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救命药短缺成常态 10元一支鱼精蛋白被炒至上万

2016-10-03 09:07:42   生命时报

(原标题:“救命药”为何总是缺货)

“鱼精蛋白谁能找到现货?等着这个药做手术,请帮忙找找。”“不到8个月婴儿疑似患婴儿痉挛症,需注射促肾上腺皮质激素,求药!救命!”……近年来,鱼精蛋白、平阳霉素、放线菌素D等“救命药”频频出现“药荒”,导致手术延迟、抗癌治疗中断,不少患者因此错过了最佳抢救期、治疗期。随之产生的则是黄牛市场、民间仿制药等乱象的出现。

“救命药”短缺成常态

8月中旬,杨军(化名)五岁半的儿子误食火锅液体燃料后,出现肚子疼、头疼等中毒症状,被紧急送往北京儿童医院救治,因情况危急转入重症监护室。医生称,目前最好给孩子注射甲吡唑进行解毒,不过目前国内没有这种特效药。杨军一家十分着急,在微博、微信上求助,不少热心网友纷纷帮忙,联系制药厂、医院,国外网友也帮忙出主意。庆幸的是,经过一天寻找,国外朋友的帮助下终于找到了药。“太揪心了,不敢想象找不到药的后果。”至今,杨军对此仍心有余悸。

其实,像用于心脏手术的必备药——鱼精蛋白、妇科肿瘤化疗药——放线菌素D等缺货现象已成全国性问题。8月23日,北京协和医院妇产科主治医师彭澎还在微博发出倡议:请国家尽快出台措施保证救命药生产,为患者呐喊!文中提到,该院化疗药放线菌素D因某些原因缺货,何时恢复供应尚不确定,而放线菌素D对妇科肿瘤患者而言,是一种必需的救命药。9月上旬,甘肃省药品耗材采购办公室发布《2016年甘肃省急救短缺和直接挂网药品目录的通知》,称短缺目录有43种药品,直接挂网目录有100种药品,而急救目录有70种药品。

北京医院(国家老年医学中心)药学部副主任药师张亚同告诉《生命时报》记者,鱼精蛋白、他巴唑、新斯的明、放线菌素D、平阳霉素等药品,是手术、神经系统疾病、肿瘤,甚至慢性病必不可少且无可替代的药物,然而,部分基本药物、罕见药物短缺现象存在多年,拖了治疗后腿。

专家表示,就目前来看,“救命药”存在“缺”与“贵”的乱象。一方面是基本药物、罕见药物的短缺,另一方面则是治疗癌症等疑难杂症的高价药“一药难求”。面对如此之大的用药缺口,黑市贩药、黄牛倒卖从中渔利,10元一支的鱼精蛋白因断货被炒至上千上万元。由于某些国外药物尚未获得国内准入,一些病人和家属冒着触犯法律、中毒、死亡等风险,不惜铤而走险。

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