Wei Jingsheng Foundation News and Article Release Issue: A193-M21

魏京生基金会新闻与文章发布号:A193-M21

 

Release Date: March 26, 2006

发布日:2006年3月26日

 

Topic: Plea to the World Health Organization to Prevent China's Hospitals to Kill Patients by Use of Respirators - Fu YueHua

标题:强烈要求世界卫生组织禁止中国的医院用呼吸机杀人 -- 付月华

 

Original Language Version: Chinese (Chinese version at the end)

此号以中文为准(英文在前,中文在后)

 

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Editor's note:

Ms. Fu YueHua was the Chinese pioneer who came forward and lead people to defend human rights by organizing demonstrations and protests in the late 1970's.  She was sent to jail at the time Mr. Wei JingSheng was arrested for advocating democracy in China.  For more than two decades, her freedom was taken away and she was monitored and discriminated against by the Communist government.  Recently, we were entrusted by her to submit to the World Health Organization her letter regarding the Chinese hospitals' use of respirators.  Below is a brief version of her letter.  Some of the medical details of the cases are listed in the Chinese original.

  __  __  __

 

February 12, 2006

 

Lee Jong-Wok

Director-General

World Health Organization

 

 

Dear Director-General Lee,

 

Greetings! 

 

With extreme indignation, I am exposing to the people of the world how China's hospitals use respirators to kill people.  When speaking of respirators, Chinese people say, "As soon as a person starts using a respirator, that person is sure to die!" The mere mention of them makes people turn pale with fear. 

 

Both my mother and my father died successively while on respirators.  Although theirs' were two special instances, they show the pervasiveness of the problem.

 

In order to increase its income, the Xuanwu Hospital of the Capital University of Medical Sciences put my father on a respirator in 2001 when he was not suited for one, and since the people recklessly adjusting the equipment didn't have the specialized knowledge needed to operate it correctly, the machine made my father's cardiac muscle short of blood and oxygen. There were infarctions on the front wall of his cardiac muscle, and he died suddenly. 

 

My mother, Li Fenglan, came down with a lung infection on December 23, 2005.  When she was at the Intensive Care Unit of the Friendship Hospital Center of the Capital University of Medical Sciences, I wasn't able to promptly pay the bill, so the hospital kept raising and lowering the settings of the respirator she was on, from FiO235% to FiO260%.  It damaged her lungs, exhausted her respiratory abilities, lowered her blood oxygen, and so on.  On January 21, 2006, since I hadn't yet given prompt cash payment in accordance with hospital requirements, they raised the respirator conditions to FiO2 100%, causing my mother's breath-control center to be restrained, her breathing to be exhausted, lowering her blood oxygen, seriously throwing her acid-alkaline levels out of balance, creating acid when she breathed, and giving her oxygen poisoning.  At 5:15PM on January 22, 2006 she died from these problems.  Yet two hours later, the hospital brought out an analysis showing that her FiO2100% respiration ability had risen and that her acid-alkaline was balanced.  Why did the hospital try to cover up the truth and inadvertently expose itself?  These people aren't worthy of being called specialists; they are experienced killers! 

 

If they say, "if you don't pay, then you won't be treated, and the hospital will notify the family members to pick up the patient," even if hospitals possess no humanitarianism, it won't violate Chinese law!  Yet since I did not pay in a timely manner, they persecuted my mother to death.  That is committing the crime of murder, depriving another person of her life, and is violating the United Nations Convention on Human Rights! 

 

My father, Fu Enyuan, caught a cold on June 9, 2001, from the air conditioner at night.  Yet the doctor at the Emergency Room of the Xuanwu Hospital of the Capital University of Medical Sciences didn't perform any examinations, nor did he listen to what the causes of the problem where.  The doctor said that "the [patient's] mental state is good, but his speech isn't good.  He has a brain stroke."  The doctor gave my father medicine to reduce pressure on the patient's brain and dehydration.  Two days later, a CT scan showed that his brain was atrophying, but the hospital continued this treatment, causing the illness condition to worsen.  My father could no longer get up.  The magnetic resonance scans on June 18, 2001, showed that the hospital's incorrect diagnosis had worsened his illness.

