blocked coronary artery bypass surgery done.Ms king said,the,She appeared a lot of pleural effusion,Conducted a series of four chest puncture infusion.
金女士认为,因为安贞医院的过错,使其经受了两次手术的痛苦,给其健康造成了更大的伤害及巨大的经济损失。她要求安贞医院赔偿医疗费、精神损害费等共计87万余元;安贞医院无条件对她进行康复治疗,并承担后续治疗费用。
Ms king think,Because the anzhen hospital's fault,Make it through the pain of the two operations,To its health caused more damage and huge economic losses.She asked the anzhen hospital for medical treatment/The total mental damage cost more than 870000 yuan;Anzhen hospital unconditional for her rehabilitation,And bear the subsequent treatment costs.
安贞医院辩称,经院内外专家会诊及讨论后,一致认为金女士目前病情稳定,心功能正常,可以带药出院,定期复查。医院认为其对金女士诊断正确,介入治疗选择得当,使用的器械均有合法来源,没有过错,手术中发生的导丝通电后不解离,属于难以防范的医疗意外,且在意外发生后尽到了必要的诊疗义务,所以不应承担民事责任。
Anzhen hospital argued that,Scholastic inside and outside experts consultation and discussion,Agree that ms king currently in stable condition,Normal cardiac function,Can take medicine hospital discharge,Regular review.The hospital that the ms king correct diagnosis,Choose appropriate intervention,The use of equipment are legitimate source,No fault,Operation occurred in guide after the power supply from don't understand,Belong to the prevention of medical accident,And in the accident happens all the necessary medical obligations,So don't assume civil liability.
司法鉴定认为,金女士损害后果与导丝断裂存在因果关系,参与度100%。金女士动脉内异物存留已构成八级残疾(赔偿指数30%)。部分导丝存在体内,有形成血栓的可能性,建议长期使用抗凝药物,其陈旧性心肌梗死,射血分数减低,建议继续服用药物进行治疗。对于继续治疗康复费用问题,因药物的具体使用以及金女士将来身体情况无法确定,故具体金额无法计算。对于目前存留体内的导丝,在医学范畴内,无法确定是否一定发生损害后果,但血管内的金属导丝对于人体而言属于异物,异物的存在有形成血栓的可能性。
Judicial authentication think,Ms king injury consequence and guide fracture existence causal relationship,Participation by 100%.Ms king kept within the artery foreign constitute a very disability(Compensation index 30%).Part of the guide wire in there,Have the possibility of thrombosis,Suggest the long-term use of anticoagulant drugs,The chronic myocardial infarction,Ejection fraction reduce,Suggest to continue to take drugs for treatment.To continue to treat rehabilitation cost problem,Because of the specific drug use and ms king physical condition can not be sure in the future,The specific amount can't calculation.For the present remaining in the guide,In medical terms,Unable to determine whether must be injury consequence,But intravascular metallic thread for the human body belongs to foreign body in,The presence of foreign bodies have the possibility of thrombosis.
一审法院最终判决安贞医院赔偿金女士各种损失共计42万余元。判决后,金女士和安贞医院均提出上诉,市二中院审理后维持了一审判决。(记者裴晓兰)
Court of first instance final judgment anzhen hospital compensation lady losses of more than 420000 yuan.Decision after,Ms king and anzhen hospital all appeal,Lu guoqiang after trial to maintain the verdict.(Reporter PeiXiaoLan)
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