Chapter 18 Chapter 5 Illegal Medicine: A Dangerous Game

Lin Weifeng obtained the graduation certificate of Shijiazhuang Medical College at his own expense in June 1996. In July 1996, he opened the "Xinglintang" outpatient clinic in Shaxi Town, Qujiang County to practice medicine illegally without obtaining a medical institution license. .According to Nanfang Daily, at around 9:00 on May 10, 1998, Lin Weifeng intravenously administered a bottle of 10% glucose 500ml, a bottle of 5% glucose saline 2500ml, and a bottle of amino acid 500ml.During this period, Lin Cuo added two 2ml of ginseng solution for intramuscular injection to 500ml of 10% glucose for intravenous drip.At about 4 o'clock in the afternoon of the same day, the patient developed symptoms such as coma and dyspnea.Seeing this, Lin asked the patient to be transferred to another hospital for treatment, but the patient died on the way to the County People's Hospital.

According to the forensic clinical anatomy, the hospital's pathological examination report and the report presented by the medical malpractice appraisal team, it was determined that the death of patient Zhang Ying was caused by Lin Weifeng's improper medication.Approved by the Qujiang County People's Procuratorate, the Criminal Police Brigade of the Qujiang County Public Security Bureau arrested Lin Weifeng, who was suspected of causing death due to illegal medical practice. Bozhou City, Anhui Province is the hometown of Hua Tuo, a Chinese medical sage.Perhaps because of Hua Tuo's fairy spirit, there are also a lot of people practicing medicine here. They are either "inheriting their father's career" or "self-taught", but not many have received formal training.Some medical accidents that happened here not long ago are enough to warn Hua Tuo's descendants: practicing medicine and seeing a doctor is a matter of life and death, and not everyone can eat the food of the ancestors randomly.

Zhang Diantang from Xinge Administrative Village, Huatuo Town, Bozhou City, opened an "orthopedic hospital" at home without approval, known as "Zhang Bone Hospital", and practiced medicine there illegally. According to the "Procuratorial Daily" reporter, at about 3 o'clock after lunch on January 7, 1998, Liu Weiqin was supported by her son and went to Zhang Diantang's clinic for treatment.Zhang checked the patient's fast heart rate (not counted) and arrhythmia, that is to say, he gave a bottle of lower right plus 6 intravenous infusions of Danshen.About 5 minutes after the infusion, the patient felt cold all over. Zhang Diantang asked the patient's son to go home to get a quilt, and then gave 2 intramuscular injections of renin, and at the same time called the city hospital's "120 emergency".The 120 ambulance from the city hospital arrived 20 to 30 minutes later, inhaled oxygen to the patient, and found that the patient's heartbeat and breathing had stopped, and he was given artificial respiration and intramuscular injection of "breathing triple" needles. The rescue failed and died.

According to expert identification, the deceased Liu Weiqin suffered from chronic bronchitis, mild emphysema, and cor pulmonale. The medicines (low right, Danshen, Furenin) are very inappropriate.Low right is a banned drug for heart disease. Its pharmacological function is to accelerate the heartbeat. It is naturally inappropriate to use it on patients with too fast heart rate.For this reason, the Municipal Medical Malpractice Technical Appraisal Committee determined it as a first-level medical malpractice according to the classification standard of medical malpractice. On January 26, 1999, 65-year-old Ma Zhanlin went to the Outpatient Department of Integrated Traditional Chinese and Western Medicine of the Red Cross Society of Chengxi District, Xining City for follow-up consultation due to a cold.After Cheng Aiguang, who claimed to be "the reincarnation of Hua Tuo", treated him with the so-called "wonderful prescription", the old man Ma Zhanlin passed away suddenly.The Medical Malpractice Appraisal Committee of Xining Chengxi District Health Bureau identified that this case is a first-level medical liability accident.

On February 19, 1999, "China Youth Daily" published a detailed report on the case by its reporter Tang Yu: On January 25, Ma Zhanlin suffered from a cold and chest discomfort. Combined with the outpatient clinic, Cheng Aiguang sees a doctor.According to his wife, Ma Xianglan, who accompanied her to the doctor at the time, Cheng Aiguang directly administered intravenous injections without making a diagnosis.Ma Zhanlin said that he felt dizzy and had a dry mouth.The next day, they came here for a follow-up visit.Cheng Aiguang gave Ma Zhanlin another intravenous injection without any prescription.When 1/3 of the injection was left in the third injection, Ma Zhanlin said that he felt very uncomfortable.

