Chapter 4 Chapter 2 Shadows under the Shadowless Lamp

A patient of Dr. Michael Schaefer in Chicago wrote "I have pain here" on his arm and drew an arrow pointing to his elbow while waiting in the operating room.In New York City, Dr. Andrew Rostow's patients wrote "yes" on one leg and "no" on the other... Because doctors have cut the wrong leg, cut the wrong kidney, and even opened the wrong patient's brain, it has made patients very scared. Patients in many countries no longer trust doctors, and use such clumsy but effective methods to avoid doctors making mistakes. Surgical site. This is not the humor of foreigners, but the cruel reality that forced the patient to choose such a helpless method.

I don't know if I should recommend such a method that is disrespectful to doctors but beneficial to the Chinese, because in China at present, there are too many jokes about the wrong surgical site. On July 12, 1989, when a nurse in a hospital in Zhejiang pushed Hu Kangkang, a 6-year-old sick boy who had just undergone surgery, back to the ward, his mother, Du Hua, was stunned: the osteomyelitis should have been done on her son's right leg. The lesion removal surgery was performed on the left leg by mistake, and the diseased leg remained the same.Seeing this, she couldn't help crying bitterly.One of the doctors present lied and said: "Your son's left leg is also sick, and sooner or later he will have an operation."

Hu Kangkang is luckier than the 16-year-old girl Zhao.Ms. Zhao needed amputation of one leg. During the operation, the nurse made a mistake and fixed the good leg in the operation position. The surgeon did not check it, so she took the scalpel and cut Zhao's leg alive. The good leg was amputated, leaving the sick leg to her. It turns out that the "wrongly truncated" cartoon in the composition question of the college entrance examination in 1997 has a basis in life!However, the "caricature" in life is not as easy as the comic in the composition topic, because it means a person's lifelong pain and a family's great misfortune.

Zhang, a veteran cadre who participated in the revolution during the Anti-Japanese War, was found to have cancer cells in his lungs in a hospital.After being hospitalized, it was determined by fiberoptic bronchoscopy and X-ray examination that "the possibility of tumor in the lateral segment of the left lower lobe is high".On this day, the hospital performed a "thoracotomy" for Lao Zhang. Three doctors opened the chest cavity, but no lump was felt.The two doctors reminded the chief surgeon: "I can't feel the lump, so I'm afraid it won't be easy to open it?" The chief surgeon asked the people under the operating table to read Lao Zhang's medical records, and after listening to the examination report, he said "open!" The lobe lungs were cut off.After the operation, the hospital conducted serial biopsy examinations on the excised specimens, and no cancer cells were found.Facts have proved that Lao Zhang's left lower lobe lung that was resected is a good lung, and the diseased lung is on the right. Fiberoptic bronchoscopy and X-ray examination happened to be reversed.Since the left lower lobe lung was removed and the right upper lobe lung could no longer be removed, Lao Zhang could only die from the torture of lung cancer.

On February 27, 1991, Wei Guoyou, an attending physician at a coal mine worker's hospital in Inner Mongolia, was admitted to our hospital for treatment due to sudden hematemesis and blood in the stool.The diagnosis was liver cirrhosis, portal hypertension, and upper gastrointestinal bleeding.After conservative treatment, the condition improved.At about 17:30 the next day, Wei vomited blood again, with a blood volume of more than 1,000 milliliters.After consultation with the hospital, it was decided to perform the operation of "splenectomy and ligation around the cardia vessels".During the operation, Xie, who was the operator, opened the abdominal cavity and saw a mass. After touching it, when the nature of the mass was unknown, he removed the left lobe of the liver with a volume of 19 × 13 × 8 cm and a weight of 590 grams. Lateral segment resection.When it was discovered that the liver had been wrongly cut, Xie did not properly handle the scheduled operation, which caused the patient to lose the opportunity for reoperation, resulting in liver hemorrhage and multiple organ failure, and died on March 16.

Many mistakes can be corrected, but the mistakes of doctors are difficult to correct, especially for surgeons! And these mistakes are completely avoidable, as long as we have a strong sense of responsibility, work more seriously, and our system is stricter, all the mistakes of cutting the wrong thigh, cutting the wrong lung, and cutting the wrong liver will not occur.It is precisely that some medical staff ignore this point, and are too lazy to do such simple and easy tasks as checking some parts and clarifying the organs.Surgery is a matter of life and death. If the parts are reversed and the organs are wrong, no matter how superb the technology and advanced equipment are, the result will always be a tragedy.

Life is not a child's play, doctor, can you be more serious? ! It is an unforgivable and unforgivable mistake to open the wrong part and the wrong organ, but some medical staff are so careless that they even make the wrong patient. This is really ridiculous and shameful tragedy! According to the magazine "Love, Marriage and Family", on December 13, 1997, early in the morning, Xu Xiulan, a laid-off female worker at the Weifang Textile Printing and Dyeing Factory, rushed to the Affiliated Hospital of Weifang Medical College in Shandong Province with her son who had had a high fever overnight.

Liu Dalong is 5 years old and has often suffered from colds since he was a child. His tonsils become swollen and inflamed when he catches a cold, followed by fever, pain, crying, and refusal to eat.Every time Xu Xiulan took her son to see a doctor, the doctor said that Dalong's tonsils were hypertrophic and needed to be removed.So, she made an appointment with Dr. Xu for the surgery. Just after Xu Xiulan and Dr. Xu set an operation time for her son, the 4-year-old patient Xu Chong was admitted to the hospital, and his parents also made an appointment with the hospital for heart repair surgery.Xu Chong was born with congenital atrioventricular septum, and the doctors were not sure enough to repair his holed heart until he was 4 years old.No one in these two unrelated families thought that because of the same operation time and the hospital's mistakes, the fate of the two children would be tightly intertwined.

