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Vegetative state after radical gastrectomy in 1 case caused by medical malpractice

O March 24 No. 5 official failure, other serious complications can occur at any time, life-threatening. 1.3 forensic examination reading pieces: at 23:17 on September 7, 2006 abdominal CT films showed radical gastrectomy, the pancreas before the top see the irregular density and low density lesions, about 6cmxl3cm, 9 consecutive level, rough edges, a thick cord-like shadow extension. Right edge of the left liver density of water, see the crescent shadow, in line with intra-abdominal huge hematoma, abdominal effusion,[link widoczny dla zalogowanych], small pleural effusion on both sides. March 14, 2007 abdominal CT films, 9 July 2007 on the chest and abdominal CT films showed a small amount of fluid spleen, the left renal fascia thickening, homogeneous density spleen. Both sides confirmed that Lee is now in continuous vegetative state. 1.4 Identification results for hospitals in the city center is the implementation of expert Lee medical malpractice exists in the course of treatment, the medical negligence and Lee present between the vegetative state, there is a direct causal relationship. Lee is currently identified person was vegetative state. The aftermath of road traffic accidents is equivalent to a disability. 2 Lee to discuss a particular treatment because of gastric bleeding in Central Hospital, hospital in September 7, 2006 to impose a radical gastrectomy and postoperative intra-abdominal hemorrhage due to another early morning on September 8th line of re-operation,[link widoczny dla zalogowanych], to remove the hematoma and bleeding . Again, the end of surgery, Lee conscious, but after extubation. The rapid decline in oxygen saturation, and the emergence of consciousness, do not ease after oxygen via face mask, and quick to tracheal intubation and so on, then once cardiac arrest occurs, external cardiac compression, etc. to the rescue, recovery heart rate, but the sense of No recovery. Several hours later blood pressure stabilized at 140/105mmHg (18.7/14.5kPa), a spontaneous breathing, oxygen saturation 100%. Lee is now in post-hypoxic ischemic encephalopathy sustained in persistent vegetative state. According to Lee, the clinical manifestations of people's homes, the results of gastroscopy. Gastric cancer diagnosis can be established (with intraoperative findings and pathological diagnosis confirmed gastric cancer), with surgical indications, Lee implemented a city center hospital medical practices consistent with radical gastrectomy. Lee Central Hospital in the city for the purposes of treatment inadequacies exist in the process (medical malpractice). (1) of gastric cancer in radical surgery to stop bleeding without thorough 379 * at the end. Abdominal bleeding after surgery occurred the same day, and the formation of a huge hematoma (hematoma blood clot surgery confirmed about 600g, and see the pancreatic body and the upper edge of a point of active bleeding). Surgical bleeding may no longer line. (2), extubation must meet the following conditions: before extubation conscious; before extubation must first exhaust residue in the mouth, nose, throat and tracheal secretions; after extubation should continue to exhaust the secretion of oropharyngeal cavity material: the residual effect of muscle relaxants have been satisfied with the reversal; narcotic analgesic respiratory depression has disappeared; coughing, swallowing reflex activity, the amount of gas exchange, spontaneous breathing returned to normal. The hospital treatment of gastric cancer resection line, the anesthesia record sheet more complete, the use of intravenous anesthesia. Single point of view from the anesthesia record, muscle relaxants (Norcuron) reached a total use of 19mg, with the overload. Once again provided by the anesthesia record sheet records are incomplete, only to see the end of that record after successful treatment, narcotic drugs with the previous page. If based upon the first anesthesia, prone to residual effect of muscle relaxants. The hospital's physician-line treatment after the second operation, extubation in the absence of clear indications of the case to be extubated, with the residual effect of muscle relaxants, the patient no good spontaneous breathing. As well as respiratory dysfunction,[link widoczny dla zalogowanych], and lack of close observation. Lead to patients after extubation oxygen saturation has been declining from 100% to 30% (this process if the respondent as stated in the hospital only 3min, during this period is illustrated in patients with no spontaneous breathing, no further prompt extubation .) And the emergence of consciousness. In this case, but also understanding of the seriousness of the problem, less than estimated, only to the oxygen mask in case of invalid re-intubation was changed. Despite cardiopulmonary resuscitation, the end result of prolonged brain hypoxia. Induced vegetative state. Comprehensive analysis, a city central hospital in the course of treatment for the purposes of Lee existing medical negligence and Lee currently exists between the persistent vegetative state is a direct causal relationship. Of course, Lee, who suffers from advanced gastric cancer surgery poor 5-year survival rate after surgery is very low. Combined with health factors that may cause poor tolerance to surgery. The likelihood of adverse consequences after also walks very slightly. Lee is currently in a vegetative state cf GB18667 ~ 2002 ((injured in road traffic accidents impairment assessment More articles related to topics：

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