论坛 › 天津 › 医院拒诊"艾滋病人"被揭发，什么状况？

6hz7vif 发表于 2024-6-28 15:39:40

医院拒诊"艾滋病人"被揭发，什么状况？

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    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">平常</span>生活中，艾滋病人看病被拒诊的<span style="color: black;">资讯</span>屡见报端。但另一方面，职业暴露、艾滋病<span style="color: black;">病人</span>病情<span style="color: black;">繁杂</span>、防护知识欠缺<span style="color: black;">亦</span>是不少<span style="color: black;">大夫</span><span style="color: black;">必须</span>面对的问题。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">作者 |</span></strong></span></strong></span></strong></span></strong><span style="color: black;"><strong style="color: blue;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">&nbsp;<span style="color: black;">子不语</span></span></strong></span></strong></span></strong></span></strong></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;"><span style="color: black;">源自</span> | "医学界"<span style="color: black;">微X</span>号</span></strong></span></strong></span></strong></span></strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">近期</span>，又爆出<span style="color: black;">一块</span>艾滋病感染者看病疑似被拒<span style="color: black;">资讯</span>，怎么回事？</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">据澎湃<span style="color: black;">资讯</span>网<span style="color: black;">信息</span>，2013年7月，小易（化名）被查出感染了艾滋病病毒。去年小易患上痔疮，<span style="color: black;">因为</span>害怕旁人异样的眼光<span style="color: black;">始终</span><span style="color: black;">无</span>治疗。直<span style="color: black;">迄今</span>年1月，小易在海口一家医院办理了入院手续。院方经<span style="color: black;">检测</span><span style="color: black;">发掘</span>，小易感染有艾滋病病毒，他除了<span style="color: black;">必须</span>做痔疮手术外，肠子里还长了息肉，<span style="color: black;">必须</span>做肠息肉手术。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">在手术前，小易<span style="color: black;">曾经被</span><span style="color: black;">通知</span>“因设备不完善，需先做痔疮手术，肠息肉手术<span style="color: black;">必须</span>转院”，<span style="color: black;">因为</span><span style="color: black;">另一</span>一家医院床位紧张，小易接受了医院的<span style="color: black;">意见</span>，决定先做痔疮手术。而就在手术前，小易再次被<span style="color: black;">通知</span>“<span style="color: black;">由于</span>医院手术室消毒设备不达标……<span style="color: black;">意见</span>转到其他医院接受治疗。”</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">小易认为，医院拒绝自己是“<span style="color: black;">由于</span>自己是艾滋病感染者<span style="color: black;">”</span>，感觉<span style="color: black;">“</span>很委屈、难受”。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">此类事件虽非个例，但另一方面，职业暴露、艾滋病<span style="color: black;">病人</span>病情<span style="color: black;">繁杂</span>、防护知识欠缺<span style="color: black;">亦</span>是令医护头疼的问题。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">艾滋病感染者的“顾虑”：<span style="color: black;">求医<span style="color: black;">没</span>门，病<span style="color: black;">没</span>所医</span></strong></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">据<span style="color: black;">认识</span>，从1999年首次出台医疗<span style="color: black;">公司</span>不得拒绝为艾滋病人进行治疗的规定，到2006年的《艾滋病防治条例》，再到2013年首诊负责制，我国多部法律法规<span style="color: black;">知道</span>不<span style="color: black;">准许</span>推诿拒诊与<span style="color: black;">卑视</span>艾滋病感染者。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">2017年年初，国务院办公厅印发《中国遏制与防治艾滋病“十三五”行动计划》。行动计划再次<span style="color: black;">知道</span>，医疗卫生<span style="color: black;">公司</span>要强化首诊（问）负责制，对诊疗服务中<span style="color: black;">发掘</span>的艾滋病感染者和病人，做好接诊、转诊和<span style="color: black;">关联</span>处置工作，不得以任何理由推诿<span style="color: black;">或</span>拒绝诊治。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">迄今</span>，艾滋病防治条例<span style="color: black;">已然</span>施行<span style="color: black;">数年</span>，但在现实中，当艾滋病<span style="color: black;">病人</span>因其他<span style="color: black;">疾患</span><span style="color: black;">必须</span>手术治疗时，经常四处碰壁，不少<span style="color: black;">病人</span>的<span style="color: black;">看病</span>权难以得到<span style="color: black;">保证</span>，仍面临“求医<span style="color: black;">没</span>门，病<span style="color: black;">没</span>所医”的艰难处境。