After the caesarean section, the child cried incessantly. After 40 hours of examination, it was discovered that the newborn's thigh and femur were completely broken at 90 degrees. This made the mother of the child, Ms. Wang, almost collapse. Because the newborn was too small, she could only choose 24 hours. Ms. Wang was unable to accept the conservative treatment of hanging her legs when she was young, and it was not yet known whether her function would be affected after treatment.
Ms. Wang believes that the hospital has an unshirkable responsibility. During the negotiation process between the two parties, it was discovered that many medical records were inconsistent with the facts.
Ms. Wang said that the 5-month-old baby can only be treated with sling and traction.
The newborn continued to cry after caesarean section, and 40 hours later, an examination found a fractured femur.
Ms. Wang was in Henan Province on the evening of February 3 this year. The child was born at Huangchuan County People's Hospital of Xinyang City.
According to Ms. Wang, at about 22:00 that night, after a series of prenatal examinations, the hospital performed a caesarean section. "The operation was very quick that day, and it was over in about 30 minutes." Ms. Wang said that the baby was born at 22:47, but strangely, unlike other babies in the delivery room who slept peacefully after birth, her own baby kept crying. disturbed.
Ms. Wang’s family reported the abnormal phenomenon to the ward rounds doctor the next morning. "After hearing this, the doctor took the child's temperature and said that the child's temperature was normal and did not do any other tests." Ms. Wang said that the child still cried and complained to the doctor, who did another test on the child. Blood test and no other further tests were done. It was not until about 40 hours ago that the family members discovered that the child's left thigh was severely red and purple. After seeing it, the doctor said that this situation had never been seen before. Subsequent examination results showed that "the child's left leg femur was completely broken, and the bone was broken." It was actually 90 degrees."
This situation was difficult for Ms. Wang as a mother to accept. "My mind was filled with the baby's cries, as if the baby was saying to me: 'Mom, I feel so much pain, so much pain, please help me. , help me', but she is so young, how can a baby less than 2 days old speak?" Ms. Wang said.
The film showed that the femur of the child's left leg was completely broken, and the fractured bone was at a 90-degree angle.
The young newborn could only be treated conservatively with sling and traction, and his ankle developed blisters.
Although he could not accept such a cruel fact, he still had to face it. , the top priority is the treatment of the child's fracture.
"The doctor said this was a birth injury caused during childbirth, but their hospital had no way to treat it, so they asked us to transfer to another hospital." Ms. Wang said that her family are farmers and have no relevant medical connections, so she asked the hospital to help contact Zhengzhou The hospital sent professional vehicles to send him for treatment, but he was refused. In desperation, Ms. Wang’s husband asked for help and contacted Zhengzhou Hospital. “Because the child was small, some hospitals in Zhengzhou said they couldn’t treat it.” Ms. Wang said that they finally found another hospital in Zhengzhou, and the child was finally transferred at around 4 a.m. on February 6. Arrive in Zhengzhou.
However, the reason is that the child is still too young. The hospital can only treat conservatively for the time being, with sling and traction fixation for several weeks. "In this way, our several-day-old baby needs to hang his legs 24 hours a day. The child The painful cries echoed throughout the ward," Ms. Wang said sadly. The child only had his head and half of his back touching the bed, which even adults couldn't bear, let alone a baby who was only a few days old. "The sling was originally supposed to last for 14 days, but before the 13th day passed, the child's feet suffered a lot of blisters, and he could no longer be slung. Later, he wore a sling for about 17 days."
Family members reported that there were many mistakes in the hospital's medical records. The facts were not consistent, and the hospital was subject to administrative penalties. Ms. Wang said that after the incident, they repeatedly asked the hospital to copy and seal medical records and save the operating room surveillance video after February 5. However, the hospital refused in various ways. "After several days of requesting, we finally received the medical records, but found that many of the contents of the medical records were inconsistent with the facts, and the operating room surveillance video that we asked the hospital to keep was also told by the hospital that it had not been saved." Ms. Wang said that in the hospital In the medical records provided by Fang, it was mentioned many times that the child was examined after delivery and there was no abnormality in the movement of the limbs. In fact, the child kept crying after birth, and the hospital doctors did not perform targeted examinations. The records in the medical records are inconsistent with the facts.
Ms. Wang said that many medical records are inconsistent with the facts.
"All examinations during pregnancy and fetus were qualified and in good health. Why did our child have a thigh fracture after birth? Why was the child abnormal after birth and not given a comprehensive examination?" Check? Why was the hospital so passive and evasive after the discovery?" Ms. Wang and her family had no choice but to complain to the county health committee about the medical records and other issues. Penalties were imposed for violations and other behaviors.
A penalty decision made by the Huangchuan County Health Commission on May 20, 2022 shows that the Huangchuan County People’s Hospital failed to fill in the patient’s medical records and keep the medical records as required; the Huangchuan County People’s Hospital failed to complete the patient’s medical records It is necessary to seal, preserve and unseal medical records according to regulations. In accordance with the "Regulations on the Prevention and Handling of Medical Disputes ", Huangchuan County People's Hospital is ordered to immediately correct the above illegal acts; a warning is given and a fine of a total of RMB 36,000 is imposed. . According to Ms. Wang, the National Health Commission also punished the doctor responsible for caesarean section accordingly.
The hospital involved was punished by the competent authority
The hospital admitted its responsibility but required a medical appraisal to clarify its responsibility. The family refused to do the appraisal due to false medical records
"We have always wanted to understand each other and solve the problem reasonably with the hospital, but After so long, the hospital has not given a reasonable solution!" Ms. Wang said that she and her family have been worried about whether the child will be able to walk like a normal person when he grows up.