At 8:30 am on December 22, Xu Xiulan led her son Liu Dalong, Xu Youwei and Chen Liping led their son Xu Chong, and arrived at the Department of Surgery of the Affiliated Hospital of Weifang Medical College on time as agreed. After a while, a nurse came over and called Xu Youwei, Xu Chong's father, to the nurse's office and asked him to sign the operation sheet.Immediately afterwards, another nurse called Xu Xiulan and asked her to sign the operation sheet. At 8:45, Liu Dalong and Xu Chong were led into the operating room by nurses, and the parents of the two children waited anxiously and patiently outside the door.

That's when the first oversight occurred.The nurse on duty who came to pick up the child from the cardiac operating room led Liu Dalong to the cardiac operating room without hesitation, but held Xu Chong's medical records in his hand.Doesn't the hospital have a "three checks and seven pairs" system that requires checking names, ages, bed numbers, etc.?The second oversight immediately reappeared.The director of the anesthesiology department who picked up the child asked routinely: "What's your name?" Liu Dalong replied loudly: "Liu Dalong!" At this moment, the doctor didn't know what to think, and when he heard the answer to such an unfamiliar name, he let it go without noticing. .But the little Liu Dalong was a little confused: "Why are you unbuttoning me?" Unfortunately, none of the medical staff present paid attention to his question.

After anesthesia, you are ready for surgery.Xu Chong's doctor in charge, when he was disinfecting the child and tidying up the operating table, accidentally failed to recognize the strange child, making mistakes again and again.The anesthesiologist, like him, hadn't thought of using a stethoscope to check whether the cannula was in place, and maybe discover that it was a healthy heart. Everything is ready and the operation begins.The moment the little scalpel was cut to the child's chest, this tragedy was doomed.The chest was cut, the sternum was split, the pericardium was opened, and the blood vessels were freed. Everything was done skillfully and orderly. When the large blood vessels entering the heart were inserted into the artificial heart-lung machine, and cardioplegia was injected into the blood vessels near the heart, the child The child's heart temporarily stopped beating and entered a quasi-dead state. The artificial heart machine replaced the child's heart function.In less than 10 minutes, the instrument showed that the child had hemoglobinuria. It turned out that Liu Dalong had type A blood and Xu Chong had type B blood.This danger signal was once again ignored by the doctors present. The operation continued, the heart was opened, and there was no problem; the atrium and ventricle were opened, and no abnormalities were found; the pulmonary artery was cut, and it was still normal... In this way, Liu Dalong's healthy heart was ruthlessly "checked". It is also absurd that at the same time as this operation, in the ENT operating room over there, Xu Chong, a real child with congenital heart disease, was undergoing an irrelevant tonsil removal operation.The surgical nurse here also administered local anesthesia without checking the name and age of the sick child.It is also sad that during the operation, the doctor in charge sat opposite the sick child, and also did not recognize the patient who did not belong to him, nor did he doubt why the child took off his clothes... A rare tragedy in medical history happened! Xu Xiulan, who was guarding the door, saw that her son Liu Dalong hadn't come out for more than an hour after entering, and a trace of ominous premonition gripped her heart tightly.Just when Xu Xiulan was extremely anxious, the door of the operating room finally opened, and the nurse pushed out the canopy bed and shouted: "Liu Dalong's relatives!" Only Xu Xiulan exclaimed: "Doctor, this child is not my son, my son! His name is Liu Dalong!" When the nurse was about to push the child back to the operating room to ask what happened, Xu Chong's parents jumped up and said, "This is my son Xu Chong." After hearing this, the nurse hurriedly asked, "This child's name is Xu Chong. Chong? What kind of surgery are you doing?" Xu Youwei immediately replied, "Heart repair surgery." After hearing this, the nurse hurriedly pushed the child back to the operating room. At this time, Liu Dalong's chest had been opened, and his heart was also cut open. The chief surgeon was carefully searching for the hole in the atrium, but he couldn't find it. 30 minutes passed, still no hole was found, no disease expected to be diagnosed was found, and everything in the heart was normal!The assistants suspected that the B-ultrasound diagnosis was wrong. With everyone's doubts, the scalpel extended to the atrium.The atrium and ventricle were opened, and the pulmonary artery was cut, but everything was still normal.The chief surgeon broke out in a cold sweat. He asked the assistant to look at the medical records and the operation sheet again. It was clearly written that the heart was repaired due to a congenital atrioventricular septum, but why didn't the child's heart have that kind of disease?At this moment, a nurse came in and whispered something to him, after which he hurriedly ordered his assistant to wash and sew up Liu Dalong... On December 22, 1997, this day became a "shame day" for medical staff across the country! Although both Liu