 

Since they were oversupplying him with air and his breathing had lots of alkali, the hospital suddenly stopped using the respirator.  They didn't know what they should do with it next, so they made some phone calls to ask for instructions, but couldn't find anyone.  One hour later, they put the respirator back on.  When I checked at 5:27PM, since they didn't know how to operate the machine, he was again short of oxygen.  The hospital tried to fix the oxygen oversupply problem by lowering his FiO2, but completely neglected to take low blood-oxygen illnesses into consideration, thus endangering my father.     

 

Later, my father's heart rate began to rise; from 80 beats a minute up to 156 beats a minute.  For four hours, the doctor didn't come.  Only when my father's blood pressure had fallen to BP80/60mmHg did the doctor take an electrocardiogram.  After that, the doctor didn't take any effective measures to save my father, who died at 8:50PM on June 21, 2001.

 

Both of my parents were persecuted to death by the hospitals, which use respirators to kill people.  For the sake of preventing later generations from having their lives taken away from them, I strongly demand that the World Health Organization firmly prevent China's hospitals from using respirators to kill people, and to demand that China achieve the following:

 

1) Firmly prevent people without specialized knowledge from using the respirators.

2) Make specialized respirator personnel responsible by law to their actions to patients. 

3) Specialized respirator personnel that intentionally cause people to die should be treated the same as those who have committed murder. 

 

In China, although there is no euthanasia, an even more cruel "death" exists.  Many people with illnesses die in their houses because they lack money.  If patients in hospitals don't have money, then they will have to give up the idea of being treated, which is just like giving up their lives!  Moreover, some of those illnesses were curable!  As long as the family members sign it, the hospital will write a death certificate citing "various incurable diseases" as the cause of death, even pushing the savable person towards death! 

 

For the sake of the right to life of the great many Chinese people, I strongly demand that the World Health Organization prevent China's hospitals from covertly killing people and demand that the Chinese government ensure that the impoverished are still able to receive treatment for their illnesses. 

 

Fu Yuehua

Beijing

 

 

(The Wei Jingsheng Foundation is responsible for the brief translation of Ms. Fu's letter.)

 

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中文版

 

Wei Jingsheng Foundation News and Article Release Issue: A193-M21

魏京生基金会新闻与文章发布号:A193-M21

 

Release Date: March 26, 2006

发布日:2006年3月26日

 

Topic: Plea to the World Health Organization to Prevent China's Hospitals to Kill Patients by Use of Respirators - Fu YueHua

标题:强烈要求世界卫生组织禁止中国的医院用呼吸机杀人 -- 付月华

 

Original Language Version: Chinese (Chinese version at the end)

此号以中文为准(英文在前,中文在后)

 

如有中文乱码问题,请与我们联系或访问:

http://www.weijingsheng.org/report/report2006/report2006-03/FuYH060326WHOA193-M21.htm

 

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强烈要求世界卫生组织禁止中国的医院用呼吸机杀人

-- 付月华

 

 

世卫组织:你们好!

 

我以万分愤慨的心情,向世界人民揭露中国的医院在用呼吸机杀人。

 

说起呼吸机,国人就会说:“一上呼吸机,人准完!”大有谈虎色变之势。

 

我的两位亲人父亲、母亲,先后死在不同医院的呼吸机上,虽然是二个特殊的例子,但恰恰说明它的普遍性。

 

首都医科大学宣武医院是为了增加收入,将不具备上呼吸机条件的父亲,置于呼吸机上,由不具备专业知识的人任意调控呼吸机,造成心肌缺血缺氧、广泛前壁心肌梗死、心脏骤停。

 

首都医科大学友谊医院中心ICU,因我后期治疗未及时交费,院方竟以不断的反复的提高、降低呼吸机条件由FiO235%,提高到FiO260%……,造成患者急性肺损失,急性通气功能衰竭,低氧血症等。

 

06-1-21,因未按医院要求立即付款,竟提高呼吸机条件FiO2100%,造成患者呼吸中枢抑制、呼吸衰竭、低氧血症、严重的酸碱失衡、呼酸并代酸、氧中毒……,22日17:15分造成死亡,院方在患者死亡后二小时,出了张FiO2100%通气功能酸碱平衡尚好的血气分析,岂不是此地无银三百两!不愧是专家、杀人老手!