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">说到底，医院到底是“拒诊”还是“转诊”，很难严格区分。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">中国艾滋病病毒携带者联盟调查报告<span style="color: black;">表示</span>：感染者“手术难”的问题<span style="color: black;">所有</span>都<span style="color: black;">出现</span>在医疗<span style="color: black;">公司</span>获知病人是感染者事实之后，其中八成<span style="color: black;">上下</span>是感染者主动向医务人员<span style="color: black;">通知</span>，两成<span style="color: black;">上下</span>是医疗<span style="color: black;">公司</span>在术前<span style="color: black;">检测</span>中获知。而武汉大学中南医院一项院内调查则<span style="color: black;">表示</span>，<strong style="color: blue;">八成艾滋病感染者<span style="color: black;">选取</span>向医院隐瞒这一事实</strong>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">“我最大的思想包袱是，到医院看病，不<span style="color: black;">晓得</span><span style="color: black;">是不是</span>该主动<span style="color: black;">通知</span>自己是感染者，害怕<span style="color: black;">大夫</span><span style="color: black;">晓得</span>后不给自己治疗。”一位艾滋病病毒感染者曾<span style="color: black;">这般</span><span style="color: black;">暗示</span>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">大夫</span>最担心职业暴露问题<span style="color: black;">：<span style="color: black;">下台之后，浑身冷汗</span></span></strong></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">与艾滋病<span style="color: black;">病人</span>求医<span style="color: black;">没</span>门的<span style="color: black;">状况</span>相对应，医护人员的忧虑<span style="color: black;">亦</span>是实实在在的。手术中，被艾滋病毒携带者的血液污染了破损皮肤，<span style="color: black;">或</span>被含有艾滋病毒的血液、体液污染了的针头及其他手术过程中的锐器刺破了皮肤，都有被艾滋病毒感染的可能。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">“我给一位HIV病人做过胃大切手术。手套戴两层，刷手刷好几遍。下台之后，浑身冷汗。”一位<span style="color: black;">博客</span>名为“鲁<span style="color: black;">大夫</span>”的武汉三甲医院住院<span style="color: black;">大夫</span>说，外科<span style="color: black;">大夫</span>动手术割到手，是家常便饭的事。“读了20年书，好<span style="color: black;">不易</span>拿到全国前几医学院的博士，才<span style="color: black;">起始</span>独立行<span style="color: black;">大夫</span>涯没多久，我承认我担不起这种手一滑就可能毁<span style="color: black;">一辈子</span>的<span style="color: black;">危害</span>。”</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">在做足充分准备的<span style="color: black;">状况</span>下，都尚有感染的可能，更遑论<span style="color: black;">哪些</span>刻意隐瞒病情的。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">2014年，四川省人民医院<span style="color: black;">大夫</span>李<span style="color: black;">大夫</span>接诊了一位<span style="color: black;">身患</span>艾滋病的急诊孕妇，<span style="color: black;">必须</span>紧急助产。<span style="color: black;">由于</span>时间紧迫，输血全套的<span style="color: black;">检测</span>结果要<span style="color: black;">次日</span>才能出来，她来不及等待结果，<span style="color: black;">必要</span>马上<span style="color: black;">起始</span>手术。而此时，家属和<span style="color: black;">病人</span>都隐瞒了<span style="color: black;">病人</span>的艾滋病病史。手术<span style="color: black;">时期</span>，羊水和血液污染了李<span style="color: black;">大夫</span>的脚，而恰巧她的脚上又带有伤口。她为此<span style="color: black;">吃下</span>了28天的<span style="color: black;">药品</span>来预防艾滋病感染，而<span style="color: black;">最后</span>的结果要等待4个月。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">而另一位产科<span style="color: black;">大夫</span><span style="color: black;">一样</span><span style="color: black;">由于</span><span style="color: black;">病人</span>隐瞒艾滋病史，遭遇了职业暴露，恰好又<span style="color: black;">显现</span>了疑似症状，这位<span style="color: black;">大夫</span><span style="color: black;">乃至</span>想到了<span style="color: black;">自s</span>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">一项针对医护人员的调查<span style="color: black;">表示</span>，医护人员<span style="color: black;">是不是</span>知晓病人<span style="color: black;">身患</span>艾滋病、乙肝等<span style="color: black;">疾患</span>会很大程度上影响到操作时的小心程度，当在紧急<span style="color: black;">状况</span>下家属隐瞒<span style="color: black;">病人</span>的患病<span style="color: black;">状况</span>，将会<span style="color: black;">增多</span><span style="color: black;">非常多</span>危险。