Dalong and Xu Chong survived the active rescue, the injuries to their bodies could not be repaired by any means.A healthy heart was cut open for no reason, and a normal tonsil was cut off for no reason. Not long after, the parents of the two children were taken to the surgery office by the nurses. After several leaders of the hospital apologized heavily to them, they informed them: Xu Chong and Liu Dalong's operations were wrongly replaced, and Xu Chong's tonsils were removed. Liu Dalong's chest was opened.Before they could finish speaking, Xu Xiulan collapsed on the ground and passed out. On March 6, 1998, Weifang City Medical Malpractice Appraisal Committee issued a certificate of appraisal for the accident, identifying it as a third-level medical liability accident.According to the appraisal, the Municipal Health Bureau made a corresponding decision on the medical accident: the person responsible for the accident was given administrative demerits, withheld 50% of salary and annual bonus, and was dismissed from office.Hospital leaders were punished by demotion. According to the handling opinion of the Municipal Health Bureau, in addition to exempting the two children from all medical expenses, the hospital also gave the two children 2,000 yuan in accident compensation according to regulations, and paid 10,000 yuan to Xu Chong and 20,000 yuan to Liu Dalong in one lump sum. RMB 10,000 as compensation for the aftermath. That's the cost of cutting out a heart and cutting out a tonsil! Many news media used words such as "rare" and "unique" to highlight the case when reporting this tragedy, but according to the author's research, this tragedy is not unique. "Forensic Medicine World" magazine once reported a similar case: a patient named Chen went to a hospital for stone removal surgery because of bladder stones, but he was never taken into the operating room.However, Zhang, a patient who went to the hospital for diagnosis and treatment of right indirect inguinal hernia, was mistaken for Chen by the anesthesiologist, who was brought to the operating table and anesthetized.The chief surgeon performed a laparotomy without checking the patient's surgical site.After opening the bladder, naturally no stones could be found in Chen's body, and at this time Chen was still waiting outside the operating room. We dare not conjecture and judge whether there are such tragedies of ostentation in reality, but these two cases alone are enough to make us feel sad for several years.I don't know if Chinese patients should also follow the practice of foreigners, making a mark on the site of their lesion and writing: Please operate here! It is not cutting-edge technology, nor is it a complicated and difficult thing to find out the surgical patients and check the surgical site, but some people have not even done this.How can people feel safe in such a hospital?How can such medical staff be trusted? The most beautiful thing in life is youth, and 18 years old is the blooming season of youth, but in this blooming season of youth, this unfortunate girl lost her femininity due to a medical accident, and just overnight, a young girl full of youthful vigor Then he became a "neutral person" who grew a beard and Adam's apple without using drugs. This is a sad case of medical malpractice that the author interviewed. In the early morning of February 19, 1994, Liu Hui, a student at No. 1 Technical Secondary School in Yiyang City, Hunan Province, who was on winter vacation at home, suddenly felt severe abdominal cramps.The family hurriedly sent her to a nearby township hospital for treatment. Because the cause of the disease was unknown and her condition did not improve, the family transferred Liu Hui to the county hospital for treatment that afternoon.After examination by the obstetrician and gynecologist of the hospital, it was initially suspected that it was ovarian cyst or ovarian teratoma with torsion.The consultation determined that an exploratory laparotomy should be performed immediately. At 7:10 p.m., Liu Hui was sent to the operating room to start the operation.Surgeon Ren Mou is a doctor who graduated from a medical school in a certain area in 1982 and has worked in obstetrics and gynecology for nearly 12 years.On this day, she led an intern to perform a laparotomy for Liu Hui.After opening the abdominal cavity, Dr. Ren found that the right ovary was twisted 360 degrees and congested and necrotic. The left ovary was enlarged but soft and smooth. It was suspected to be an ovarian teratoma (benign).According to the surgical routine, the surgeon should remove the necrotic ovary on the right side, and perform tumor dissection on the left ovary, that is, only the teratoma is removed from the ovary, while at least part of the left ovary is preserved.As an obstetrician and gynecologist with 12 years of clinical work experience, I should know how important the ovaries are to a woman, especially a girl who has just turned 18 years old, but Dr. Ren is impatient to think about it like this, and hastily made a one-size-fits-all remove.According to the comments of experts who participated in the identification of medical malpractice later, when Liu Hui’s right ovary was necrotic and had to be removed, even if Liu Hui’s left ovary was a malignant tumor, part of the ovarian cortex should be reserved for her to maintain her female function.According to Liu Hui's mother's complaint, during the operation, Dr. Ren came