 

如果说:“不交钱、不给治病,医院可通知家属接出病人!”医院虽不具备人道主义,却不犯中国的法!但是,因没及时交钱,竟将患者害死,那就犯了杀人罪,剥夺他人生命,同时违反了联合国人权宣言!

 

我母亲李凤兰,于2005年12月23日因肺部感染,低血压BP80/40mmHg,住进首都医科大学友谊医院急诊抢救室,查:cr2.14mg/dl,①低血压:系肾前性氮质血症;②BUN/cr>10系肾前因素。

 

医院给予抗生素,激素治疗肺部感染,三天后全身浮肿,无尿。2006-1-1,查:CR5.91mg/dl,BUN157.1mg/dl,急性肾衰竭,只有血透才能挽救生命,一天一万多元的ICU血透,将只有1100元/月退休费的三口之家推上绝路。

 

东拼西借5万元,06-1-1日下午住进ICU血透!

 

患者,被诊断II型呼衰、血气分析:(PCO2,PO2单位mmhg,HCO3-、BE(B)单位mmol/L。

 

06-1-1,21:14:52,FiO250%

PH7.32,PCO236,PO2315,SO2C100%

氧合指数(呼吸指数) PO2/FiO2> 300,肺换气功能通气功能正常

 

06-1-2,05:17:59, FiO270%,(为什么突然提高FiO270%)

PH7.17,PCO242,PO2169,BE(B)-12.2,SO2C99%

氧合指数PO2/FiO2=241<300,急性肺损伤

 

2006-1-3 5:58:38 FiO235%

PH7.35、PCO245、PO2128、BE(B)-0.9、SO2C99%

氧合指数PO2/FiO2=365>300,正常范围内

肺通气换气功能正常,酸碱平衡尚好

 

2006-1-4,6:41:36,FiO255%,(为什么提高FiO2?)

PH7.28、PCO273、PO274、BE(B)6.6、SO2C93%

PH<7.3、PCO2>50,急性通气功能衰竭

氧合指数,PO2/FiO2=134<200,低氧血症

 

2006-1-5,5:30:48  FiO260%

PH7.42、PCO244、PO2140、SO2C99%

氧合指数PO2/FiO2=233,急性肺损伤

12:16:29,FiO255%

PH7.37、PCO247、PO287、SO2C96%

氧合指数,PO2/FiO2=158<200,低氧血症

 

2006-1-6,04:35:41,FiO245%(为什么又降FiO2?)

PH7.43、PCO245、PO276、SO2C95%

氧合指数,PO2/FiO2=166<200,低氧血症

 

2006-1-7,05:17:14,FiO240%(为什么降FiO2?)

PH7.35、PCO252、PO284、SO2C96%

氧合指数,PO2/FiO2=210<300 急性肺损伤

 

2006-1-8,05:26:06,FiO240%

PH7.47、PCO237、PO2119、SO2C99%

PO2/FiO2=297,急性肺损伤

 

2006-1-9,05:34:00,FiO240%

PH7.34、PCO248、PO2105、SO2C98%

氧合指数,PO2/FiO2=262,急性肺损伤

 

2006-1-10,05:19:20,FiO250%(为什么升高FiO2?)

PH7.22、PCO263、PO289、SO2C95%

PH<7.30 PCO2>50,急性通气功能衰竭,PO2/FiO2=178,低氧血症

 

2006-1-11,05:22:32,FiO245%

PH7.21、PCO259、PO292、BE(B)-4,SO2C95%

氧合指数,PO2/FiO2=204,急性肺损伤,

PH<7.30 PCO2>50,急性通气功能衰竭

 

2006-1-12,05:22:51,FiO245%

PH7.39、PCO243、PO2107、BE(B)0.9,SO2C98%

通气功能,酸酸平衡尚可,氧气指数,PO2/FiO2=237,急性肺损伤

 

2006-1-13,05:19:58,FiO240%(为什么降FiO2)?

