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医院6请“染艾”患者离院 所有护士不敢为其拔针头
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| 2010年05月21日 13:47:34 来源： 沈阳晚报 编辑： 姚润萍 |
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记者对艾滋病病毒携带者进行采访
各有担忧：
患者 染艾人士哪里寻医？
医院 职业行为感染咋办？
规定咋说？
患者 对医院有告知义务
医院 对患者有治疗义务
艾滋病病毒携带者方彤（化名）到医院治疗肛门脓肿，手术5天后院方发现患者“HIV初筛呈阳性”，于是医护人员劝说并“请”这名患者离开医院。患者离开该院寻找其他就医地点，都因各种原因没有被允许入住，只得返回家中。记者了解到，《艾滋病防治条例》规定了患者的告知义务与医院的治疗义务，但在实际生活中被“冷冻”的情况比较普遍，根本原因在于医、患都有担忧存在。
术后5天被“请”出医院
昨天（5月20日）下午，记者找到方彤时，他正躺在医院门外出租车上，看到记者走近，方彤主动伸出手与记者握手表示感谢。方彤告诉记者，他是5月15日进入的苏家屯中心医院，办理入院手续后进行了肛门脓肿手术，目前手术的缝合线还没有拆除，至少还需要半个月以上的治疗才能够出院。
方彤说，事情发生在上午9时，当地疾控中心的工作人员来到医院住院处找他，宣布他的HIV初筛呈阳性，复查结果需要三天后告诉他。疾控中心工作人员走后，医院肛肠科的医护人员也找到方彤，方彤的部分家属也被做思想工作，主要是告诉他们这所医院的医疗技术水平有限，希望方彤能够再找一个大一点的医院治疗。为了避免其他患者的注意，无论是医护人员还是方彤及家属，都采取“窃窃私语”的方式交流。
方彤和其母亲回忆说，从上午开始，这种友好的劝说工作，几乎是每间隔一小时发生一次，直到方彤走出医院为止共有6次，这种劝说方式让他们很受伤。方彤说，他目前的状态确实是艾滋病病毒携带者，他不想让自己的事情扩大化，但是让他没有想到的是，当他提出离开这所医院到其他医院寻医时，所有的护士都拒绝为他拔出针头，并躲开他与家人的视线，他只好带着缝合线与各种点滴针头出院。
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希望小医院收留治疗
随后记者找到为方彤治疗过的周医生。当记者提出想了解患者方彤离开医院的原因时，周医生称“拒绝向记者介绍”，转身快速离开办公室，走向走廊尽头进入厕所。记者在门前等候几分钟后，仍没有见到周医生出现。
苏家屯中心医院总值班邵医生答复记者，这件事他需要了解情况，并需要向有关领导和部门汇报，但是可以明确答复记者的是，第二天一定会以书面或电子邮件的方式给记者一个明确答复。
随后，记者再次电话联络就医途中的方彤。方彤告诉记者，此前他已经电话询问了沈城内的两家较大医院，两家医院都以床位紧张为由，拒绝了他前往治疗的请求。在随后的3个多小时求医的过程中，也遭到了相同的答复。方彤说，他已经没有办法再返回苏家屯中心医院，一是因为周医生电话中责怪了他与家人找记者的行为，另外一个原因是担心这家医院不会尽心尽力再为他医治病情。
直到20时30分，方彤与家人才返回农村的家中，他告诉记者，当晚的消炎与治疗还可以暂时停止用药，比较担心从第二天起的消炎与治疗问题。方彤说出几个“较小”的专科医院名字，并告诉记者，实在没有医院接受他，他只好去这几家医院看病。
患者、医院各有担忧
记者了解到，按照《艾滋病防治条例》相关规定，医疗机构不得因就诊的病人是艾滋病病毒感染者或艾滋病病人，推诿或者拒绝对其他疾病进行治疗，艾滋病人也有告知义务，因此，苏家屯中心医院把病人“推”出门外的作法是错误的。据了解，很多普通人甚至包括一些医生，当血和艾滋两个因素加到一起，恐惧感不自觉产生，“能不碰就不碰”的心理，成了不少医生和艾滋病人之间的一道坎。
艾滋病专家表示，临床上确实有可能因职业暴露而感染HIV。相关调查显示，经暴露的皮肤或黏膜而感染HIV的传染率尚不到0.5％，而医务人员在手术中因为割伤、刺破等感染艾滋病的几率大概只有0.33％。在我国，尚未有因医务界职业暴露而感染HIV的报道。
辽宁敬恒律师事务所于元正律师表示，首先，由于社会的歧视，一些感染者不敢去做检查不敢去医院看病，即使看病住院也不履行告知义务，这可能导致疾病的进一步蔓延。如果艾滋病人没有尽到告知义务，造成后果的，应当追究艾滋病患者的法律责任。其次，患者被医院方面拒之门外，如果造成患者病情加重或其他问题，医院方面也该承担相应责任。