out and told her that her daughter's right ovary was necrotic and her left ovary had a tumor, which had to be removed.She asked what would be the impact of the excision, and Dr. Ren said that she was just infertile. She never dreamed that she would lose her femininity. A few days after the operation, Liu Hui developed symptoms of endocrine dysfunction such as irritability, sweating, insomnia, and trance. At that time, Liu Hui's family thought it was just the reason for his postoperative weakness.After discharge from the hospital, menstruation stopped completely, and the above-mentioned symptoms gradually aggravated.They took Liu Hui to see Dr. Ren, who told them that they could go to Changsha for an ovarian transplant.When they went to Changsha, they realized that there are only two hospitals in Guangzhou and Nanjing that carry out this operation, and only two cases were successful in Guangzhou.And Liu Hui has to rely on long-term use of progesterone and estrogen to maintain his femininity. However, according to relevant information, long-term use of these drugs may cause the risk of endometrial cancer. If you stop taking the drugs, you will grow beard and Adam's apple... Liu Hui and his family suddenly faced such a cruel reality.His parents were pessimistic, and Liu Hui was even more desperate.As a peasant girl, she once had many longings and dreams, but now they are all shattered.Since then, she quit the technical secondary school that she was admitted to after ten years of hard work. Not only did she leave her classmates and teachers, but she almost avoided the whole society. She could only shut herself at home every day, washing her face with tears, for fear of others See her special appearance.Although she insisted on using drugs to barely maintain her femininity, the originally delicate and slender girl became bloated due to drug reactions. Liu Hui lost confidence in life and committed suicide twice. Fortunately, her family found out in time and avoided it. A bigger tragedy happened. In order to restore their daughter's basic femininity, Liu Hui's parents began a long and difficult petition.They first approached Dr. Ren and his hospital, and asked to restore their daughter's function as a woman, but they were rejected for various reasons.Liu Hui's parents had no choice but to give up their normal jobs and run around calling for the attention of relevant departments. At the same time, they sought medical advice everywhere and tried their best to restore their daughter to health.They looked through newspapers one by one, and inquired from one hospital to another. As long as there were similar reports or relevant information, they would hold on to them and contact them by letter or person. Liu Hui's misfortune has aroused great concern from the leaders of the relevant provincial and municipal departments, and they all instructed to clarify the responsibilities and make reasonable compensation. On May 13, 1995, relevant departments organized the first coordination meeting.At the meeting, the county hospital asked Liu Hui not to resort to the law on the grounds that it was worried about affecting the reputation of the hospital, and the two parties negotiated to resolve it.After working with many parties, an agreement was finally reached, and the hospital agreed to "discuss the issue of ovarian transplantation together when the conditions are ripe."At the same time, 6,000 yuan was compensated as the cost of long-term use of estrogen. Not long afterward, Liu Hui's parents got the news from the "Yangcheng Evening News" that the ovarian transplant operation had been successful in Guangzhou, and immediately asked the hospital to perform an ovarian transplant operation on Liu Hui.But this time the hospital emphasized that the hospital's compensation for medical malpractice is routinely providing medicines, and not responsible for special treatment with high costs.Liu Hui's parents just realized that the agreement of the first coordination meeting was no longer valid, so they applied for an appraisal to the County Hospital Accident Appraisal Committee.At first, the committee refused to accept the application on the grounds that the application period was exceeded. After multiple urgings, on September 5, 1995, it was appraised as a second-class first-class medical technology on the basis of "the consent of the family members has been obtained, and the operation method is not proper". ACCIDENT.Liu Hui's parents were dissatisfied with this, thinking that it was not objective and not seeking truth from facts, so they applied to the Municipal Medical Malpractice Technical Appraisal Committee for a second appraisal.This time, under the auspices of relevant departments, provincial and municipal experts in obstetrics and gynecology were organized to re-examine the medical records and carefully analyze the appraisal. The final conclusion was that the surgeon made decisions without asking for instructions, and arbitrarily removed vital organs of the human body, which violated medical regulations and systems. Second-degree medical liability accident". Due to the solid facts and clear responsibilities, neither Liu Hui's family nor the hospital has any objection to the appraisal conclusion. The only way to restore Liu Hui's femininity and maintain her femininity is to undergo ovarian transplantation.The transplant operation involves two major problems. One is the ovary donor, that is, who