黄某周一级甲等医疗事故案

<p style="margin-right: 15.078125px; margin-left: 15.078125px; white-space: normal; text-align: center; font-family: Calibri; font-size: 14px;"><strong><span style="font-family: 宋体; font-size: 20px;">黄某周一级甲等医疗事故案</span></strong></p><p style="margin-right: 15.078125px; margin-left: 15.078125px; white-space: normal; text-align: justify; font-family: Calibri; font-size: 14px;"><span style="font-family: 宋体;"><br/></span></p><p style="margin-right: 15.078125px; margin-left: 15.078125px; white-space: normal; text-align: justify; font-family: Calibri; font-size: 14px; text-indent: 2em;"><span style="font-size: 16px; font-family: 宋体;">【承办律师】徐权峰</span></p><p style="margin-right: 15.078125px; margin-left: 15.078125px; white-space: normal; text-align: justify; font-family: Calibri; font-size: 14px; text-indent: 2em;"><span style="font-size: 16px; font-family: 宋体;">【关键词】肺结核&nbsp; 一级甲等医疗事故</span></p><p style="margin-right: 15.078125px; margin-left: 15.078125px; white-space: normal; text-align: justify; font-family: Calibri; font-size: 14px; text-indent: 2em;"><span style="font-family: 宋体; font-size: 16px;">&nbsp;</span></p><p style="margin-right: 15.078125px; margin-left: 15.078125px; white-space: normal; text-align: justify; font-family: Calibri; font-size: 14px; text-indent: 2em;"><strong><span style="font-family: 宋体; font-size: 16px;">一、案情简介</span></strong></p><p style="margin-right: 15.078125px; margin-left: 15.078125px; white-space: normal; text-align: justify; font-family: Calibri; font-size: 14px; text-indent: 2em;"><span style="font-family: 宋体; font-size: 16px;">2016年<span style="font-family: Calibri;">8</span>月<span style="font-family: Calibri;">2</span>日，患者黄某某因“车祸致腰部、胸部疼痛不适<span style="font-family: Calibri;">7</span>小时”入住<span style="font-family: Calibri;">A</span>医院。胸部增强<span style="font-family: Calibri;">CT</span>示：右下肺占位性病变考虑为肺癌。后在未行穿刺的情况下，径行诊断黄某某为肺癌，于<span style="font-family: Calibri;">2016</span>年<span style="font-family: Calibri;">8</span>月<span style="font-family: Calibri;">13</span>日，在全麻下行右中、上肺叶切除＋淋巴结清扫术，术中胸膜腔创面广泛渗血，出血量达<span style="font-family: Calibri;">2000ml</span>。术后因生命体征不平稳，遂转入<span style="font-family: Calibri;">ICU</span>治疗。患者黄某某转入<span style="font-family: Calibri;">ICU</span>发现双侧瞳孔散大，无自主呼吸，心电监护心率显示为零，全身湿冷，颈动脉搏动消失，后经心脏按压，升压，患者陷入深度昏迷并出现持续性抽搐。术后病理：右上肺肉芽肿性炎（<span style="font-family: Calibri;">5</span>×<span style="font-family: Calibri;">4.5</span>×<span style="font-family: Calibri;">4cm</span>）<span style="font-family: Calibri;">,</span>内见凝固性坏死及朗汗氏巨细胞，形态学符合结核。由此，确认患者黄某某为肺结核，而非肺癌。</span></p><p style="margin-right: 15.078125px; margin-left: 15.078125px; white-space: normal; text-align: justify; font-family: Calibri; font-size: 14px; text-indent: 2em;"><span style="font-family: 宋体; font-size: 16px;">经治疗5个多月后，<span style="font-family: Calibri;">A</span>医院一直不能纠正内环境，控制感染，使得患者黄某某一直处于感染、高热状态。<span style="font-family: Calibri;">2017</span>年<span style="font-family: Calibri;">1</span>月<span style="font-family: Calibri;">9</span>日转入<span style="font-family: Calibri;">B</span>医院。治疗期间，患者黄某某仍然反复出现发热，伴意识障碍、言语含糊不清、大小便失禁。<span style="font-family: Calibri;">2017</span>年<span style="font-family: Calibri;">1</span>月<span style="font-family: Calibri;">12</span>日送检胸水一般细菌培养及鉴定结果显示：肺炎克雷伯氏菌肺炎亚种感染。