据了解，由于医院推诿拒绝艾滋病患者就医的现象普遍存在，造成感染者采取隐瞒病情就医的策略。这样一来，既影响了对患者的正确诊断和治疗，又容易增加医疗机构的风险。本报将继续关注这一事件的进展。（记者 梅天磬 常晟罡 摄影）
链 接
《艾滋病防治条例》第四章第四十一条规定：医疗机构应当对艾滋病病毒感染者和艾滋病病人提供艾滋病的防治咨询、诊断和治疗服务。同时，医疗机构不得因就诊的病人是艾滋病病毒感染者或艾滋病病人，推诿或者拒绝对其他疾病进行治疗。第三十八条，艾滋病病毒感染者和艾滋病病人应当履行下列义务：就医时，将感染或者发病的事实如实告知接诊医生。
醫院6請“染艾”患者離院所有護士不敢為其拔針頭
2010年05月21日13:47:34 來源： 瀋陽晚報編輯： 姚潤萍
記者對艾滋病病毒攜帶者進行採訪
各有擔憂：
患者 染艾人士哪裡尋醫？
醫院 職業行為感染咋辦？
規定咋說？
患者 對醫院有告知義務
醫院 對患者有治療義務
艾滋病病毒攜帶者方彤（化名）到醫院治療肛門膿腫，手術5天后院方發現患者“HIV初篩呈陽性”，於是醫護人員勸說並“請”這名患者離開醫院。患者離開該院尋找其他就醫地點，都因各種原因沒有被允許入住，只得返回家中。記者了解到，《艾滋病防治條例》規定了患者的告知義務與醫院的治療義務，但在實際生活中被“冷凍”的情況比較普遍，根本原因在於醫、患都有擔憂存在。
術後5天被“請”出醫院
昨天（5月20日）下午，記者找到方彤時，他正躺在醫院門外出租車上，看到記者走近，方彤主動伸出手與記者握手錶示感謝。方彤告訴記者，他是5月15日進入的蘇家屯中心醫院，辦理入院手續後進行了肛門膿腫手術，目前手術的縫合線還沒有拆除，至少還需要半個月以上的治療才能夠出院。
方彤說，事情發生在上午9時，當地疾控中心的工作人員來到醫院住院處找他，宣布他的HIV初篩呈陽性，複查結果需要三天后告訴他。疾控中心工作人員走後，醫院肛腸科的醫護人員也找到方彤，方彤的部分家屬也被做思想工作，主要是告訴他們這所醫院的醫療技術水平有限，希望方彤能夠再找一個大一點的醫院治療。為了避免其他患者的注意，無論是醫護人員還是方彤及家屬，都採取“竊竊私語”的方式交流。
方彤和其母親回憶說，從上午開始，這種友好的勸說工作，幾乎是每間隔一小時發生一次，直到方彤走出醫院為止共有6次，這種勸說方式讓他們很受傷。方彤說，他目前的狀態確實是艾滋病病毒攜帶者，他不想讓自己的事情擴大化，但是讓他沒有想到的是，當他提出離開這所醫院到其他醫院尋醫時，所有的護士都拒絕為他拔出針頭，並躲開他與家人的視線，他只好帶著縫合線與各種點滴針頭出院。
希望小醫院收留治療
隨後記者找到為方彤治療過的周醫生。當記者提出想了解患者方彤離開醫院的原因時，週醫生稱“拒絕向記者介紹”，轉身快速離開辦公室，走向走廊盡頭進入廁所。記者在門前等候幾分鐘後，仍沒有見到週醫生出現。
蘇家屯中心醫院總值班邵醫生答复記者，這件事他需要了解情況，並需要向有關領導和部門匯報，但是可以明確答复記者的是，第二天一定會以書面或電子郵件的方式給記者一個明確答复。
隨後，記者再次電話聯絡就醫途中的方彤。方彤告訴記者，此前他已經電話詢問了沈城內的兩家較大醫院，兩家醫院都以床位緊張為由，拒絕了他前往治療的請求。在隨後的3個多小時求醫的過程中，也遭到了相同的答复。方彤說，他已經沒有辦法再返回蘇家屯中心醫院，一是因為周醫生電話中責怪了他與家人找記者的行為，另外一個原因是擔心這家醫院不會盡心盡力再為他醫治病情。
直到20時30分，方彤與家人才返回農村的家中，他告訴記者，當晚的消炎與治療還可以暫時停止用藥，比較擔心從第二天起的消炎與治療問題。方彤說出幾個“較小”的專科醫院名字，並告訴記者，實在沒有醫院接受他，他只好去這幾家醫院看病。
患者、醫院各有擔憂
記者了解到，按照《艾滋病防治條例》相關規定，醫療機構不得因就診的病人是艾滋病病毒感染者或艾滋病病人，推諉或者拒絕對其他疾病進行治療，艾滋病人也有告知義務，因此，蘇家屯中心醫院把病人“推”出門外的作法是錯誤的。據了解，很多普通人甚至包括一些醫生，當血和艾滋兩個因素加到一起，恐懼感不自覺產生，“能不碰就不碰”的心理，成了不少醫生和艾滋病人之間的一道坎。
艾滋病專家表示，臨床上確實有可能因職業暴露而感染HIV。相關調查顯示，經暴露的皮膚或黏膜而感染HIV的傳染率尚不到0.5％，而醫務人員在手術中因為割傷、刺破等感染艾滋病的機率大概只有0.33％。在我國，尚未有因醫務界職業暴露而感染HIV的報導。
遼寧敬恆律師事務所於元正律師表示，首先，由於社會的歧視，一些感染者不敢去做檢查不敢去醫院看病，即使看病住院也不履行告知義務，這可能導致疾病的進一步蔓延。如果艾滋病人沒有盡到告知義務，造成後果的，應當追究艾滋病患者的法律責任。其次，患者被醫院方面拒之門外，如果造成患者病情加重或其他問題，醫院方面也該承擔相應責任。