will give Liu Hui the ovary.There is no living organ trading market in my country, and organ donation has just started, so the source of ovaries must be resolved by ourselves, and hospitals cannot provide them.The second is funding.According to the hospital's estimate, the cost of the transplant operation alone is about 50,000 yuan, which does not include the postoperative medicine, accommodation, and the operation and nutrition expenses of the donor ovary. The most difficult thing in the hospital's view is the source of the ovaries.In an oriental country like ours where traditional concepts are heavy, no amount of money can buy human organs.But this difficult matter was easily solved at Liu Hui's house.Liu Hui has a younger sister who just turned 18 in 1996. She sympathizes with her sister's experience and always wants to help her.The parents were overjoyed when they received a letter from the hospital informing them that transplantation was possible, but they had to deal with the ovaries themselves, and they began to sigh again.The younger sister, who is righteous and brave, told her parents without hesitation that she would donate an ovary to her elder sister.For an 18-year-old unmarried girl, not only to cut herself, but also to cut off the important organs that make a woman a woman, what kind of affection and heart are needed! Now that the most difficult ovaries are available, all that remains is to raise the cost of the surgery.Liu Hui's parents believed that the loss of Liu Hui's bilateral ovaries was entirely the responsibility of the hospital, and the hospital paid for Liu Hui's transplant operation, which was the minimum compensation.However, the county hospital believes that the Ministry of Health had a medical malpractice compensation method in 1987. The compensation for first-level medical accidents was 3,000 yuan, and the compensation for second-level medical accidents was 2,500 yuan.Liu Hui's parents and the lawyer they hired believe that this compensation standard is not full liability compensation, but compensation after making up for the losses caused by medical accidents.In the case of Liu Hui, the responsible hospital should perform an ovary transplant on her and then compensate her according to the above standard.Liu Hui's parents pointed out that if you go to a restaurant and get scalded by a waiter, you have to pay several thousand yuan. Is it reasonable to pay only 2,500 yuan for a vital organ of the human body? Due to the big differences between the two parties, Liu Hui and his parents filed a lawsuit in the court. On April 5, 1996, the Municipal Intermediate People's Court held a hearing on the case.During the trial, the two parties had no major disagreement on the facts and the sharing of responsibilities. The focus of the conflict was on compensation. The hospital still refused to bear the cost of the ovarian transplant, and Liu Hui's parents believed that this was the minimum compensation.They set aside the indirect losses caused by seeking medical treatment for Liu Hui and the indirect losses caused by the accident, and the huge mental damage caused by the accident to Liu Hui and his family. As long as the hospital helps their daughter restore her female function, this request is not satisfied at all. There is no way to justify it. In the second instance, the responsible hospital compensated Liu Hui more than 60,000 yuan. Obviously, this is still not commensurate with the lifelong pain and regret of a young girl who lost her femininity.Even if Liu Hui does the ovarian transplant operation as she wished and succeeds, she can only partially restore her femininity and maintain her femininity. She will forever lose her right to be a mother, and she will never be able to heal the trauma in her heart. Liu Hui is far from alone in suffering this bad luck. Fang Fang, 21, is an electronic piano player in a song and dance troupe in Yinnan District, Ningxia Hui Autonomous Region.She has a beautiful face, innocent and lively, and she can sing very well.Life was originally displayed in front of her as a colorful and beautiful picture.However, because of a medical accident, all the beautiful dreams of this beautiful girl were shattered. On October 31, 1997, the Medical Malpractice Technical Appraisal Committee of Wuzhong City, Yinnan District, Ningxia conducted a medical malpractice technical appraisal on Fang Fang's bilateral ovarian cyst resection.The conclusion of the appraisal is: the operation is a Class II A liability accident.This is the level of serious medical malpractice second only to the first-degree medical malpractice that caused the death of the patient. It happened on October 28, 1995, a nightmarish day for Fang Fang.At about 3 a.m. that day, Fang Fang suddenly had a severe pain in the lower right side of his lower abdomen while he was sleeping soundly.The parents rushed their daughter to Nanhuan Hospital in Wuzhong City for treatment.This is a private hospital.The doctor on duty at that time, Song Yuewu (he was a surgeon), received the treatment.After inquiring about the medical history and conducting a series of examinations such as fluoroscopy, blood test, and B-ultrasound, Dr. Song Yuewu wrote in the medical record: Abdominal pain awaits investigation. 