</span></p><p style="margin-right: 15.078125px; margin-left: 15.078125px; white-space: normal; text-align: justify; font-family: Calibri; font-size: 14px; text-indent: 2em;"><span style="font-family: 宋体; font-size: 16px;">2017年<span style="font-family: Calibri;">3</span>月<span style="font-family: Calibri;">14</span>日再次入住<span style="font-family: Calibri;">B</span>医院，诊断为：继发性肺结核左上<span style="font-family: Calibri;">0</span>左下涂（未）初治、肺部感染、右侧液气胸、左侧胸腔积液、右肺全切术后、脑积水、腔隙性脑梗。最终不治，于<span style="font-family: Calibri;">2017</span>年<span style="font-family: Calibri;">6</span>月<span style="font-family: Calibri;">23</span>日<span style="font-family: Calibri;">8</span>时<span style="font-family: Calibri;">48</span>分被宣布临床死亡。</span></p><p style="margin-right: 15.078125px; margin-left: 15.078125px; white-space: normal; text-align: justify; font-family: Calibri; font-size: 14px; text-indent: 2em;"><span style="font-family: 宋体; font-size: 16px;">2017年<span style="font-family: Calibri;">8</span>月<span style="font-family: Calibri;">15</span>日，某大学病理学与法医学研究所出具尸检报告，认为患者黄某某系在右中、上肺叶切除及右下肺纤维化的基础上，出现左肺上、下叶曲菌病伴大片坏死致呼吸衰竭而死亡。</span></p><p style="margin-right: 15.078125px; margin-left: 15.078125px; white-space: normal; text-align: justify; font-family: Calibri; font-size: 14px; text-indent: 2em;"><span style="font-family: 宋体; font-size: 16px;">&nbsp;</span></p><p style="margin-right: 15.078125px; margin-left: 15.078125px; white-space: normal; text-align: justify; font-family: Calibri; font-size: 14px; text-indent: 2em;"><strong><span style="font-size: 16px; font-family: 宋体;">二、办案经过</span></strong></p><p style="margin-right: 15.078125px; margin-left: 15.078125px; white-space: normal; text-align: justify; font-family: Calibri; font-size: 14px; text-indent: 2em;"><span style="font-family: 宋体; font-size: 16px;">安徽金亚太律师徐权峰接受当事人黄某的委托为其代理人。接受委托后，徐权峰律师经过反复查阅病历，以其多年办理医疗损害责任案件的经验，发现被告医院在诊疗过程中存在重大过失，与损害结果的发生存在直接因果关系。</span></p><p style="margin-right: 15.078125px; margin-left: 15.078125px; white-space: normal; text-align: justify; font-family: Calibri; font-size: 14px; text-indent: 2em;"><span style="font-family: 宋体; font-size: 16px;"><br/></span></p><p style="margin-right: 15.078125px; margin-left: 15.078125px; white-space: normal; text-align: justify; font-family: Calibri; font-size: 14px; text-indent: 2em;"><strong><span style="font-size: 16px; font-family: 宋体;">三、代理思路</span></strong></p><p style="margin-right: 15.078125px; margin-left: 15.078125px; white-space: normal; text-align: justify; font-family: Calibri; font-size: 14px; text-indent: 2em;"><span style="font-family: 宋体; font-size: 16px;">&nbsp;徐权峰律师向H市的卫生行政部门申请医疗事故鉴定，经<span style="font-family: Calibri;">H</span>市医学会鉴定，认为本案属于一级甲等医疗事故，医方承担主要责任（<span style="font-family: Calibri;">A</span>医院承担主要责任的<span style="font-family: Calibri;">90</span>％，<span style="font-family: Calibri;">B</span>医院承担主要责任的<span style="font-family: Calibri;">10</span>％<span style="font-family: Calibri;">);</span></span></p><p style="margin-right: 15.078125px; margin-left: 15.078125px; white-space: normal; text-align: justify; font-family: Calibri; font-size: 14px; text-indent: 2em;"><span style="font-family: 宋体; font-size: 16px;">&nbsp;经H市医学会鉴定后，徐权峰律师向<span style="font-family: Calibri;">A</span>医院所在地的卫健委申请对<span style="font-family: Calibri;">A</span>医院及其主治医生进行行政处罚，请求吊销<span style="font-family: Calibri;">A</span>医院的执业许可证，对本期事故的主治医生责令其暂停<span style="font-family: Calibri;">1</span>年执业活动或者吊销其执业证书。该申请得到卫建委的支持。