據了解，由於醫院推諉拒絕艾滋病患者就醫的現象普遍存在，造成感染者採取隱瞞病情就醫的策略。這樣一來，既影響了對患者的正確診斷和治療，又容易增加醫療機構的風險。本報將繼續關注這一事件的進展。 （記者 梅天磬 常晟罡 攝影）
鏈 接
《艾滋病防治條例》第四章第四十一條規定：醫療機構應當對艾滋病病毒感染者和艾滋病病人提供艾滋病的防治諮詢、診斷和治療服務。同時，醫療機構不得因就診的病人是艾滋病病毒感染者或艾滋病病人，推諉或者拒絕對其他疾病進行治療。第三十八條，艾滋病病毒感染者和艾滋病病人應當履行下列義務：就醫時，將感染或者發病的事實如實告知接診醫生。
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艾滋病成为第一大死因病种[刘君]的对策与思考 Hospital 6 Please "dye Ai" from the hospital all the nurses were afraid to pull the needle for
May 21, 2010 13:47:34 Source: Shenyang Evening News Editor: Category: Generic
Journalists covering HIV carriers
Have worried:
Where were stained Airen Shi Xun Yi?
Hospital infection of professional conduct country?
Requirements Zeshuo?
Obligation to inform patients of the Hospital
Obligations of hospitals to treat patients
Fang Tong HIV carriers (a pseudonym) to the hospital for treatment anal abscess surgery five days after the hospital found that patients with "HIV positive screening", was to persuade health care workers and "requested" that patients leave the hospital. The patient leaves the hospital looking for other medical sites, for various reasons have not been allowed to stay, only to return home. This reporter learned that, "AIDS Prevention Act" provides for the obligation of informing patients and hospital treatment obligations, but in real life to be "frozen" the situation is more common, simply because doctors and patients have concerns exist.
5 days after being "invited" out of hospital
Yesterday (May 20) afternoon, we found side-tung, he was lying in a hospital outside the taxi, saw reporters approaching, Tong Fang actively reach out and shake hands with the reporter thanked. Fang Tong told reporters that he was on May 15 to enter the Sujiatun Central Hospital, go through formalities for the admission anal abscess surgery, the current operation of the suture line has been removed, at least more than half of the treatment required can discharge .