1. Acute appendicitis; 2. Ovarian cyst with torsion.Fang Fang was admitted to the hospital and underwent urgent laparotomy. Fang Fang's parents told the reporter: At that time, Dr. Song only told them that her daughter was suffering from acute appendicitis and needed urgent surgery, and asked the family members to sign. Fang Fang's father then signed the operation sheet. The hospital and Fang Fang's parents have different opinions about the development of the incident.According to the hospital's medical records: the right lower abdominal surgery found that the right ovarian cyst was twisted 360 degrees, and the left ovary was about the size of a fist.Then the anesthetist explained the condition to the family members, and the right cyst was removed.On careful inspection of the left side, malignant transformation of cystadenoma was suspected.Repeatedly explained the condition to the family members, obtained the consent of the family members, and performed left cystectomy (signature procedures were not performed). But what Fang Fang’s parents said was that about an hour after the operation, a doctor in a white coat came out of the operating room and told them: “After the wound was opened, it was found that it was not appendicitis, but an ovarian cyst that needed to be removed.” They said Asked: "Does it have to be removed?" "If you don't remove it, you will die, so it must be removed." After the doctor finished speaking, he hurried into the operating room.After about ten minutes, a nurse came out of the operating room and handed them the two removed ovaries with a disposable infusion bag. Since then, regarding the data on the size of the bilateral ovarian cysts of the patient Fang Fang, the hospital's own descriptions are also inconsistent. However, no matter how inconsistent the statements of Wuzhong Nanhuan Hospital and the patient's parents are, the indisputable fact is that as a 21-year-old unmarried young woman, Fang Fang's bilateral ovaries were removed. The human ovaries are located in the lower pelvis of the abdominal cavity, one on the left and one on the left, and are arranged on both sides of the uterus.The ovaries are the female reproductive glands.In addition to producing eggs, it also secretes hormones to promote the development of the uterus and mammary glands.That is to say, if a woman loses her ovaries, it means that she will lose her reproductive function, she will no longer secrete female hormones, and will no longer maintain menstruation. What is more serious is that she will lose her female function, and her second female characteristics will disappear, which will lead to A series of changes come from its physiology and psychology. Fang Fang's parents were stunned after finding out about the serious consequences of having both ovaries removed.They cried heart-piercingly for their daughter.However, everything caused by the hospital's operation was irreparable, and repeated negotiations with the hospital had no results.The distraught parents began to run around, asking for treatment information for their daughter in many ways. In December 1996, Fang Fang's mother rushed to Guangzhou Second People's Hospital with her daughter.The hospital's gynecologist told them: As long as a qualified donor can be found, the ovaries can be transplanted.However, Fang Fang's blood type is different from that of his only sister, so he cannot be transplanted, and the operation fee is about 60,000 yuan.Because a donor could not be found for a while, and the medical expenses were not settled, the transplant operation had to be put on hold. Fang Fang's parents had many difficult negotiations with Nanhuan Hospital in Wuzhong City regarding their daughter's treatment, and the hospital finally agreed to pay the medical expenses for Fang Fang's ovarian transplant. In mid-April 1997, the hospital found a qualified ovarian donor. On April 28, Guangzhou No. 2 People's Hospital prepaid 23,000 yuan in medical expenses at Wuzhong Nanhuan Hospital, and gynecologists performed allogeneic ovarian transplantation.After the operation, the doctor who performed the operation told Fang Fang's mother that the operation was a success. If the subsequent treatment is satisfactory and the transplanted ovaries can be maintained, Fang Fang will not only be able to maintain her female characteristics, but also be able to have children.This made Fang Fang's family feel very relieved. After the operation, the transplanted ovarian tissue has some hormone secretion function, and the situation is developing in a good direction.In order to maintain the survival of the ovary and eventually complete its full secretory function, continued monitoring and further treatment are still required.The Guangzhou Second People's Hospital required Fang Fang to stay in the hospital for more than two months, and an additional 30,000 yuan in advance for hospitalization was required.Otherwise, the treatment will be delayed, the opportunity will be lost, and the efforts of the entire operation will be wasted. On May 6, the hospital sent a notice of additional prepaid medical expenses to Nanhuan Hospital of Wuzhong City. On June 9, Nanhuan Hospital of Wuzhong City remitted a sum of money to the Guangzhou hospital, but it was less than 30,000 yuan.Facing the limited treatment fee, the hospital gave up the original treatment plan and repeatedly asked Fang Fang's parents to pay the money as soon as possible to win the opportunity. On June 26, all treatment fees were used up.Because there was no way to ask for an excuse, Fang Fang had no choice but to leave the hospital with a high fever and tears, and returned to