Ma Xianglan watched her wife Ma Zhanlin's body go limp.At this time, a woman surnamed Han came to support Ma Zhanlin.Ma Xianglan said that at that time, she yelled out in fright to Doctor Cheng to come over and take a look.The woman said it was okay and pulled out the needle.After a while, Cheng Aiguang, who was seeing a doctor, came over slowly and said: "It doesn't matter, it doesn't matter, it will be fine in a while." The woman said to Cheng: "You pat the patient's back a few times." Cheng patted it a few times Seeing that there was no response, artificial respiration was started.Ma Xianglan ran to the street to find a phone, and notified her children that her husband was dying.When she returned to the clinic, Ma Zhanlin was bleeding from the corner of her mouth and was motionless.After the doctor Cheng Aiguang gave up the rescue, he did not tell Ma Xianglan the news of the patient's death, and continued to see the doctor and collect money as if nothing had happened.

Ma Cheng, the eldest son of the deceased Ma Zhanlin, said that on the morning of January 26, the family saw his father laid on a bench, with the clothes on his chest lifted and all piled up around his neck.The doctor Cheng Aiguang seemed as if nothing had happened, and was still busy getting medicine and collecting money.Facing inquiries from the family members of the deceased, Cheng Aiguang said with ease: "At worst, I will compensate you." Cheng Aiguang claimed to be "the reincarnation of Hua Tuo, with superb medical skills and world-class".Some patients who are in a hurry to go to the doctor are very superstitious about this person's words.When someone asked about the cause of Ma Zhanlin's death, Cheng Aiguang said lightly: "Maybe it was a heart attack at the time, or maybe the patient was dying, but it's definitely not a problem with the treatment."

According to an insider, Cheng Aiguang's so-called magic prescriptions are: Astragalus, Banlangen, Bupleurum, Tianjihuang, Juncheng Injection, etc., whether it is exogenous diseases, internal diseases, gynecological diseases or other difficult and miscellaneous diseases, all of them are used. These injections are mixed and injected directly into the vein.Cheng Aiguang said that his Chinese and Western medical treatment has scientific basis, which has been confirmed by many academic papers, and he is currently preparing to apply for a patent. Deputy Director Liu of the Xining Municipal Health Bureau denied Cheng Aiguang's statement.According to Director Zhang of the Health Bureau of the West District of Xining City, Cheng Aiguang was sent to a labor camp for two years when he was practicing medicine in Huangzhong County, Qinghai Province.Deputy Director Liu said that in 1993, the person in charge of the Xining Municipal Health Bureau and the Management Office of Individual Medical Institutions inspected Cheng Aiguang, who was practicing medicine without a license near Shuishuiqiao at that time.At that time, Cheng Aiguang Clinic did not have any hygiene license, and the Xining City Health Bureau warned it and ordered it not to practice medicine.Although warned three times, Cheng Aiguang still went her own way, adopted guerrilla tactics, and rented other people's health permits to continue to practice.The Xining City Health Bureau once again confiscated some of Cheng Aiguang's medicines and warned him not to practice medicine several times.

In 1994, relevant parties formed an expert group to inspect the Cheng Aiguang clinic again. The provincial and municipal expert groups questioned Cheng Aiguang's treatment methods and warned: If the Cheng Aiguang clinic is not banned, sooner or later, people will die.However, Cheng Aiguang changed places again, and at the same time attached herself to the staff of the Red Cross Clinic in the West District of Xining, where she has been practicing medicine ever since.Deputy Director Liu said that the quack doctor Cheng Aiguang practiced medicine without a license for many years, and now he caused a fatal accident. The relevant health department has an inescapable responsibility.

The Medical Malpractice Appraisal Committee of Xining City West District made an appraisal opinion on this incident and concluded that: Cheng Aiguang violated the regulations when treating the patient Ma Zhanlin, and was extremely irresponsible to the patient during the diagnosis and treatment process. Necessary four diagnostic examinations to further understand heart function, not to mention the lack of diagnosis and treatment records, violated the incompatibility of drugs, changed the intravenous infusion of drugs to intravenous injections, and continued to use large doses of drugs even though Ma Zhanlin was known to have cor pulmonale and diabetes. Rapid intravenous injection of high-dose, high-concentration undiluted drugs can cause toxic side effects, acute pulmonary embolism, and acute heart failure, leading to the formation of DIC and death of the patient.When the patient had critical symptoms, Cheng Aiguang did not follow the regular procedures for rescue, and without the necessary rescue medicines and rescue equipment, he did not promptly refer the patient to a qualified hospital for rescue treatment, thus delaying the rescue opportunity and causing the patient Ma Zhanlin died.Therefore, Cheng Aiguang's illegal operation and dereliction of duty were the direct causes of Ma Zhanlin's sudden death.Therefore, it was identified as a first-level medical liability accident.

