Ho W S, Ying S Y
Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong SAR, China.
Burns. 2000 Dec;26(8):757-9. doi: 10.1016/s0305-4179(00)00043-7.
Iatrogenic injury is an intrinsic risk of all medical procedures. Various kinds of iatrogenic complications have been extensively reported and recognized. Two patients were referred to the Prince of Wales Hospital for iatrogenic flame burn caused by the breakage of an alcohol lamp during ENT examination. They were 8 and 9 years old and sustained 12 and 17% intermediate to deep dermal burns respectively. There was no eye or inhalation injury. They were treated initially at the referring hospital. Despite having the best possible treatment, the parents were hostile to and demanding of the medical attendants and the patients were uncooperative throughout the whole treatment period. Rehabilitation of the two children was jeopardized. The situation was very difficult when they were first seen at the Prince of Wales Hospital. The burn surgeon at the Prince of Wales Hospital, as a third party, managed to act as a bridge between the referring hospital and the patients and their families. Several meetings were held and the best interests of the two patients was addressed. The compensation issue was also settled without formal legal prosecution.
医源性损伤是所有医疗程序固有的风险。各种医源性并发症已被广泛报道和认识。两名患者因耳鼻喉检查期间酒精灯破裂导致医源性火焰烧伤，被转诊至威尔士亲王医院。他们分别为8岁和9岁，分别遭受了12%和17%的中度至深度真皮烧伤。没有眼部或吸入性损伤。他们最初在转诊医院接受治疗。尽管接受了尽可能最好的治疗，但家长对医护人员怀有敌意并提出诸多要求，且两名患者在整个治疗期间都不配合。两名儿童的康复受到了影响。他们首次在威尔士亲王医院就诊时情况非常棘手。威尔士亲王医院的烧伤外科医生作为第三方，设法在转诊医院与患者及其家属之间搭建起沟通的桥梁。举行了几次会议，探讨了两名患者的最大利益。赔偿问题也在没有正式法律诉讼的情况下得到了解决。