Wuzhong City with regrets that he could not be cured. Due to the loss of ovarian function and the reduction of estrogen, in order not to make the secondary characteristics of women disappear, according to the doctor's instructions, Fang Fang must take progesterone, diethylstilbestrol tablets and other hormone drugs for a long time.And taking these medicines makes people very sick, unable to eat.The doctor warned that if you take diethylstilbestrol tablets for a long time, it will cause great damage to the body and may cause uterine cancer. Originally in the body of a daughter, but now it is difficult to be a daughter. The sad Fang Fang is in pain, and tears wash his face all day long. Fang Fang's father is an ordinary mechanic, 51 years old this year, and his mother is an ordinary worker, 48 years old this year. Both of them have been laid off.Because of worrying about her daughter day and night, her hair is already gray. 60,000 yuan may be enough to change the fate of the daughter, but where can the laid-off couple get 60,000 yuan? Who can save them? A 6-year-old girl has just embarked on the road of life, but now she is also facing the tragedy of losing her daughter.This is another case of appendectomy and hysterectomy reported in the 11th issue of "Legal Guide" in 1998. March 2, 1996 was a black Saturday for Huang Jie and Lin Liyan.On this day, what my daughter was going to do was appendectomy, but the uterus was removed by a cold scalpel. The couple can't imagine how their 6-year-old daughter will face their future. On Saturday, Huang Xiaomei didn't have to go to kindergarten, she had fun at home, jumping and jumping, while her mother Lin Liyan was busy with housework.At around 3 o'clock in the afternoon, the daughter suddenly yelled: "Mom, I have a stomachache." Lin Liyan touched her daughter's forehead and felt a little hot. The couple rushed their daughter to the First Hospital of Longyan City, Fujian Province. After physical examination and blood analysis, Huang Xiaomei was diagnosed with acute suppurative appendicitis. Huang Jie and his wife were as anxious as ants on a hot pot, at a loss for what to do.Subsequently, Huang Xiaomei was sent to the operating room.It was more than 4 o'clock in the afternoon. Time passed minute by minute.Huang Jie and Lin Liyan waited anxiously outside the operating room. It was past 10 o'clock in the evening, and the door of the operating room was still not opened.Huang Jie and Lin Liyan were puzzled: Why did the small appendix surgery take so long? In the operating room, there was a tense atmosphere.The party secretary, president, vice president, director of surgery, and director of the medical department of the hospital all rushed to the operating room, and what was before them was a major medical accident that could not be corrected. It turned out that during the operation, the attending doctor Liu Shuying mistakenly separated Huang Xiaomei's uterus as an appendix, and tore it off during lifting.When it was time to continue separating the stumps, due to the long operation time, someone asked: "The removed organ tissue does not look like the appendix, is there a mistake?" Only then did they realize that other organs might be accidentally injured. The doctor from the second class who was invited for consultation rushed over. After going to the operating table, he immediately found the inflamed appendix. After continuing to explore, he found that the 6-year-old girl's uterus had been removed! The second day after the accident, the First Hospital of Longyan City reported to the Municipal Health Bureau and the Municipal Government, but Huang Jie and Lin Liyan were still kept in the dark and did not know what happened.It was not until May 3 that the hospital informed Huang Jie and Lin Liyan that their daughter's uterus had been removed by mistake.The words were like thunder, and the couple were extremely sad and indignant. On the same day, the Longyan Medical Malpractice Technical Appraisal Committee made an appraisal, and the accident was designated as a secondary medical liability accident.The appraisal concluded that the surgeon did not have enough knowledge of the anatomy of female children, did not follow the procedures during the operation, did not find the appendix from the cecum-colic band, and failed to consult the superior physician in time when encountering difficulties. The Municipal Health Bureau also quickly made a decision: First, Liu Shuying, who was directly responsible, was given a major administrative penalty, withholding a year's bonus, dismissing the attending physician for a year, and delegating to a township health center for a year of training to see the aftermath.The second is that the hospital will give patients a one-time financial compensation for medical accidents according to the implementation rules of the provincial medical accident handling method.Third, the main leaders of the hospital bear certain leadership responsibilities for the accident.Instruct the secretary and the president to make a written inspection and make an in-depth inspection at the hospital office meeting; withhold the three-month bonus for the president and secretary... A 6-year-old girl was ruthlessly deprived of her rights as a woman just at the beginning of her life. Such an outrageous tragedy, the perpetrator only deducted a few months of bonuses. Is there anything more painless than this? ? On December 11, 1996, Huang Jie and