Guo Zhong, who unfortunately passed away only three days after being admitted to the branch of Huilongguan Hospital three years ago, can also rest in peace. On the morning of January 6, 1999, the Haidian Court made a public judgment on the compensation case of illegal medical practice, misdiagnosis and mistreatment that resulted in death.The court ordered Beijing Huilongguan Hospital and Zhao Ying, who were responsible for the case, to jointly compensate the victim's family for economic and mental losses of 91,620 yuan. According to the "Beijing Youth Daily" report on January 8, 1999, on August 25, 1995, 47-year-old Guo Zhong, who had retired from the Navy's 701 factory, was sent to the branch of Beijing Huilongguan Hospital for suspected mental illness.Unexpectedly, three days later, Guo's family members received a notification from the hospital that Guo Zhong died of "acute dysentery".After the trial, the court found out that the cause of Guo Zhong's death was caused by the hospital's "misdiagnosis and mistreatment", which was a "first-class medical technical accident". At that time, Guo Zhiwen and Guo Zhiyun, two younger brothers of Guo Zhong, had objections to the cause of death on the "death certificate" issued by the hospital.In October of that year, the Beijing Red Cross Chaoyang Hospital and the Criminal Science and Technology Inspection Center of the Beijing Municipal Public Security Bureau conducted a pathological autopsy on Guo Zhong's body and made a new diagnosis.Based on this, Beijing Huilongguan Hospital made a conclusion: “Patient Guo Zhong suffered from third-degree hyperthyroidism and malnutrition. On the third day of admission, he had high fever and diarrhea. After showing symptoms, no further examination and comprehensive condition analysis were carried out, and no superior doctor was invited for treatment, and the treatment was still based on intestinal infection, resulting in misdiagnosis and mistreatment, which led to the death of the patient.” The Medical Malpractice Appraisal Committee of the hospital identified it as a “first-class medical technical accident” . After the accident, the Beijing Haidian District Medical Malpractice Appraisal Committee issued a certificate saying, "After verification, the branch of Beijing Huilongguan Hospital is an illegal medical institution."After the Haidian court accepted the case, it further found out that the court had not applied for registration with the relevant departments, and it was impossible to apply for registration, because the official seal used by Zhao Ying, who signed the contract agreement, was engraved privately by himself. For this medical accident caused by illegal practice of medicine, the Haidian Court has clearly determined in its judgment that Beijing Huilongguan Hospital and Zhao Ying are jointly liable for civil compensation.After three years of hard work, the Guo brothers, who finally won the lawsuit, were not reconciled.Guo Zhiwen told reporters that they will report to relevant departments and investigate Zhao Ying's criminal responsibility for practicing medicine illegally. The new "Criminal Law" has established a crime of illegal medical practice. People who are not medical personnel to carry out medical activities, and those who cause the death of patients without proper treatment shall be investigated for criminal responsibility.Therefore, they are determined to bring illegal medical practitioners to court and bring them to justice, so that they will not continue to endanger others. On the morning of January 23, 1998, newly married Liu Junping, a 24-year-old female teacher from Linhe City, Inner Mongolia, went to a clinic run by Cui Xuekun in the city to have an abortion.Cui received 300 yuan and arranged for Liu to wait for the operation in a room.At 10 o'clock in the evening, Cui informed: I will have surgery tomorrow. At 8:30 a.m. the next day, Liu entered the operating room, and the operation ended at 9 a.m. At 10:50, Liu died on the hospital bed. Liu Junping left shortly after returning from her honeymoon with her husband of five years.Her father-in-law told the reporter that Liu Junping is really too kind—this is why everyone can't help thinking about her for so long. At that time, the only family member with Liu Junping was her husband, Feng Liang. Because he couldn't bear the huge blow, Feng Liang left home.His father found him in Hohhot and found that his son had completely changed, drinking all day long, crying and laughing when talking.He told his father that he could no longer live in the familiar environment of Linhe. The young couple was also very contradictory before the operation.This is their first little life, but Liu Junping thought that he would finish his undergraduate correspondence course in Xia Tian, ​​so he couldn't bear to be delayed by this pregnancy.After discussing, the young couple decided not to have the child.Thinking that their parents might object, they quietly came to the clinic by themselves.At that time, there were only six days before New Year's Eve. The accident happened like this: at 11 am on January 23, 1998, Cui Xuekun took Liu Junping into the operating room after charging 