In a recording of a negotiation with the person in charge of the hospital's medical department provided by Ms. Wang, the person in charge made it clear that the hospital was responsible for the matter and asked Ms. Wang's family to treat the child first, and then proceed based on the treatment and functional recovery. decision, and asked Ms. Wang’s family to keep all the receipts for the treatment expenses in case they need to file a lawsuit.
The Huangchuan County People's Hospital issued a statement on the matter after the incident, stating that on February 3, 2022, the pregnant woman, Ms. Wang, was admitted to the obstetrics ward of Huangchuan County People's Hospital. An emergency cesarean section was performed at 22:44. No obvious abnormality was found in the newborn after the operation. On February 5, the family informed the newborn that the left thigh was red and swollen, and asked the neonatal ward for consultation. The DR (digital X-ray photography system) showed: left side Upper femur fracture. After the
incident, the family members of the child communicated with the hospital to treat the child first, and then negotiate and resolve related issues after the child recovered. What responsibilities the hospital has and what responsibilities it assumes. Since the child is still hospitalized, the family members have no sympathy for the child. There are great doubts after recovery. Based on the principle of fairness and in accordance with the document requirements of the "Regulations on the Prevention and Handling of Medical Disputes", in order to clarify the responsibilities of both parties and safeguard the legitimate rights and interests of the patients, the hospital will actively cooperate with the patient to pass judicial appraisal or medical accident technical appraisal Wait for legal procedures to be processed, and Huangchuan County People's Hospital will bear corresponding responsibilities according to the law based on the identification results.
Instruction issued by the hospital
"We felt that some of the statements in this explanation were problematic, so we did not sign for confirmation." Ms. Wang said that in the months after the incident, they had negotiated with the hospital many times, but the other party did not take any Instead of showing a responsible attitude, let Ms. Wang go to court to sue. "They asked us to do a medical malpractice appraisal , but we didn't agree. First, the children were too young, and mainly because the descriptions in their medical records were not true. So what about the appraisals made based on these medical records?" Ms. Wang said, the child's The injury cannot be delayed. Since the hospital admits its responsibility, it should promptly participate in the child's treatment, instead of having to make an unconvincing medical appraisal based on problematic medical records before accepting responsibility.
A few days ago, reporters interviewed a staff member of the Medical Department of Huangchuan County People's Hospital. He said he knew about the incident, but he did not accept an interview about the incident.
Severe femoral fractures in neonates need to be corrected surgically, otherwise functional effects may occur
According to relevant data, femoral fractures in neonates born by caesarean section are caused by femoral fractures during caesarean section due to improper fetal positioning such as breech position and too small surgical incisions. , improper traction, poor anesthesia, insufficient looseness of the incision and other reasons that may cause fracture injuries.
If the fracture is relatively minor, it will usually heal on its own as the fetus grows, without leaving any sequelae. However, since newborns have a relatively weak constitution and low immunity, they will recover slowly and need to replenish the nutrients needed in the body in a timely manner.
However, if the fracture is serious, you need to wait until the child is a little older for surgical correction, otherwise functional effects may occur.
Lawyer said: If medical records are untrue, the medical institution may be directly presumed to be fully responsible.
"Medical records are important supporting materials in doctor-patient disputes, and their authenticity is of great importance to the fair settlement of doctor-patient disputes." Senior senior at Shaanxi Linlu Law Firm Lawyer Duan Lei said that medical-patient disputes can be resolved through a variety of channels, including negotiation between the two parties, mediation by the health administrative department, and civil litigation in the People's Court.
Duan Lei said that medical institutions must comply with the " basic specifications for writing medical records " formulated by the Ministry of Health. Article 3 of the Code stipulates that medical record writing should be objective, true, accurate, timely, complete and standardized. In addition, the " Medical Accident Handling Regulations " clearly stipulates that if a medical institution or other relevant institution violates the provisions of these regulations and has any of the following circumstances, the health administrative department shall order it to make corrections and give a warning; the responsible person in charge and Other directly responsible personnel shall be given administrative sanctions or disciplinary sanctions in accordance with the law; if the circumstances are serious, their practicing certificates or qualification certificates shall be revoked by the original issuing department: if medical records are altered, forged, concealed, or destroyed.
Duan Lei said that the alteration, forgery, concealment, and destruction of medical records include situations where the medical records are inconsistent with the facts. When this happens, in addition to bearing civil and administrative liabilities, the responsible person may also be suspected of committing a crime. "He may be suspected of perjury." Crime.”
In judicial practice, the patient in a medical dispute can object to the authenticity of the medical record, but must provide corresponding evidence, otherwise he shall bear adverse consequences. Secondly, if the objection is established and the authenticity of the corresponding medical record is effectively denied, then the medical record will not be used as the basis for medical identification, and the medical institution will need to bear the adverse consequences caused by the failure to identify it. "In this case, the judicial department can directly infer that the medical institution was at fault."
Duan Lei said that there is another situation where the objection is established but does not directly deny the authenticity of the medical records. In such a situation, the court will generally inform the appraisal agency of the problems in the medical record, and the appraisal agency will determine whether the medical behavior corresponding to the medical record is appropriate from a medical professional perspective. If the medical act itself is not at fault, the medical institution should only bear management responsibility. Medical institutions will only be liable for damages when medical conduct is at fault and causes harm to patients, and problems in medical records will increase the proportion of medical institutions' liability. Huashang Daily reporter Yang Dehe editor Chen Youmou
(If you have any news, please call the Huashang Daily hotline 029-88880000)
