Créer mon blog M'identifier

瑪嘉烈未察穿羊水 發燒婦與胎兒不治

Le 19 juin 2017, 05:15 dans Humeurs 0



瑪嘉烈醫院於一五年發生一宗孕婦及BB「一屍兩命」事件。一名三十一歲孕婦因發燒不適到瑪嘉烈醫院急症室求醫,懷疑穿羊水後導致抗藥性大腸桿菌入血,留院五日搶救無效,兩母子喪命。他的丈夫坦言痛失至愛,兩年來身心受盡煎熬,對這場悲劇仍感到不明不白。

有孕婦一五年發燒入瑪嘉烈醫院,及後竟發現穿羊水致抗藥性大腸桿菌入血,最終不治。
死者曾太與丈夫一四年結婚,次年六月懷孕,懷孕廿周時曾產檢,胎兒正常。一五年十一月廿日出席醫院的產前講座,曾太當時曾反映下體流出水分,但聽講座後理解為孕婦常見的失禁徵狀而不以為意。
至翌日(21日)晚上,懷孕廿三周時,曾太發現胎動減少、發燒及上呼吸道感染到瑪嘉烈醫院急症室求醫。醫護人員檢查發現她並無發燒,胎兒心跳正常。惟曾太當時向醫護反映覺得胎動減少,遂安排她到婦產科觀察包括再量體溫,當時並無發燒。
醫生指穿羊水未必會大量流出水分,若逐少滲漏,孕婦難以發現。     瑪嘉烈醫院孕婦慘劇時序
夫盼藉慘劇籲提高警覺
至廿二日中午,曾太突然發四十度高燒,醫生診斷她有上呼吸道感染,當日下午醫護再為她檢查胎兒時已無心跳,胎水大減,證實胎兒死亡。經醫生查問,曾太記得入院前兩日下體曾排出水分,醫護確定她羊水滲漏,馬上為她處方抗生素。翌日她順利排出死胎,但胎盤仍留在體內,醫生緊急做手術取出胎盤惟已太遲,及後診斷她嚴重子宮內膜炎,血液內檢出抗藥性大腸桿菌。曾太在深切治療部留醫期間,醫生曾轉換抗生素治療,並做手術切除子宮,安裝人工肺維持器官功能,但搶救無效,至廿五日淩晨不治。
曾先生指公開事件非責怪醫院出錯,希望藉個人慘痛經歷,提醒準媽媽要提高警覺。
瑪嘉烈醫院於一六年三月回覆曾先生的信件提到,醫護無及早察覺曾太穿羊水,該院已加強培訓問症技巧。該院昨最新回覆指,事件成立根源分析委員會後認為孕婦不為意曾在家有羊水滲漏,致未能將徵狀及時通知醫護,委員會又認為細菌測試無報告前,醫護除按指引,亦可因應臨床情況考慮轉換抗生素。
院方認取胎盤溝通不足
該院部門事後內部檢討,當時重點處理孕婦胎動減少,沒留意孕婦曾發燒,處理上有改善空間,日後會在產前檢查評估加入「曾否發燒」一項。醫院又認為安排緊急取胎盤過程,部門間溝通不足,致不能立即做手術,就此向家屬致歉。
私人執業的婦產科專科醫生靳嘉仁認為事件關鍵在於及早發現穿羊水,當穿羊水後胎兒及子宮缺乏保護,細菌有機會從陰道進入子宮內,導致胎兒及孕婦子宮感染細菌,廿三周的胎兒更「實死冇生」。
沙田威爾斯親王醫院婦產科部門主管張德康不評論個別個案。一般情況,孕婦穿羊水未必會大量排出水分,若逐少滲漏便難以發現。若懷孕初期約廿三周發現穿羊水,BB尚未發育健全,醫生需留意感染風險。他續稱,本港每年僅○至三宗孕婦死亡個案,大部分屬大量出血死,穿羊水導致感染死亡個案罕有。
原文地址:http://orientaldaily.on.cc/cnt/news/20170616/00176_060.html

李柱銘論黎智英跪低 齊被轟反中亂港

Le 13 juin 2017, 12:14 dans Humeurs 0


 
香港回歸20周年亂象叢生,民主黨今日舉辦研討會,探討一國兩製實施情況。外號「李漢奸」的民主黨創黨主席李柱銘提到,中央若以管理澳門的方式管治香港,壹傳媒黎智英美股 即時 報價跪埋落地下,反問這是否代表一國兩製成功。有立法會議員批評,李柱銘的說法本末倒置,認為反對派和黎智英反中亂港,才是香港亂象叢生的主因。

李柱銘稱,回歸20年以來一國兩製在開頭是似模似樣,然而,中央對香港的幹預愈來愈多。他反問,若中央對香港的管治與澳門一樣,即立法會一言堂,隻是大聲細的分別;報紙、新聞界全部聽話,黎智英都跪埋落地;領導人來港時民主派拍手、跳舞,是否一國兩製就成功呢?