300 yuan for the operation, and came out seven or eight minutes later.Feng Liang asked his wife, "Why so fast?" Liu replied, "I didn't check much." After waiting until 10:00 p.m., Liu Junping was moved to another ward and Cui Xuekun explained that he would have surgery tomorrow.At 8:30 a.m. the next day, Junping Liu walked into the operating room. At 9 o'clock, Junping Liu walked out of the operating room to rest on the hospital bed.Feng Liang poured her a cup of hot water, and Liu Junping took a few sips.At this moment, Feng Liang's pager rang, and it was the unit calling for a meeting.Feng Liang said, I will pick you up after the meeting. An hour later, Feng Liang returned to the clinic and saw Cui Xuekun and her eldest daughter-in-law rescuing Liu Junping.At this time, Liu Junping didn't respond to any calls.Feng asked Cui to call 120 for emergency services, and asked Cui Xuekun to send Liu Junping to the city hospital less than 300 meters away.Cui said, I have the ability to deal with this disease. In order to save time for emergency treatment, I don't need to be sent to the hospital.Cui started to give Liu Junping artificial respiration, but there was no improvement.Cui Xuekun, who started to panic, called three doctors from the League Hospital, City Hospital, and Emergency Center.The doctor opened Liu Junping's eyes and told Feng Liang that he was dying. When the bad news came, Liu Junping's mother went into shock immediately.The old father came to Cui's clinic with his three daughters, and what he saw was his newly married son-in-law hugging Liu Junping, crying heartbreakingly. According to the Linhe Procuratorate, Cui Xuekun is 65 years old this year. He started this clinic in 1993 and has never had a "Medical Institution Practicing License".From Liu Junping's hospitalization to nearly a day before the operation, Cui Xuekun did not perform routine physical examinations such as temperature measurement and blood pressure measurement on the patient; after the operation, Liu Junping was unattended, and when he found out, he had passed out of shock; Liu Junping was in critical condition , Cui Xuekun handled it without authorization when he had no rescue ability and lacked rescue equipment, which delayed the chance of rescue. Without too much analysis and inference, doctors who practice medicine without a license are basically quack doctors who are incapable of practicing medicine.Putting our precious bodies at their disposal is clearly the worst possible mistake. In China's feudal society for thousands of years, although the Chinese paid attention to "more children, more blessings" and "carrying on the family line", midwife has never been included in the scope of medical treatment, and midwives are responsible for this important task.Older people must remember that in the past, giving birth to a child was not much different from a hen laying an egg. Many people regarded it as a "natural" and "natural" thing.If the conditions are good, a midwife will be hired to help, while for poor families, the mother-in-law will deliver the baby to the daughter-in-law, the older sister will midwife the younger sister, and some even bite off the umbilical cord themselves.Even if the midwives deliver the baby, the method is so primitive: after the baby is pulled out, the umbilical cord is cut with a pair of rusty scissors, and then ligated with a filthy cloth... Before liberation, the puerpera and the The infant mortality rate is astonishingly high, even reaching 50% in rural areas, so that Chinese women regard childbirth as a door to the ghosts. After liberation, our country vigorously promoted the new method of midwifery. Governments at all levels organized and trained a large number of midwives to take up the work of midwifery, and the mortality rate of pregnant women and infants dropped significantly.Later, with the gradual improvement of medical and health conditions, the health care and delivery of pregnant women received great attention and became an important task of the hospital.Most people began to choose to go to the hospital for pregnancy examination and delivery, and birth and death gradually faded from the memory of Chinese people. However, due to the lack of medical conditions in some remote rural areas and the influence of traditional thinking, many people still do not regard childbirth as a major event, and midwives still deliver babies.Especially in recent years, some people who have neither knowledge nor experience in midwifery have been influenced by the idea of ​​getting rich and have crowded into the ranks of "midwives". They regard midwives as a means of making money, resulting in many accidents The mother died unjustly, and the baby died in vain. Wang Xiurong, a 51-year-old peasant woman from Shawangzhuang Village, Liaocheng City, Shandong Province, is a well-known midwife in the local area.As early as 1971, Wang Xiurong studied midwifery at the former Liaocheng Chengguan Hospital and Maternal and Child Health Station, and later worked as a temporary worker in Daokoupu Township Hospital for more than a year.After returning to her hometown to work in agriculture, she started her career as a midwife