</span></p><p style="margin-right: 15.078125px; margin-left: 15.078125px; white-space: normal; text-align: justify; font-family: Calibri; font-size: 14px; text-indent: 2em;"><span style="font-family: 宋体; font-size: 16px;">同时，徐权峰律师向H市医疗调解委员会提交《医疗纠纷调解申请书》，后经<span style="font-family: Calibri;">H</span>市医调委主持调解，双方当事人达成协议。</span></p><p style="margin-right: 15.078125px; margin-left: 15.078125px; white-space: normal; text-align: justify; font-family: Calibri; font-size: 14px; text-indent: 2em;"><span style="font-family: 宋体; font-size: 16px;">&nbsp;</span></p><p style="margin-right: 15.078125px; margin-left: 15.078125px; white-space: normal; text-align: justify; font-family: Calibri; font-size: 14px; text-indent: 2em;"><strong><span style="font-family: 宋体; font-size: 18px;">四、调解结果</span></strong></p><p style="margin-right: 15.078125px; margin-left: 15.078125px; white-space: normal; text-align: justify; font-family: Calibri; font-size: 14px; text-indent: 2em;"><span style="font-size: 16px;"><span style="font-family: 宋体;"><span style="margin: 0px; padding: 0px;">A医院一次性补偿患方人民币</span><span style="font-family: Calibri;">460000</span><span style="margin: 0px; padding: 0px;">元，B医院一次性补偿患方人民币4.9万。</span>。</span></span></p><p style="margin-right: 15.078125px; margin-left: 15.078125px; white-space: normal; text-align: justify; font-family: Calibri; font-size: 14px; text-indent: 2em;"><span style="text-indent: 0em;">（附医疗纠纷处理协议、医疗事故技术鉴定书）</span><br/></p><p style="margin-right: 15.078125px; margin-left: 15.078125px; white-space: normal; text-align: justify; font-family: Calibri; font-size: 14px; text-indent: 2em;"><span style="text-indent: 0em;"><img src="http://d01.wanglv.vip/images/upload/site/27016/default/2021/12/20211201154556.jpeg" alt="WechatIMG287"/><img src="http://d03.wanglv.vip/images/upload/site/27016/default/2021/12/20211201154613.png" alt="扫描全能王 2021-12-01 08.55_00"/><img src="http://d01.wanglv.vip/images/upload/site/27016/default/2021/12/20211201154621.png" alt="扫描全能王 2021-12-01 08.55_01"/></span></p><p style="margin-right: 15.078125px; margin-left: 15.078125px; text-indent: 0em; white-space: normal; text-align: justify; font-family: Calibri; font-size: 14px;"><br/></p><p style="margin-right: 15.078125px; margin-left: 15.078125px; text-indent: 0em; white-space: normal; text-align: justify; font-family: Calibri; font-size: 14px;"><br/></p><p style="margin-right: 15.078125px; margin-left: 15.078125px; text-indent: 0em; white-space: normal; text-align: justify; font-family: Calibri; font-size: 14px;"><span style="font-size: 16px;"><span style="font-family: 宋体;"><br/></span></span></p><p style="margin-right: 15.078125px; margin-left: 15.078125px; text-indent: 0em; white-space: normal; text-align: justify; font-family: Calibri; font-size: 14px;"><span style="font-size: 16px;"><span style="font-family: 宋体;"><br/></span></span></p><p style="margin-right: 15.078125px; margin-left: 15.078125px; white-space: normal; text-align: justify; font-family: Calibri; font-size: 14px; text-indent: 2em;"><span style="font-family: 宋体; font-size: 16px;">&nbsp;</span></p><p style="margin-right: 15.078125px; margin-left: 15.078125px; white-space: normal; text-align: justify; font-family: Calibri; font-size: 14px; text-indent: 2em;"><span style="font-family: 宋体;">&nbsp;</span></p><p><span style="font-family: 宋体;"><br/></span></p><p><br/></p>