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骨科醫生指固定頭顱出問題
 

骨科醫生指固定頭顱出問題

死因庭續審13歲男童接受顱頸融合手術後死亡事故。家屬傳召專家證人指男童病情罕見,手術前沒有呈現嚴重病徵,根本毋須做手術,質疑因負責手術的海外專家即將來港,加上有相關專題研習,才急於為男童施手術,又指醫生固定男童頭部位置出現大問題,影響之後插喉急救。

手術風險「靠估」

骨科專科醫生鄭雄暉指海外專家彭教授等技巧高超,但為死者張睿霆固定頭顱時「有好大問題」,將頭部固定成向前傾,「就算冇出事,睿霆成世人都會咁(耷低個頭)」,認為醫生當日「冇理由咁快拔喉」,應考慮再做手術重新固定頭顱,死者頭部前傾令他「氣管都彎埋」,影響急救時插喉。

鄭雄暉指出,彭教授手術前指死者的病徵,如吃東西會濁親而證明他腦部有問題等,屬太過武斷。有醫生建議讓死者接受手術時,指死者將來意外受傷或會全身癱瘓「係靠估」,就像「出街被花盆揼中頭」一樣。鄭指手術本身有風險,或傷及中樞神經,應觀察至病況轉差才做手術。

不過,鄭承認沒有做過顱頸融合手術,最近一次為兒童進行類似頸椎手術,已在30年前。另外,醫管局代表問鄭為今次事件寫報告,是否協助家屬作民事索償,死者母親聞言激動稱:「我個仔無價㗎,唔係索償啊,黐線!」

 

鄭雄暉醫生 DR. CHENG HUNG FAI, DAVID

案件編號:CCDI964/11 

資料來源: 蘋果日報 09-04-2013

選文來自: 香港E大夫/醫大夫

 

 

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