Lin Liyan submitted a petition to the Longyan Intermediate People's Court. At 8 a.m. on March 6, 1997, the Intermediate People's Court of Longyan City publicly heard the case of Huang Jie, Lin Liyan, and Huang Xiaomei suing the City's No. 1 Hospital for medical accident damages. The plaintiff, Huang Jie, put forward his own claim: requesting the court to order the defendant to pay 250,000 yuan for her daughter's future medical expenses and 500,000 yuan for mental damage to the three plaintiffs. Why did he ask for 250,000 yuan for medical expenses? Huang Jie said: "The medical expenses for a kidney transplant in the defendant's hospital are clearly marked at 180,000 yuan, and my daughter's uterus transplant is more than 180,000 yuan. And if there is a mutation, the operation fee will be far more than 180,000 yuan." .” The plaintiff, Huang Jie, proposed 500,000 yuan in damages for mental damage based on the fact that her daughter’s uterus was removed, and she will encounter a series of difficulties in her future development, schooling, employment, and especially marriage. This cannot rule out the influence of secular prejudice.Most importantly, she was deprived of her right to be a mother.黄杰称自己因事故影响，经常精神恍惚，无法保证安全驾驶而不得不卖掉了汽车，不敢到单位上班开车；林丽燕整日以泪洗脸，不能自持，严重影响工作、生活。黄杰悲愤地说，当面对女儿因听到传闻，天真地问起什么是子宫、自己的子宫是否已被切除的时候，夫妇俩只能无言以对，更加担心女儿懂事之后能否承受得了如此沉重的打击。 被告方坚持按国务院《医疗事故处理办法》及福建省《医疗事故处理办法实施细则》规定的赔偿标准理赔，但表示可适当提高，并答辩说：原告黄小妹可以抱养孩子，解决养老问题。 好一个绝妙的回答！依此而言，手术把一个人好端端的腿切掉了，没什么，买副拐杖就行了；即使手术将一个人致死了，也没有什么大不了的事情，孩子的父母还可以再生一个，生不出了，也可以到福利院去领养一个……生命和健康，在他们眼里竟是这样地无所谓，这样地不值钱！ 1997年4月4日清晨，中央电视台《东方时空》栏目报道了这起悲剧后，引起全社会的震动，小女孩的命运也牵动了许多善良百姓的心。 就阑尾和子宫的解剖位置，北京医科大学解剖学主任于教授在接受采访时说：“子宫和阑尾的位置、形状相差很大，做阑尾切除术应该说普通外科医生就能完成，对实习医生尽量要求独立完成，而对临床外科医生就不言而喻了。” 刘淑英，已当了一二十年医生，做过多起阑尾手术。但在这起阑尾切除手术中，她没有按手术操作规程寻找阑尾致使误将子宫当作阑尾分离。当医院对她作出处理决定后，刘淑英并未下乡镇卫生院锻炼，而是远度重洋，定居新西兰了。 1998年5月12日，福建省高级人民法院作出终审判决，依法判决龙岩市第一医院赔偿黄小妹医疗费、残疾生活补助费、精神损害赔偿金等费用共计246622元，其中精神损害赔偿金为15万元。 官司算是完结了，表面看来黄杰、林丽燕是赢家，可他们毫无欣悦之色。再多的钱，也弥补不了女儿终身的缺陷，女儿未来的道路不知将会是多么暗淡与无奈！ 黄小妹的官司已在全国闹得沸沸扬扬，而更加可悲的是，仍有许多医务人员没有从中吸取教训，类似的悲剧还在不断发生…… 1997年11月15日的《中国商报》报道：1997年3月9日，广州市海珠区少年宫青年舞蹈教师李丹青突然感到右下腹疼痛，被送到广州海珠区第一人民医院就诊，医生诊断为急性阑尾炎。医生对她说，做手术切除吧，简单的小手术。李老师被医生的乐观态度所感染，当即表示同意，次日即在该院进行了手术。 李丹青做梦也没有想到，就是这个简单的小手术，让她抱憾终生：医生竟然错将她的右侧输卵管切除，而发炎了的阑尾仍留在体内。 术后，李老师一直感到腹部疼痛，不能久坐，腰伸不直，后来甚至发展到一翻身就会觉得肠子在腹部滑动，要用手托住才行。李老师问这是怎么一回事，医生说是术后的正常反应，并要李老师坚强些。 2月24日，李丹青同家属准备办理出院手续时，该院领导和外科负责人告知病人家属：有关部门的活检病理报告表明，在切除李丹青的阑尾手术过程中发生了严重的医疗事故，医生错将李丹青的右输卵管当作阑尾切除了，而真正的阑尾仍留在体内。坦率承认了错误的院方却没有再采取其他补救措施，而是建议病人先回家休养，出现腹痛时再来院就诊。被这突如其来的消息弄得手足无措的李丹青听从了院方的意见，只好回家休养。 3月30日夜，病人再次大面积腹痛，第二次被送进了该医院。这次诊断为“肠胃功能不好，消化不良”。4月2日，对该医院失去了信任的家属将病人转送到珠江医院，经诊断为“盆腔炎，肠粘连”。珠江医院的主治医生在分析病因时指出：“遗留有炎症的阑尾在腹腔内，其炎症可引起盆腔及肠间积脓，最后导致慢性盆腔炎，肠粘连。”李老师只好在珠江医院实施了第二次手术，将有炎症的阑尾切除，此后病情才逐渐好转。 李老师就此进行了上诉，要求医院赔偿其终身缺陷5万元、身体伤害费10万元、精神损失费30万元。而院方却认为，事故的责任虽然在自己一方，但按海珠区医疗鉴定委员会的鉴定，只属三级医疗技术事故，按照广东省日前执行的赔偿规定，病人只能获得一次性赔偿1万元。双方意见相差太远，只能听从法院裁决。事过一年多，1998年12月11日，法院判决；当事医生水平不高，未能及时发现发炎的阑尾在继续感染，还误以为炎症已得到控制，从而导致了盆腔炎等并发症，并误切了病人的输卵管，对病人的身体造成不必要的伤害，从而侵犯了病人的健康权，医院一次性赔偿病人16万元。 那边“谁来还我女儿身”的呼吁不绝于耳，这边却又有男人在凄凉地呼号：谁来还我男儿身？ 据1999年5月8日的《新华日报》报道，先后荣获江苏省“双十佳税务官”、“省先进工作者”等光荣称号的丰县人大代表、65岁的张奉轲做梦也想不到，一次小小的手术竟把他的“生命之根”切断，使他在花甲之年变成了“太监”。两年多来，张奉轲含着泪，忍着悲，蒙着辱，一直在追寻医疗事故的最后说法，至今尚在诉途中。 张奉轲的投诉材料，字字是泪—— 我从1991年发病，下腹常有下坠感，先后跑了不少医院，有的按前列腺炎治疗，有的按睾丸炎治疗，均无效。经医生推荐，1995年10月25日我来到山东医科大学附属医院看专家门诊，经电热成像CET检查确诊为：睾丸附睾正常，双精索静脉曲张。医院提示可手术治疗。我带着确诊病历和材料于11月1日到丰县人民医院泌尿科，向王业勇医生作了详细介绍，他用手摸了一下我的睾丸，说：“不复杂，小手术。给你治好不坠就是啦。”11月8日，王业勇为我做了手术，一个月后出院。回家没几天，我就感到下腹疼痛难忍。刚开始，也没在意，以为是刀口痛。哪知两三个月后，我的阴毛突然脱落，喉结变小，声音变细变尖，性功能完全丧失，乳房增大，下腹下坠感更为严重。1996年12月3日，我只好又去山东医科大学附属医院诊断，专家问我，好好的附睾，为什么要切除掉？直到此时，我才知道自己的附睾被王业勇手术割掉。我问医生，我下腹仍有下坠感，不知怎么回事？专家说，你的病灶未去，还得再手术。 1997年2月21日，我到徐州九七医院进一步诊断，专家会诊结论为：仍需做双侧精索高位结扎手术，才能解决下坠问题。根据两家大医院诊断结果，2月25日，我到丰县人民医院向王业勇查问情况。 我问：“原定好的双精索静脉曲张手术，你为何在手术中突然改变方案，将我正常的附睾切除了？”王业勇说：“因为你附睾有病症，只好切除。”我说：“手术前你为什么不告诉我？山东医科大学附属医院的专家和仪器确诊的'附睾正常'，你又怎么解释？”王说：“仪器管啥，按你的年龄也可将之切除了，这样还可防前列腺肥大。”我说，按你的理论，那岂不是所有像我这年岁的男人都该将附睾切除啦？王业勇听了我的质问后哑口无言。 为了讨回公道，张奉轲向丰县医院、县卫生局等部门多次反映，但至今为止还没有结果。 这不是绝无仅有的悲剧。《服务导报》发表了一篇报道，披露了另一起更加恐怖的医疗事故：一位7岁的小男孩因包皮手术连动五刀，最后生殖器严重损伤，造成睾丸停止发育，整个残留部分面目全非，惨不忍睹。 1997年3月28日，5岁的吕鹏因腮腺炎住进四川省宜宾市二医院，被外二科主任医师吴霖查出“阴茎包皮过长，必须及时手术”。腮腺炎治愈后，4月16日下午进行包皮切除术。手术长达两小时，术后吴霖医师告诉吕鹏的妈妈吕永珍，回家后到附近卫生院打针输液消炎。当晚吕鹏在家惨叫不已，并发现臀部有一寸多长的烧伤。第三天，吴霖到吕鹏家换药，安慰说：“没问题！” 然而，后来的事实证明，烧伤的不仅是臀部，主要是阴茎被烧伤、尿管被烧坏。接着是发炎、水肿，坏死的肌肉变黑，感染化脓。 4月底，吕鹏的烧伤部位已经化脓。吴医生又在他妻子工作的宜宾市民生医院妇产科，由他夫妇俩给吕鹏做第二次手术，把脓块切除，缝合20多针。这一刀的结果是阴囊扭曲缺损，尿路改道。5月23日出院时，仍然在流脓。吴医生要求用高锰酸钾洗伤口，待伤口愈合后再进行第三次手术。 吕鹏的妈妈害怕吴医生开第三刀，便把孩子背到市人民医院。人民医院的医生一看被吓了一跳，建议吕永珍立即向市卫生局汇报。卫生局建议“原来在哪个医院医的还在哪家医院医”。于是又转回了二医院。但二医院不同意住院治疗，在门诊治了十多天了，吕鹏的痛苦仍未减轻。吕永珍遂背着儿子到照相馆，摄下儿子的残相，分装100多个信封，内附求救信，寄往全国各地医院。 同时吕永珍也要求二医院请专家会诊。泸州医学院的李红卫教授来到二医院。通过细菌培养，证明是烧伤坏死肌肉感染，做了第三次手术。7月初伤口好转，但没有了排尿的通道。情况更加危急。二医院又在全麻醉状态下“通尿道”，然后能流出一点，7月31日又排不出尿，又去二医院住院。8月7日突然尿流不止，尿湿了所有的裤子和毛巾。又住进二医院，又一次做尿道手术不成功。 第五次，也是到目前为止的最后一次手术是在华西医大附一院做的。老教授一看吕鹏的惨相惊骇不已，残局无法收拾，只好用导尿管代替排尿。 吕鹏的妈妈吕永珍19岁时遭受意外事故丧失部分劳动能力，民政局发给她一个“综合残疾”证。后在宜宾市下渡口开了一个小饭馆，照顾着生病的母亲，也没有结婚，直到35岁那年的一个早晨，一个刚生下不久、被扔在垃圾堆的男婴激起了她做母亲的渴望。她把孩子拣回来，抱到公证处，给他取名吕鹏，要他志向高远。吕永珍把吕鹏视若命根，把他调教得人见人爱。吕永珍还写了一本又一本的《教子日记》。不过，这本日记从1997年4月16日以后变得字字血泪，不忍卒读了。在这20个月600个日子里，吕永珍用她伤残的腰，背着儿子去成都，去上海，爬了数不清的楼，无数次倒在异乡的街头。身心交瘁的吕永珍的左手四个指头又被机器绞残，饭馆的生意无力顾及，已经背上数万元债务。 1998年12月14日，宜宾市医疗事故鉴定委员会作出结论为“三级医疗技术事故”。吕永珍不服鉴定书中对责任的认定，又于前不久向省级鉴定部门申诉，省卫生厅需要重新向宜宾方面调档，而吕永珍说，她在二医院每次出院都没有出院证明，她争取到的一个病历“是伪造的”。与此同时，吕永珍请了代理律师，本市的律师对吴霖医生取证后，吴霖拒绝在笔录上签字，代理搁浅。吕永珍又背着儿子去省城找律师，但她已经无力交付代理费。 有关专家说，待吕鹏疤痕软化之后，需要再做几次尿道造形手术，但也仅限于为了排尿的方便。随着青春期的到来，吕鹏将不会出现第二性征，却会出现非男非女的变异。 这意味着，小吕鹏成了一个现代的“太监”。 一起医疗事故，便是一场扰人心魄的噩梦，一场抱憾终身的悲剧，为此我们不能不再次奉劝有关医务人员一声：手术刀，千万不要乱割！