in and out of the village.Although Wang Xiurong has been "receiving babies" for a long time, in the assessment organized by the township family planning office in 1995, he did not obtain qualification certificates such as a birth certificate, so he did not have a "Medical Institution Practice License" issued by the health management department. In 1996, the Family Planning Office of Daokoupu Township issued a notice prohibiting unlicensed personnel from delivering babies privately. Wang Xiurong stopped the "job" of delivering babies due to the situation.In the blink of an eye, it was September 1997. At this time, the price of "picking up" a doll had risen from 20 yuan a few years ago to 100 yuan.Seeing such a good market for midwifery, Wang Xiurong's hands itch again: Why don't I pick up the old skills again and earn some money to be loose?She decided to "get out of the mountain". Compared with other midwives, Wang Xiurong appeared to be more business-minded as soon as she "came out of the mountain".Relying on her decades-old relationship, she searched for service targets through multiple channels, tried every means to find out from the township family planning office who had fertility indicators, whose wife was pregnant, and whose wife was about to give birth, and then came to the door in person to actively give pregnant women free examination Health, and self-promotion: "I have worked in a large hospital for several years, and I have received a baby for 30 years. The township family planning office has approved it long ago." On January 11, 1998, Wang Xiurong came to Songxuejiajia in Wangyuehe Village, the hometown, for the second time to check the body of Zhang Anfei, who was about to give birth.When she learned that Song Xuefa had the idea of ​​sending his wife to a big hospital to give birth, Wang Xiurong immediately persuaded her: "I think everything is normal for Anfei, please don't go to a big hospital. Is it convenient to deliver the baby? I'm sure you'll be fine." Under Wang Xiurong's persuasion, Song Xuefa gave up the idea of ​​going to a big hospital and agreed to let Wang Xiurong deliver the baby. At 8:00 pm on January 21, 1998, Zhang Anfei, who was due to give birth, felt pain in her abdomen.The mother-in-law knew that her daughter-in-law was about to give birth, so she hurriedly asked Song Xuefa to pick up Wang Xiurong from Lincun.Not long after, Wang Xiurong brought a "delivery bag" (contains: mouth cloth, umbilical cord roll, a pair of forceps, two pairs of scissors, and an oxytocin) and a stethoscope to deliver the baby. Wang Xiurong listened to the mother's abdomen with a stethoscope, checked again, and said: "Everything is normal, it's almost time." As usual, the family members of the mother were asked to go to the brigade clinic to buy three bottles of vitamin C and one bottle of vitamin B6. , A dexamethasone, intravenous infusion for Zhang Anfei, and then began to wait.At 11:00 p.m., the fetus finally showed its head, but three loops of umbilical cord were tightly wrapped around the neck, resulting in dystocia.Wang Xiurong clamped the umbilical cord with pliers, cut it with scissors, and asked the mother to continue to exert force.Zhang Anfei shouted, struggled, sweated profusely, and finally exhausted.The face of the unborn fetus is already blue.Wang Xiurong asked Song Xuefa to hug his wife's waist, pulled the fetus (the baby girl) out with all his strength, patted the soles of the baby's feet, listened to the heart with a stethoscope, and then put the baby on the bed, saying: "The baby is dying, let's put it here. " Wang Xiurong asked Song Xuefa to make a bowl of brown sugar water for Zhang Anfei, took off his gloves, and began to clean the tools.At this time, Zhang Anfei told Wang Xiurong that his lower body was completely soaked and his whole body felt cold.Wang Xiurong lifted the quilt and looked at it and said, "There is no one who does not bleed after giving birth. It will be fine in a while." Song Xuefa asked for a styptic injection, but Wang Xiurong did not bring it with him. Song Xuefa wanted to take his wife to the hospital, but Wang Xiurong said, "The road to the hospital is difficult, and the bumpy road is even worse." At this time, Zhang Anfei was dying, and Song Xuefa called the village health worker.When the hygienist saw that the mother had lost too much blood, she asked her to call "120" immediately.At this time, Wang Xiurong felt that the situation was not good, so she lied about going to the toilet and then ran away. The death of Zhang Anfei's mother and son aroused strong anger from the local people. On June 19, 1998, Wang Xiurong was arrested according to law, and was prosecuted on November 12. After the trial, the Liaocheng Intermediate People's Court held that: the defendant Wang Xiurong did not have the qualifications to practice medicine, but was greedy for money and practiced medicine illegally. When delivering Zhang Anfei, he took improper measures, which caused serious consequences for the death of the parturient and the fetus, and his behavior constituted illegal. The crime of practicing medicine.The court finally sentenced the defendant Wang Xiurong to 