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事发后,医院将患儿资料发往北大医院、重庆儿童医院、广州中山医院及美国匹斯堡儿童医院进行会诊。目前诊断:先天性肺发育不良(特发性肺纤维化)、呼吸衰竭。
医院负责人表示,在救治过程中及患儿死亡后,医院与家属就病情及救治过程告知及沟通20余次,但到目前为止,患者家属仍拒绝尸体解剖及尸体储存于法律规定地点的建议。
院方称,先天性特发性肺纤维化又称特发性致纤维化肺泡炎,发病率3-5/10万,目前该病在孕期产检过程中无法发现和诊断,也无法预防。目前国内外对此症无有效治疗方法,轻症患者肺移植是唯一选择。其病因多认为与遗传和免疫因素有关,患者大多在出生后死亡,轻症者多于两年内死于呼吸衰竭及肺心病。
院方表示,抢救过程中,分别于凌晨6时04分及6时15分与患儿家属进行口头告知患儿病情,上午7时38分,儿科主任书面告知患儿病情,上述事实有视频为证。婴儿死亡后,ICU医生就已告知家属:患儿12:50病情恶化,14:40宣布临床死亡。或许是家属情绪激动,将12:50病情恶化误听为患儿死亡。院方已第一时间书面告知,但家属拒绝签字。
专家声音
肺纤维化致死率高建议尽快医疗鉴定
昆明医科大学第一附属医院产科主任马润玫表示,若确实是肺纤维化,的确有很高的致死率,建议尽快进行医疗鉴定,以确认孩子真正死因。
云南省第一人民医院产科主任医师罗世香说:从X光片上看确实支持瑞奇德医院的诊断,但最终结果还是应通过医疗鉴定确定。
记者袁明锋
责任编辑:都基强 CN065
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