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香港医院漏开药物致病人肝衰竭 涉事医生被判无罪
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Topic: 香港医院漏开药物致病人肝衰竭 涉事医生被判无罪 (Read 130 times)
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香港医院漏开药物致病人肝衰竭 涉事医生被判无罪
May 15, 2017, 04:41:25 PM
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中新网5月15日电 据香港《文汇报》报道,香港乙肝带菌者邓桂思由于医生漏开重要药品疑导致急性肝衰竭。早在8年前,公立医院肾科专科医生“开漏药”的医疗失误事件已在伊利沙伯医院发生,涉事病人最终死亡。
病人家属昨对公立医院一再出现同类医疗失误,未有汲取教训而感到震惊及心寒。
蔡文超家人斥公立医院一再失误
香港煤气公司技工蔡文超自小患有肾小球肾炎,2001年已在伊利沙伯医院定期复诊,由肾科专科医生黄浩声主诊。2008年3月至7月期间,黄浩声处方低剂量类固醇及抑制免疫药物,由9月至12月期间,再调高类固醇剂量到20毫克至30毫克不等,连续9周。本来是乙肝带菌者的蔡文超其后疑因服用类固醇致免疫力下降,在2009年2月因急性肝炎致肝衰竭而死,终年42岁。
蔡文超的姐姐蔡女士及母亲蔡老太昨召开记者会,指出乙肝带菌者邓桂思情况与蔡文超雷同,同样均由于医生“开漏药”而导致急性肝衰竭,对公院一再出现同类医疗失误,未有汲取教训而感到震惊及心寒。
蔡女士表示,2012年已向医委会投诉负责医生黄浩声延误治疗,最终导致其弟弟死亡,但判决黄浩声罪名不成立。她又指,弟弟的病历早已写明是乙肝带菌者,涉事医生仍处方有损肝功能的类固醇,没有处方任何抗病毒药物,形容如同罔顾人命,令同类事故再次发生。
社协拟复核医生无失德判决
蔡女士坦言,有关失误反映涉事医生诊症时疏忽大意,而失误一再发生则反映当中医疗体制存在问题,需要改善。她又寄语所有医生在处理病症时,都要小心谨慎,因为他们的职责十分重要。
协助他们的小区组织协会干事彭鸿昌指出,过去已有5宗因医生处方类固醇时未有向病人解释相关风险而被判专业失德,不明白为何今次涉事医生被判无罪。
伊利沙伯医院知情人士向记者透露,当时肾科专科医生没有权限处方本属于由肝脏科专科医生处方的抗病毒药物“拉米夫定”,加上该药抗药性高,若乙肝带菌者服食后出现乙肝复发,后果严重,“可能会等死。”知情人士又指,抗病毒药物属预防作用,非治疗,处方该药有值得商榷的地方。
有批评指专科医生不应过分依赖用药指示,应遵循其专业临床判断,知情人士反驳指,有科学根据的指引很重要,又指美国国际研究2015年公布相关用药方案后,列明如何为高、中、低风险的肾病病人处方药物。伊院已实时引入指引,且推至该院所有内科部门执行,其后亦没有停止推至所有公立医院的步伐。
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