10 years in prison and compensated Zhang Anfei's husband Song Xuefa for economic losses of 10,000 yuan. Wang Xiurong was imprisoned, but similar tragedies did not end— On September 2, 1996, Liu Dongming, who was working in Xinjiang from Kaifeng, Henan, brought his 27-year-old wife Zhang Yanhong, who was in labor, to the Jianmin individual clinic opened by Zhang Mali on Jianquan Street, Urumqi to give birth. The "China Business Times" reported on September 27, 1996: As early as July, Liu Dongming took his wife to the hospital for fetal position examination with B-ultrasound. The conclusion was: "Twins, one head up, one head down , everything is normal." Liu Dongming was overjoyed, but he heard that the hospital would charge several thousand yuan for the birth of twins, and at this moment he was at a loss, where did the money come from?That day, he passed by the "Jianmin" clinic and saw a female doctor who was nearly 60 years old, so he went up to ask, "Can you deliver twins?" "Yes! 300 yuan each. For twins, I will charge you 600 yuan for the extra one." The answerer was the female doctor Zhang Mali. Liu Dongming and his wife saw that Zhang Mali was an old doctor, and they answered with such confidence that he must be a senior in gynecology, at least an expert in gynecology.So at 2:00 pm on September 2, they came to the "Jianmin" clinic to give birth to their next generation. The name is "Clinic", which is actually Zhang Mary's home. There are bed furniture in the inner room, and a medical cabinet and two single beds in the outer room on the west wall, which are used for examination and treatment of patients.There is no need to disinfect, just wash your hands, and you don’t even wear gloves and masks, which is the clinical state of surgery. The first baby was born smoothly at around 4:50, a boy.Zhang Mali was excited to pick up the first one smoothly.She put the baby on the table next to the doctor, and continued to deliver the second one.After tossing for more than an hour, I couldn't pick it up.She directed Liu Dongming to rub and push.It wasn't until after 6 o'clock that I finally saw the baby's hand. "Horizontal position!" Zhang Mali explained skillfully. So keep pushing, kneading, and pulling.Zhang Yanhong yelled and sweated profusely on the delivery bed, but she failed to give birth after all.At this moment, Zhang Mali asked them to rent a "one" and take it to Dongfeng Road, where there is a private clinic.The driver will send them to the designated place.Liu Dongming was nursing his wife in the car, and Zhang Mali went in to seek medical treatment.But she came out disconsolately and said, "We won't take the horizontal position!" In the end, Zhang Yanhong was sent back to the "Jianmin" clinic.Zhang Mali decided to do a caesarean section for the mother.It is now past 9 o'clock in the evening.According to Zhang Yanhong's recollection: It seems that a bowl of salt water was used for disinfection, and two injections of local anesthetic were given, and then an operation was performed on the belly. The baby had already died. Zhang Mali took out the dead baby and saw something round and bright in her body, she said to Zhang Yanhong: "You have a big tumor in your body, I will cut it off for you." They cut off the uterus, ovaries, fallopian tubes, cervix and their appendages as tumors, and said to Liu Dongming, "You can bury this tumor in the garbage dump in the east!" Mary Zhang started to sew up the incision, but she only sewed up the skin. "Okay, you can go home and rest." "The knife edge is still bleeding, how dare you leave, let's stay here overnight and have a look." After speaking, Liu Dongming carried the first baby boy who had been lying on the table back home. Liu Dongming left, but Zhang Yanhong, who was lying on the bed, was still bleeding profusely.When it was midnight, Zhang Yanhong was in unbearable pain. When she turned her sideways, blood gushed out from the incision.At this moment, Mary Zhang was a little panicked, so she hurried out to make a phone call and invited a deputy director of a certain hospital.When the old doctor checked, it was strange that he couldn't find the mother's uterus.Hearing Liu Dongming said that a sarcoma was buried, he immediately ordered to retrieve it. The old doctor was shocked: "My God, this is clearly the uterus and placenta!" Under the doctor's urging, Zhang Mali and Liu Dongming together sent Zhang Yanhong to the Construction Engineering Bureau Hospital for emergency treatment.According to Section Chief Ma of the Medical Affairs Department of the Construction and Engineering Bureau, it only costs a few hundred yuan in a regular hospital to deliver twins.Section Chief Ma also introduced to the reporter that on Zhang Yanhong's belly, the incision was in the shape of an "S" jagged. Zhang Mali also cut off a large artery in the abdominal cavity while cutting off Zhang Yanhong's uterus.It is unbelievable that Zhang Yanhong has a rare blood clotting function, and blood lumps the size of fingertips have clotted at the two severed heads, blocking the spurt of blood, otherwise she would die in hell.According to experts, the cutting of the root artery and other reasons will