PH7.19、PCO269、PO270、SO2C89%

PH<7.30 PCO2>50,急性通气功能衰竭

氧合指数,PO2/FiO2=175,低氧血症

 

2006-1-14,05:10:41,FiO245%

PH7.16、PCO274、PO274、SO2C90%

PH<7.30 PCO2>50,急性通气功能衰竭

氧合指数,PO2/FiO2=164<200,低氧血症

 

2006-1-15,05:13:53,FiO260%

PH7.36、PCO243、PO2185、BE(B)-1.1、SO2C100%

氧合指数,PO2/FiO2=308>300,正常范围内

通气功能酸碱平衡尚好

 

经过反复提高、降低呼吸机条件,反复造成急性通气功能衰竭、低氧血症、急性肺损伤等。终于将呼吸机条件由FiO235%提高到FiO260%,只有高浓度氧,才可以使酸碱平衡,通过气功能正常,这是对患者摧残的证据。

 

2006-1-16,05:31:58,FiO240%(为什么突然降低FiO2)?

PH7.35、PCO245、PO299、BE(B)-0.8、SO2C99%

氧合指数,PO2/FiO2=247<300,急性肺损伤

 

2006-1-17,5:31:58,FiO240%

PH7.24,PCO255,PO293,BE(B)-3.7,SO2C96%

氧合指数,PO2/FiO2=233,急性肺损伤

PH<7.3,PCO2>50,急性通气功能衰竭

 

2006-1-18,5:22:53,FiO240%

PH7.27,PCO256,PO288,SO2C95%

PH<7.3,PCO2>50,急性通气功能衰竭

PO2/FiO2=220,急性肺损伤

 

2006-1-19,5:21:16,FiO240%

PH7.19,PCO261,PO2107,BE(B)-5.1,SO2C97%

氧合指数,PO2/FiO2=267,急性肺损伤

PH<7.3,PCO2>50,急性通气功能衰竭

 

2006-1-20,06:01:46,FiO240%

PH7.4,PCO235,PO271,BE(B)-2.7,SO2C94%

氧合指数,PO2/FiO2=177,低氧血症

 

2006-1-21,05:17:56,FiO240%

PH7.25,PCO257,PO285,BE(B)-2.3,SO2C95%

氧合指数,PO2/FiO2=212,急性肺损伤

PH<7.3,PCO2>50,急性通气功能衰竭

17:19:24,FiO240%

PH7.08,PCO280,PO266,BE(B)-6.3,SO2C83%

急性通气功能衰竭,氧合指数PO2/FiO2=66,低氧血症

 

杀人过程:

突然给纯氧FiO2100%,抑制呼吸中枢,加重CO2潴留。加重低氧血症

18:02:59 PH7.12,PCO276,PO297,BE(B)-4.9,SO2C95%

急性通气功能衰竭,氧合指数PO2/FiO2=97,低氧血症

呼吸中枢抑制加重CO2潴留。

20:01:03 PH7.1,PCO280,PO277,BE(B)-5.2,SO2C89%

急性通气功能衰竭,呼吸中枢抑制,低氧血症,PCO2潴留加重,PO2下降,均是氧中毒表现。

 

2006-1-22,07:39:37,FiO2100%

PH7.06,PCO274,PO230,BE(B)-9.1,SO2C32%

呼吸中枢抑制,呼吸衰竭,低氧血症,严重酸碱失衡。

氧中毒,PO230已有生命危险。

7:47:42,

PH7.12,PCO260,PO258,BE(B)-9.5,SO2C79%

病情同上

9:09:01

PH7.14,PCO261,PO258,BE(B)-7.9,SO2C80%

病情同上

11:26:45

PH7.19,PCO255,PO255,BE(B)-7,SO2C80%

病情同上

15:18:04

PH7.16,PCO261,PO252,BE(B)-6.8,SO2C75%

病情同上

16:13:32

PH7.04,PCO284,PO261,BE(B)-7.9,SO2C77%

病情同上,氧中毒,呼吸中枢抑制,呼吸衰竭,低氧血症,呼酸并代酸。

17:15分,心率、血压呼吸为零,心电图示直线,宣布死亡!