立法會議員周浩鼎炮轟黎智英和反對派是香港亂象叢生始作俑者、罪魁禍首。他斥黎智英經常用新聞自飲水機推薦由作擋箭牌,扭曲事實,最終目的是破壞一國兩製,搞亂香港。他又認為,李柱銘以澳門作為例子,醜化和扭曲澳門的製度,並不恰當。

理大專業及持續教育學院講師陳偉強批評,李柱銘說法根本沒有說服力。黎智英和李柱銘在佔領行動等縱容有關行為,間接令港獨分子氣燄坐大,造成一發不可收拾局麵,直斥他們對於一國兩製走樣的結果責無旁貸。

前立法會議員王國興認為,香港之所以變成目前狀況,很大原因是因黎智英涉及秘密捐款予反對派,變相助長佔領及旺角暴亂等行為,狠批李柱銘的說法是顛倒是非黑白。

王國興又指,澳門一國兩製成功的原因,在於當地23條成暗瘡治療都功立法,防止外部勢力幹預,或在當地搞顏色革命,因此香港應該效法澳門盡快就23條立法,並斥李柱銘反對香港學習澳門是反中亂港。

原文地址:http://hk.on.cc/hk/bkn/cnt/news/20170611/bkn-20170611182735237-0611_00822_001.html

After much bowing and counter

Le 5 juillet 2016, 11:23 dans Humeurs 0

He would be tried, sentenced, and then quietly smuggled out of the country. If he failed, then presumably the doctor or his guards would kill him. That would be too bad. Bond argued that he had personally nothing against this Swiss botanist. Tiger replied that any good man's hand would be against a man who had already killed five hundred of his fellow creatures. Was that not so? And, in any case, Bond was being hired to do this act in exchange for MAGIC 44. Did that not quieten his conscience? Bond agreed reluctantly that it did. As a last resort, Bond said that the operation was in any case impossible. A foreigner in Japan could be spotted five miles away. Tiger replied that this matter had been provided for and the first step was a visit to this most discreet bathhouse. Here Bond would receive his first treatment and then get some sleep before catching the train on which Tiger would be accompanying him. And Tiger, with a devilish grin, had assured him that at any rate part of his treatment would be most pleasurable and relaxing.

The exterior of the bathhouse looked like a Japanese inn - some carefully placed stepping-stones meandering briefly between dwarf pines, a wide-open, yellow-lighted doorway with a vista of polished wood floors behind, three bowing smiling women in traditional dress, as bright as birds although it was nearly five in the morning, and the inevitable row of spotless, but undersi2ed slippers. -bowing and a few phrases from Tiger, Bond took off his shoes and, in his socks (explanation by Tiger; polite giggles behind raised hands), did as Tiger told him and followed one of the women along a gleaming corridor and through an open partition that revealed a miniature combination of a bedroom and a Turkish bath. A young girl, wearing nothing but tight, brief shorts and an exiguous white brassiere, bowed low, said, 'Excuse, please,' and began to unbutton Bond's trousers. Bond held the pretty hand where it was. He turned to the older woman who was about to close the partition and said, 'Tanaka-san,' in a voice that pleaded and ordered. Tiger was fetched. He was wearing nothing but his underpants. He said, 'What is it now?'

Bond said, 'Now listen, Tiger, I'm sure this pretty girl and I will get along very well indeed. But just tell me what the menu is. Am I going to eat her or is she going to eat me?'

Tiger said patiently, 'You really must learn to obey orders without asking questions, Bondo-san. That is the essence of our relationship during the next few days. You see that box? When she has undressed you, she will put you in the box which has a charcoal fire under it. You will sweat. After perhaps ten minutes she will help you out of the box and wash you from head to foot. She will even tenderly clean out your ears with a special ivory instrument. She will then pour a very tenacious dark dye with which she has been supplied into that tiled bath in the floor and you will get in. You will relax and bathe your face and hair. She will then dry you and cut your hair in the Japanese style. She will then give you a massage on that couch and, according to your indications, she will make this massage as delightful, as prolonged as you wish. 

Voir la suite ≫