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="http://mmbiz.qpic.cn/mmbiz_png/a1xwNbPmyoplVV3zA7IhYibNsicCeyOU3ZXK5wJCv3aKu8v4V3TUlGdJtEq7BEZT88GzNDic9XOVFeaGGQT1o22pA/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">在为艾滋病<span style="color: black;">病人</span>手术治疗前，医护人员<span style="color: black;">必要</span>配备防护服、手套、眼罩等消毒装备。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">部分院感科不具备手术<span style="color: black;">要求</span><span style="color: black;">：<span style="color: black;">不<span style="color: black;">晓得</span>怎么做防护</span></span></strong></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">除了职业暴露的<span style="color: black;">原因</span>之外，部分医院感染科<span style="color: black;">没</span>法完全满足艾滋病<span style="color: black;">病人</span>的手术治疗<span style="color: black;">必须</span><span style="color: black;">亦</span>是摆在面前的事实。普通医院受到院感<span style="color: black;">掌控</span>各方面<span style="color: black;">要求</span>制约，只能让<span style="color: black;">她们</span>转到传<span style="color: black;">患病</span>专科医院，<span style="color: black;">尤其</span>是<span style="color: black;">必须</span>手术的艾滋病人。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">上海某三级甲等医院一位外科<span style="color: black;">大夫</span><span style="color: black;">暗示</span>，“不是<span style="color: black;">咱们</span>医护人员惧怕艾滋病，而是<span style="color: black;">咱们</span>不是传<span style="color: black;">患病</span>医院，不具备<span style="color: black;">要求</span>，不<span style="color: black;">晓得</span>怎么做防护、消毒<span style="color: black;">办法</span>，<span style="color: black;">尤其</span>是为了防止交叉传染，<span style="color: black;">因此</span>要转诊”。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">上海市（复旦大学<span style="color: black;">附庸</span>）公共卫生临床中心感染一科<span style="color: black;">专家</span>张仁芳<span style="color: black;">专家</span>指出，艾滋病会<span style="color: black;">导致</span><span style="color: black;">病人</span>免疫功能极差，会<span style="color: black;">显现</span><span style="color: black;">各样</span>机会性感染和肿瘤，可能累及多个脏器，<span style="color: black;">包含</span>眼底、胃肠道，神经系统等。<span style="color: black;">同期</span>，<span style="color: black;">她们</span><span style="color: black;">亦</span>会患肾结石、肺癌、膀胱癌等等<span style="color: black;">疾患</span>。仅靠感染科的<span style="color: black;">大夫</span>，<span style="color: black;">没</span>法帮<span style="color: black;">她们</span><span style="color: black;">处理</span>困难。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">专家介绍，手术后免疫力过低、术后感染<span style="color: black;">亦</span>是艾滋病<span style="color: black;">病人</span>手术的难点，一场手术<span style="color: black;">常常</span><span style="color: black;">必须</span>请来多位专家进行多次会诊<span style="color: black;">才可</span><span style="color: black;">最后</span>确定手术<span style="color: black;">方法</span>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">专家<span style="color: black;">意见</span>：采取<span style="color: black;">广泛</span>预防<span style="color: black;">办法</span></strong></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">“<span style="color: black;">针对</span>许多<span style="color: black;">大夫</span><span style="color: black;">来讲</span>，给艾滋病病人做手术确实有职业暴露的<span style="color: black;">危害</span>。给<span style="color: black;">病人</span>做操作，手术前，会提前做好防护<span style="color: black;">办法</span>，<span style="color: black;">包含</span>戴防护手套和防护眼镜等等。<span style="color: black;">然则</span>有些<span style="color: black;">状况</span>防<span style="color: black;">不堪</span>防，避免不了针刺伤等。<span style="color: black;">咱们</span>对<span style="color: black;">病人</span>感染的病原<span style="color: black;">状况</span>比较<span style="color: black;">认识</span>，一旦<span style="color: black;">出现</span>，就能够最短在2小时之内进行暴露后<span style="color: black;">药品</span>阻断治疗。但在<span style="color: black;">有些</span>综合性医院的<span style="color: black;">大夫</span>，暴露后阻断可能就做不到这么<span style="color: black;">即时</span>，<span style="color: black;">不外</span><span style="color: black;">亦</span>不要担心，24小时内阻断、<span style="color: black;">连续</span>口服28天<span style="color: black;">药品</span>就<span style="color: black;">能够</span>了。”