*For medical professionals for reference
How to avoid risk clinical?Welcome to discuss
Writing 丨 Sun Danxiong
Foreword
Patients fever, , consider lung infection, chest slices "lower left pneumonia", lower level doctorAfter the inspection, the CT CT was further clearly diagnosed. The superior physician checked that "pneumonia" had been diagnosed. There was no need to perform a CT examination, and the doctors order was canceled.
The patient died the next day, the family members were lawsuit, and the final appraisal opinion: The hospital had medical faults on the patients diagnosis and treatment.What is going on?
Case Introduction
Middle -aged men, there are foreign bodies in the throat after eating fishboneAfter 2 days of high fever, with the right chest pain, it was diagnosed in the community health service center. After 2 days of anti -infective treatment, the body temperature returned to normal, but there was still right chest pain and swallowing infarction.
Then go to the local city -level hospital for treatment.
Gastroscopy : Non -erosive esophagitis, chronic superficial gastritis, duodenal gastritis.
Pathological : Chronic mild superficial gastritis, given chronic gastritis therapy drug symptomatic treatment.
After 16 days, the patient was fever again. Community hospitals were invalid, high fever, right chest pain, thoracic pain increase when deep inhalation, but no cough and sputum.After 21 days, he moved to the Department of Respiratory Department of local municipal hospitals.
Admitted to the hospital for examination: The right lung breathing sound is low, both lungs and wet and wet.
Bremist X film report: Suspected small spots shadow shadow of the left lower lung, and it is recommended to return to the clinic.
On the first day of hospitalization, lower -level doctors checked.Examination: 39 ° C, pulse 105 times/minute, blood pressure 144/80 mmHg, breathing 20 times/min;Mild tenderness at the rib.
Rich dung conventional: black dung, hidden blood (++).
Kaishi CT examination of the chest to enhance the CT examination.
Later, the superior physician checked as "" has been diagnosed, anti-infection, there is no need to do CT examination, Then canceled the doctors order.
On the second day of hospitalization, the patient suddenly vomiting blood 200ml , urinating incontinence, pale complexion, systolic blood pressure 90MMHG, diastolic pressure can not be measured , after 20 minutes, the consciousness was unclear, and the rescue died invalid.
Family members believe that the hospital has a fault and lawsuit requires compensation.
Ending
1. What are the causes of patient deathWhat about it?Can you think of it?
2. Who is this tragedy?If you are the attending doctor of the patient, what will you do?
References:
[1] Wei Hua, Cai Weiyao, Zhou Xiaorong, etc.Two cases of mixed fish thorns to cause medical damage [j]. Forensic magazine, 2017,33 (001): 85-86.
Responsible editor: Lin
*"The medical community" strives to publish the content of the content and reliability of the content, but does not promise the accuracy of the content; the relevant parties are requested to check or use it as a basis for decision -making.
