郭成武
    • 发表于 2018-03-12 22:37
    • 已回复
    投诉大连市第三人民医院胸外科

    尊敬的领导您好:
              本人于2018年1月3日,突发气胸住进大连市第三人民医院胸外科,当时医生建议我们要立即做手术,并且推荐我们做微创手术对身体造成的创伤小、恢复快、少遭罪、并且很稳定,并且肯定的说一个礼拜可以恢复。手术前并没有说有可能需要做两次的风险。就这样3号下午开始做了手术,四号我的家人看见我的排气瓶内有大量血红色液体便去找了大夫来病房产看,经主治大夫和他们的主任看了之后说需要二次手术,就这样四号下午又进行了第二次手术。两次全身麻醉的手术对并没有像大夫之前说的那么完美。反而让我多遭了许多罪。之后于医院胸外科主任沟通,主任竟然说造成二次手术是因为我的身体原因造成的,于医院一点关系没有。这样的结果和在手术之前大夫的说法相差很大,这样的解释也太不负责任了。
                  在此我们只想相关领导了解此事,还我们患者一个公道。

      卫计委
    • 发表于 2018-03-27 18:03
    回复如下:

     

    市民:

    您好!

    您在市民意网“投诉大连市第三人民医院胸外科”的留言已收悉。我委领导高度重视,立即组织医政医管处调查处理。现答复如下:

    一、调查情况

    经调查,患者于2018年1月3日以“胸闷气短伴胸疼6小时余”为主诉至大连市第三人民医院急诊胸外科,经查胸部CT显示右胸腔积液积气,右肺压缩约70%,初步诊断为“右侧自发性液气胸,左肺上叶肺大泡”,虽予胸腔穿刺置管术引流对症治疗,到中午仍有大量漏气,保守治疗效果不理想,有手术指征。在征得患者同意并书面签字后,于当日下午行胸腔镜手术治疗,术中可见“右肺萎缩,肺表面充血,胸顶部有粘连带断裂出血,胸腔积血约800ml及血凝块”。予清除积血后以钛夹夹闭出血的粘连带,切除右肺上叶肺大泡,手术经过顺利,安返病房,术后诊断“右侧自发性血气胸,肺大泡”,与术前诊断相符。术后监测患者有体温波动,最高达39℃,术后第2日出现引流管不通畅,经反复挤压无效,复查胸部CT显示右侧胸腔包裹积液,考虑患者气胸合并胸腔出血,肺压缩时间较长,是炎性感染的基础,结合术前血常规“WBC 13.1×109/L、中性粒90.3%”均升高,提示胸腔存在炎性渗出,渗出液较粘稠可导致引流管堵塞,若不及时清除并有效引流则有继发加重胸腔感染的可能。经与患者及家属交代病情,征得书面同意后再次行微创腔镜手术,原小切口进镜清除包裹积液,术中见“胸腔管口周围较多纤维素样渗出及淡血性液,包裹管口堵塞”,与再次手术前考虑结果吻合,术后恢复顺利,患者住院12天后出院。                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  

    二、处理情况

    大连市第三人民医院工作人员与您进行了电话沟通,解释和交代了患者的病情及治疗情况,并建议患者通过相关合法程序解决。

    我委要求大连市第三人民医院积极配合患者及家属做好调解、鉴定等工作,保证本次纠纷顺利解决。

    三、反馈情况

    2018年3月26日,我委工作人员与您进行了电话沟通,您对办理结果表示不满意。

    因您所诉事件涉及专业技术问题,因此我委建议您通过以下途径进一步解决本次纠纷:

    1.同大连市第三人民医院协商解决;

    2.在医患双方同意前提下,至大连市医疗纠纷人民调解委员会进行第三方调解;

    3.至甘井子区卫生计生局申请医疗事故争议技术鉴定;

    4.至法院起诉。

    如您还有相关问题,请联系我们(电话:39052225)。

    感谢您对我市卫生计生工作的关注与支持!

     

     

    大连市卫生计生委

    2018年3月26日

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