张仁芳<span style="color: black;">专家</span>说。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">中华医学会皮肤性病学会性病学组委员、北京地坛医院皮肤性病科<span style="color: black;">专家</span>伦文辉<span style="color: black;">暗示</span>，每次做这类手术都会提心吊胆，虽然<span style="color: black;">日前</span><span style="color: black;">已然</span>有抗艾滋病的<span style="color: black;">药品</span>来减少医务工作者暴露后被感染的<span style="color: black;">危害</span>，但凡付过抗病毒药的医务工作者都深有体会，<span style="color: black;">一月</span>服药<span style="color: black;">时期</span>，除了<span style="color: black;">必须</span>承担<span style="color: black;">非常多</span>痛苦的副反应，更会面临更大的心理压力。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">伦文辉<span style="color: black;">暗示</span>，防治艾滋病最好的办法，<span style="color: black;">便是</span>采取<span style="color: black;">广泛</span>预防<span style="color: black;">办法</span>，把所有的消毒隔离<span style="color: black;">办法</span>都以艾滋病人标准执行。<span style="color: black;">日前</span><span style="color: black;">非常多</span>综合医院仍然做不到。<span style="color: black;">另外</span>，艾滋病携带者手术所需的特殊手套等一次性用品还面临着<span style="color: black;">医疗保险</span><span style="color: black;">没</span>法报销的问题。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">2016年10月，中国性病艾滋病防治协会专家委员会专门成立了一个HIV手术的学组，计划把全国能开展做HIV手术的医院联合起来，更好地<span style="color: black;">供给</span>服务。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">曾有人说，<span style="color: black;">无</span>任何一种职业值得以命换命。<span style="color: black;">亦</span>有人说，救人是<span style="color: black;">大夫</span>的天性，但牺牲不是。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">事实上，人类医学的进步<span style="color: black;">必须</span><span style="color: black;">大夫</span>和<span style="color: black;">病人</span><span style="color: black;">一起</span><span style="color: black;">奋斗</span>抵制<span style="color: black;">疾患</span>。<span style="color: black;">因此呢</span>，<span style="color: black;">没</span>论<span style="color: black;">大夫</span>或是<span style="color: black;">病人</span>换位思考和同理心<span style="color: black;">同样</span><span style="color: black;">要紧</span>。在<span style="color: black;">期盼</span>医院在对待艾滋病<span style="color: black;">病人</span>的态度上更坦承<span style="color: black;">有些</span>的<span style="color: black;">同期</span>，<span style="color: black;">咱们</span><span style="color: black;">亦</span><span style="color: black;">期盼</span><span style="color: black;">大夫</span>的生命权益能够被更加<span style="color: black;">注意</span>和<span style="color: black;">爱惜</span>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">参考资料：</span></strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">艾滋病感染者做手术遭拒诊医院:消毒设备不达标（澎湃<span style="color: black;">资讯</span>网）</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">五家医院拒收艾滋病<span style="color: black;">病人</span>是谁得了“绝症”？（39健康网）</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;"><strong style="color: blue;">版权申明 |</strong></span></strong><span style="color: black;">&nbsp;<span style="color: black;">本文原创&nbsp; 欢迎转发<span style="color: black;">伴侣</span>圈</span></span></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">投稿邮箱 |&nbsp;</span></strong></span><span style="color: black;">yxjtougao@126.com</span></span></p>
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    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="http://mmbiz.qpic.cn/mmbiz_jpg/a1xwNbPmyoqBz6icjx0Tq4WicDRVVUiabjuHtJ5zqcianRrR9v809O34icIhsK4EdL36WLUIib7elqibJDsgCYMN3WvuA/640?wx_fmt=jpeg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;"><strong style="color: blue;"><strong style="color: blue;"><span style="color: black;">▼</span></strong></strong></span></strong><strong style="color: blue;"><span style="color: black;">过往的君子给我赞~</span></strong></p>

dhfgh 发表于 2024-9-8 09:20:06

论坛是一个舞台，让我们在这里尽情的释放自己。

nykek5i 发表于 2024-10-11 23:35:26

“沙发”（SF，第一个回帖的人）‌

4zhvml8 发表于 2024-11-5 14:32:30

哈哈、笑死我了、太搞笑了吧等。

查看完整版本: 医院拒诊"艾滋病人"被揭发，什么状况？