Fang Tong said happened at 9 am, the local CDC office staff to hospital looking for him, that his positive HIV screening, review the results need to tell him three days later. CDC staff members left, the hospital's medical staff also found Anorectal Tong Fang, Fang Tong part of the family members were doing ideological work is to tell them that the hospital's medical technology is limited, hoping to find square Tong a bigger hospital. In order to avoid the attention of other patients, whether medical or side-tung and their families, have adopted a "whisper" way communication.
Fang Tong and his mother recalled, starting from the morning, this friendly persuasion, almost every occurrence of a one-hour intervals until the side Tong out of the hospital up to a total of six times, this persuasion they are injured. Fang Tong said, his current state is indeed the AIDS virus carriers, he did not want to magnify their own things, but let Ta 没有 think that when he Tichulikai other hospitals that Suo Xun Yi Dao hospital, all nurses Du He refused to pull out the needle, and escape his family's sight, he had to drip with a suture needle with a variety of discharge.
Hope that small hospitals accept treatment
Afterward, the reporter found for the treated side of Dr. Zhou Tong. When the reporter wanted to know patients leave the hospital side the reason for Tong, Dr Chow said, "refused to reporters," and turned quickly away from the office, to end of the corridor into the toilet. Wait a few minutes in front of reporters, there is still not seen Dr. Zhou.
General duty Sujiatun Central Hospital, Dr. Shao's reply that the matter he needs to understand the situation and the need to report to the relevant leaders and departments, but you can clearly answer reporters that the next day will in writing or by e-mail to reporters a clear answer.
Then, press again for medical treatment on the way the party phone Tong. Fang Tong told reporters after he had called and asked the two large hospitals within the Chen Cheng, the two hospitals with beds tension refused to treat his request. In the following more than three hours in the process of seeking treatment, it was the same answer. Fang Tong said he had no way to return to Sujiatun Central Hospital, first, because Dr. Zhou blame the phone to find his family's behavior, and the other because of worries about this hospital longer he will not be best to treat Bingqing .
Until 20:30, Fang Tong and family members to return home in the rural areas, he told reporters the night of anti-inflammatory and treatment can also temporarily stop the medication, more concerned about starting from the second day of anti-inflammatory and treatment issues. Fang Tong to say a few "smaller" specialty hospital name, and told reporters that there is no hospital for him, he had to go to the hospital a few.
Patients, hospitals have their own concerns
This reporter learned that, in accordance with the "AIDS Prevention Act" relevant Guiding, Yi Liao agency shall not seek treatment for AIDS patients or AIDS patients with HIV, procrastinate or refuse other Jibing untreated, AIDS 人 Ye have told Yiwu, therefore, Sujiatun Center hospital the patient "push" out the door of the practice is wrong. It is understood that many ordinary people and even some doctors, blood and HIV when the two factors added together, produce fear unconsciously, "can not touch do not touch" mentality, many doctors and AIDS has become between the a threshold.
AIDS experts said that clinically it is indeed possible occupational exposure to infected HIV. Related survey, through the skin or mucous membrane exposure and infection rate of HIV infection was not to 0.5%, while the medical staff in surgery for cuts, punctures and so the probability of HIV infection only about 0.33%. In our country, yet because of the medical profession of occupational exposure and infection of HIV were reported.
Liao Ning Jingheng attorney law firm in the element is that, first of all, due to social discrimination, some infected people do not dare go to the hospital examination, even if the doctor-patient does not fulfill this obligation, which may lead to the further spread of the disease. If AIDS had not fulfilled this obligation, consequences shall be investigated for legal responsibility for AIDS patients. Second, the patients turned away by hospitals, sicker patients or if the cause other problems, the hospital has the responsibility accordingly.
It is understood that hospitals try to shift as the phenomenon of refusing medical treatment of AIDS patients with widespread disease caused by infection to conceal medical treatment strategy. Thus, not only affects the patient's correct diagnosis and treatment, and easy to increase the risk of medical institutions. Newspaper will continue to focus on the progress of this incident. (Press Gang Mei Sheng Chang Qing days Photo)
Link
"AIDS Prevention Act," the provisions of Chapter 第四十一条: Medical institutions shall HIV and AIDS prevention and treatment of AIDS patients in consultation, diagnosis and treatment services. Meanwhile, the medical institution shall not seek treatment for patients with HIV infection or AIDS patient, procrastinate or refuse treatment for other diseases. 38th Article of HIV infected people and AIDS patients should perform the following duties: medical treatment, the infection or disease of the facts truthfully inform the medical admissions.
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