cause Zhang Yanhong's lower limbs to be paralyzed and completely disabled for life. According to the investigation, Zhang Mali, female, 59 years old, had a junior high school education (she said that her education level did not match, and she had studied in Shihezi Medical College). In 1992, the "Jianmin" clinic was opened. Before that, she was a nurse in the outpatient department of the First Division of the Xinjiang Production and Construction Corps. She had never seen a caesarean section, let alone had any surgery with a scalpel. Just because there are so many unlicensed doctors who dared to deliver babies who have never taken birth, and who dared to perform surgery without a scalpel, Chinese mothers are facing another life-and-death test.According to the "Guangzhou Daily" report, the maternal mortality rate in this city has increased sevenfold in one year, which is unbelievable!According to a survey by the Guangzhou Municipal Health Bureau, the maternal mortality rate in the city from October 1998 to January 1999 was eight times that of the same period from 1996 to 1997. In today's highly developed medical technology, why is there such an appalling mass of maternal deaths?According to a survey by the Guangzhou Municipal Health Bureau, in 1998, the maternal mortality rate of the migrant population was nine times that of those with local household registration in Guangzhou.The main reason is that some migrants did not go to the hospital for prenatal examination and childbirth. An unlicensed doctor delivered a private delivery.Because the underground midwives do not have enough blood, necessary equipment and technology, in case of emergencies such as uterine rupture, the mothers had to wait to die.According to statistics, in 1997 Guangzhou had a mortality rate of 42.02 per 100,000 pregnant women.Experts and representatives of the Municipal People's Congress who participated in the Maternal Death Review Expert Meeting in Guangzhou called for strengthening the birth management of floating population and prohibiting illegal delivery by underground midwives, which is the key to reducing the rising maternal mortality rate. Family planning is a basic national policy in China, and family planning surgery is a medical measure with strong policy and high technology.The new "Criminal Law" clearly stipulates in the "crime of illegal medical practice": "If a person who has not obtained the doctor's qualifications performs birth control reversal surgery, fake birth control surgery, termination of pregnancy surgery, or removes an intrauterine device for others without authorization, if the circumstances are serious, Sentenced to fixed-term imprisonment of not more than 3 years, criminal detention or public surveillance, concurrently or solely with a fine; who seriously damages the health of the patient, shall be sentenced to fixed-term imprisonment of not less than 3 years but not more than 10 years, and shall also be fined; Fixed-term imprisonment and a fine.” But now some people even dare to get involved in family planning operations that are related to the basic national policy in order to make money, which not only undermines the country’s family planning policy, but also causes many accidents. According to the No. 287 report of "Reader Weekend News", Ms. Chen, a kindergarten teacher in Buji Town, Shenzhen, went to an individual clinic to remove the contraceptive ring. Had to drag the probe hook to Shenzhen Women and Children's Hospital for emergency treatment. This teacher Chen from Guangxi, 36 years old, came to an individual clinic near the kindergarten at about 1 o'clock in the afternoon to perform ring removal surgery.The doctor of the clinic is a 34-year-old unlicensed male doctor from Shaanxi. According to him, he once worked as a gynecologist in a county-level hospital in his hometown, but failed to find a job in Shenzhen, so he opened an individual clinic privately.However, when he used the expander and the ring hook to perform surgery on Mr. Chen, he didn't even know the position of the contraceptive ring, so he blindly poked in Mrs. Chen's uterus with the probe, so that the probe pierced the endometrium and muscle of the uterus. layer, and lift up the uterine serosa layer to a height of 0.3 cm.Due to the suction and contraction and toughness of the uterus, the probing hook is tightly wrapped, and cannot advance or retreat.At this moment, Teacher Chen was in unbearable pain, and begged doctor Ji to stop the operation, and Ji became panicked for a while.He hurriedly sought help from a nearby individual hospital, and transported Mr. Chen to that individual hospital as quickly as possible.Unexpectedly, the medical technology of this individual hospital is not very good, and in the end it even said that Mr. Chen needs to be operated on to remove the hook stuck inside.At this moment, people from Teacher Chen's work unit came, as did her husband, and they unanimously demanded to send Teacher Chen to a big hospital in the city immediately. They finally rushed to Shenzhen Women's and Children's Hospital.After B-ultrasound examination by medical staff, the probe hook was wrapped by the uterine wall. If the serosa