 

死后二小时,却有一张通气功能酸碱平衡尚好的血气分析:

19:14:22  FiO2100%

PH7.36,PCO243,PO265,BE(B)-1.2,SO2C92%

 

真是此地无银三百两!无独有偶,同一日期,分秒不差,却出二张不同结果的化验单,即1-9日涂片找真菌。

1-2日 10:36:00 未见真菌10:37:00 未见真菌10:38:00  未见真菌

1-7日 11:07:00 未见真菌19:06:00 未见真菌

1-9日10:16:00 未见真菌10:16:00  找到真菌孢子未见菌丝

1-14日 14:17:00 未见真菌

1-17日 14:56:00 未见真菌

 

我父亲付恩远,2001-6-9,因夜间开空调被冻感冒发烧,住首都医科大学宣武医院急诊室,医生不做任何检查,不听病因,认定“神清,言语不清,脑梗塞”予甘露醇降颅压脱水治疗,二天后,脑CT示脑萎缩,余正常,院方继续甘露醇降颅压脱水,病情加重,再也起不来,6-18日磁共振示:“左侧枕叶及两顶叶凸面可见斑片状等T-长T1长T2病变,位于脑组织表面,皮层梗塞。”分明是院方错诊错治降颅压脱水所至。

 

2001-6-19日,因喂流食,被呛,引起咳喘.

 

查血气分析:2001-6-19 19:03分,(医院血气分析数据不全)PH7.334,PCO246.6,PO277.3,BE(B)-2

即不是低氧血症,也不属呼吸衰竭,院方却给我父亲上了呼吸机。

 

20:59:00查:PH7.454,PCO233.5,PO2222,FiO250%

氧合指数PO2/FiO2=444>300,正常范围内

01-6-20 6:21;00查:PH7.444,PCO232.8,PO2128.2,FiO235%

15:00查:PH7.48,PCO229.9,PO2144.6,氧合指数:PO2/FiO2=413>300,正常范围内.

 

因为过度通气、呼碱,院方竟然停撤呼吸机,却不知下步如何操作,打电话请示找不到人。

 

一小时后,又接上呼吸机。17:27:00查:PH7.452,PCO232.6,PO252.9,由于不会操作造成缺氧。

20:56:00查:PH7.407,PCO234.6,PO255.4,HCO3--21.3

院方竟以降低FiO2的方式纠正过度通气,而全然不考虑低氧血症,对患者产生的危害。

 

01-6-21,8:46:00,查:PH7.468,PCO229.9,PO2102.9,

9:30:00,病历记载,因为存在过度通气,调呼吸机(如何调参数没任何记载)

就在此次调呼吸机后,11:00我父亲左前胸出现剧烈疼痛,医生不做任何检查,便打了一针强痛定。

11:55:00,PH7.39,PCO233.8,PO2105.6,HCO3--20,BE(B)-4,代酸,缺氧

同样,调低FiO2纠正过度通气

 

此后我父亲心率进行性上升,从80次/分上升到156次/分,我从上午一直找到15:00,四个多小时,医生就是不来,直到血压降到BP80/60mmHg,才来人照心电图,已是广泛前壁人心肌梗死。

 

此后未采取任何有效抢救措施,于20:50死亡。

20:03,血气回报PH7.293,PCO227.91,PO2132.11,HCO3--13.2,BE(B)-11.6,呼碱并代酸,提示在代偿机制外,还存在使BEb降低的原发性致病因素——严重缺氧,1、过度通气-肺外因素性缺氧。2、调低FiO2致缺氧。

 

因为甘露醇降颅压脱水,6月14日BUN26.1>20肾前性氮质血症,已脱水,持续到上呼吸机时(19日),还在降颅压脱水,心肌缺血缺氧造成广泛前壁心梗,心脏骤停(未检测电介质)。

 

我的双亲就这样被不同目的的医生害死了。是利用呼吸机!为了后人的千百条鲜活的生命不再被剥夺,强烈要求世卫组织坚决制止中国的医院用呼吸机杀人,要求中国做到:

(1)       不具备呼吸机专业知识的人,坚决禁止使用呼吸机;

(2)       呼吸机专业人员对病人所做的一切,要承担法律责任;

(3)       专业人员故意造成死亡的,要按故意杀人罪论处。

 

在中国,虽然没有安乐死,但却存在一种更残忍的“死”,许许多多因为无钱治病的人死于家中,在医院里,如果没钱继续治病,患者或家属只得放弃治疗,意味着放弃生命!尽管许多是可救治的病!只要家属签字,医生会开出“不可治愈的各种病”的死亡证明,并将本可救治的人推向死亡!为了千百万人的生命权,强烈要求世卫组织禁止中国的医院变相杀人,并要求中国政府保障贫困人口能治的起病。

 

 

付月华 06-02-12于北京

住中国北京市宣武区广内大街305号东楼43号

 

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