第660章 举例说明(1 / 2)

听到了你医生讲的例子,李主任也意识到并怀疑误诊事情有可能并不简单,便看向顾建军说道:“建军,你说如果那家医院是故意把我家亲戚的病误诊为肝病,肝病的治疗费用是不是就会大大的大于胆囊炎的费用?”“那是一定的啊,肝病的治疗过程多漫长啊,费用肯定是高于胆囊炎的啊。”顾建军也意识到了这个问题。

“我最近也在一本医学杂志上看到了一个相关的医疗骗子的案例,我找找啊,给你读读,”中年男医生开始拉开抽屉翻找,“这里,找到了,”中年男医生开始迅速的翻找,然后开始大声的朗读:“患者张某因‘发现盆腔包块’入住某医院,入院查体,下腹部扪及包块约20cm大小,上界达脐平,两侧达盆壁,无压痛。结合超声检查,初步诊断:盆腔占位。两日后在全麻下行左侧附件切除+右输卵管系膜囊肿剥除+右卵巢囊肿剥除术。术后予以抗感染、补液、止血等治疗。病理诊断:左卵巢粘液性囊腺瘤、右输卵管系膜囊肿、右卵巢成熟性囊性畸胎瘤。次日,心电图示心动过速、st—t改变、电轴右偏、不完全性右束支传导阻滞。三日后,患者活动后自觉胸闷、心悸、乏力感。查体双肺底散在细湿罗音,予以吸氧、心电图检查。心电图检查提示窦性心动过速,st—t改变,不完全性右束支传导阻滞。查红细胞压积0.185l/l、血红蛋白63g/l、血小板53×109/l;b型钠尿肽1070pg/ml。b超显示:子宫前上方低回声约96×53×79mm,内有分隔,盆腔积液子宫后方深20mm,前方深23mm。予以输血、止血、抗感染治疗。但患者病情进一步加重,血小板进行性下降。一日后,内科会诊,考虑血小板减少待查,浮肿待查,建议血液内科会诊。次日,患者诉心慌,大汗淋漓、气促。胸闷、端坐位。后患者呼吸骤停,经给氧、胸外按压及药物等抢救措施无效,宣告临床死亡。”

听到这里在场的医生都在唏嘘,因为以他们的专业知识是能听懂的,这妥妥的误诊带来的医疗事故是跑不了的了。

“那就没有人管吗?”年轻的男医生气氛的问道,“后边还有,你先别着急,等我读完。”中年男医生解释到。

“之后再患者家属强烈的要求下,鉴定机构给出的病理诊断,应着重从医疗机构误诊点出发。首先该医院对患者既往病史及全身健康状况在入院时未予充分评估,经询问该患者有乙肝病史8年,曾行脾脏切除术,而这些病史对于诊断有十分重要的意义,因此此处医院误诊是存在过错的;其次,术前检查时也提示纤维蛋白原和凝血时间和正常值稍有差异,虽不影响手术,但应结合既往病史和犬舍的健康状况进行术前综合评估;再次,术后第三天患者病情发生变化时,特别是心率出现大的波动,医方在观察、分析病情方面评估不足,与患者死亡存在必然的关系。当即对该医院进行了立案调查,结果查实该医方无执业资质人员独立从事诊疗行为,导致病患死亡。后期追溯法人责任时,法人竟然连夜逃跑了,令患者家属人财两空。”

中年男医生,读到这里便结束了,一时间,办公室众人陷入了沉思,每个人的内心都充满了愤怒。

还是李主任先开了口:“你们说我们被误诊的患者会不会也是去的这样医院,他们的执业医生是不是也是,这种根本就没有执业资格的医生?现在我严重怀疑,尤其是他们医院的诊断方式过于离谱,不夸张说有坑蒙的嫌疑,甚至就是故意的,如果还放任这样的医生给患者看病,那么出人命是迟早的事儿啊。”

“是啊,”“李主任,说的对,这些人真的是为了钱什么都能干得出来。”大家也开始发言,然后目光都聚集到顾建军身上。

顾建军没有说话,只是不停的点头,认同大家的观点,心中暗自思考应对这种事情的办法。

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