layer was pierced again, it would inevitably damage the abdominal organs, lead to peritonitis and internal bleeding, and even endanger life.In fact, at this time, as long as the probing hook is slowly removed under the guidance of the B-ultrasound, the patient will have no problems and no surgery is needed at all. It is frightening to speak of the ignorance of illegal practitioners.Recently, an anecdote broke out in Hainan. A woman surnamed Li in Haikou City was not pregnant at all, but was performed an artificial abortion by an individual doctor. As a result, serious injuries were caused by uterine perforation and intestinal perforation after the operation. In October 1998, the victim Li went to the private clinic run by Zhong Zihong in Haidian Island, Haikou City.Li Xiangzhong explained that he had nausea, vomiting and other reactions recently, and that he might be pregnant, and asked Zhong to perform an abortion.Zhong Mou performed uterine aspiration induced abortion on Li Mou without examining and testing the patient, and without confirming whether she was pregnant.During the operation, Li suffered from severe pain in the lower abdomen. After being sent to the hospital for examination and diagnosis, it was found that Li was not pregnant.Zhong Zihong's operation caused Li's uterine perforation and intestinal perforation, which were identified as serious injuries by forensic medical examination.Afterwards, the People's Procuratorate of Zhendong District, Haikou City prosecuted Zhong Zihong for the crime of illegal medical practice.After hearing by the court, Zhong Zihong's behavior constituted the crime of illegal medical practice, and she was sentenced to 3 years in prison and a fine of 3,000 yuan. "Mother's safety" is not only a worrying topic for Chinese people, but also a problem of concern for the whole world.As early as 1987, at the Maternal Safety Symposium held in Nairobi, the capital of Kenya, the initiative of "Mother Safety" was put forward, and it was immediately actively supported by international organizations such as the World Health Organization, United Nations Children's Fund, United Nations Population Fund, and the World Bank. response. The 1990 Children's Summit put forward the goal of reducing maternal mortality by half by the year 2000, and more than 190 heads of state signed a solemn commitment. On March 18, 1991, then Prime Minister Li Peng signed on behalf of the Chinese government, promising that by the year 2000, the maternal mortality rate in our country would be reduced by half on the current basis, and all pregnant women would be able to receive health care during pregnancy.At present, the governments of various countries have paid different degrees of attention to the issue of mother safety, and the maternal mortality rate has dropped significantly. However, the development of countries in the world is extremely unbalanced, and the safety and health problems of pregnant women are still serious.Maternal mortality is very low in developed countries. The lifetime risk of a woman dying from pregnancy complications is only 1/1800 in developed countries, but as high as 1/48 in developing countries.In other words, the risk of maternal death faced by women in their lifetime is 40 times higher in developing countries than in developed countries. About 200 million women are pregnant every year in the world, and at least 585,000 women die from complications caused by pregnancy and childbirth, accompanied by 8 million stillbirths and neonatal deaths every year, and another 50 million Women suffer from injuries and diseases caused by pregnancy and childbirth, which directly affect women's health and psychology. Although pregnancy and childbirth are a natural physiological process, some specific risk factors are closely related to it. If these risk factors can be eliminated, most deaths are avoidable. A low maternal mortality rate in developed countries is the best prove.In developing countries, women's pregnancy and childbirth are considered to be their natural responsibilities and should be completed by themselves. According to the statistics of the World Health Organization, only 65% ​​of women in developing countries receive antenatal care, and 53% of childbirth occurs in Assisted by experienced birth attendants, of the 60 million women who give birth each year with only a family member or untrained midwife, or unattended on their own, only 5% of women receive Postpartum care. The Chinese government has always attached importance to the health of women and children. The maternal mortality rate has dropped significantly in recent years. The infant mortality rate has dropped from 50.19‰ in 1990 to 36.4‰ in 1995. 3 times, 2/3 of which occurred at home and during transit, and 1/3 were transferred to a hospital with good conditions when dying, but lost hope of survival because it was too late.That is to say, almost all maternal deaths are due to the fact that labor was not carried out in regular hospitals, and most of them are tragedies caused by illegal delivery by unlicensed doctors. 为实现我国政府的承诺，达到2000年孕产妇死亡率下降一半的目标，让每一位妇女的妊娠分娩得到安全保障已是刻不容缓的大事，而关键之举，就是要严格禁止无证接生现象，让医院或正式的助产人员承担起帮助生命诞生的神圣职责。