醫生涉未予預防藥乙肝病人亡

【經濟日報專訊】醫委會罕有地對犯非風化案的公院醫生，進行紀律聆訊。

伊利沙伯醫院腎科專科醫生黃浩聲，涉嫌為一名乙肝帶菌的腎病患者治療時，未有提供預防性抗病毒藥物及未有提供相關藥物資訊兩項罪名，被控專業失德。有關病人其後乙肝爆發並死亡。醫委會昨日聆訊。

伊利沙伯醫院（QE）回應指，個案已在醫委會進行聆訊，不便作出評論。

案情指，2007至2008年期間，黃浩聲為一名40多歲的蔡姓男病人處方類固醇治療腎病，在已知病人是乙型肝炎帶菌者的情況下，沒有處方預防性抗病毒藥，病人服用類固醇後免疫力下降，最終引致乙肝復發及死亡。

已知帶菌服類固醇免疫力降

醫委會在2012年接獲死者家屬投訴，一年後對黃浩聲提出「沒有為病人處方預防性抗病毒藥」指控；黃浩聲在律師陪同下，昨到醫委會答辯。

在首日聆訊，控方修訂對被告的指控，加控黃浩聲「沒有為病人提供服用預防性抗病毒藥的意見」，令病人無法得知所需藥物的資訊，病人或可自行購買。

但黃浩聲的辯方律師指，黃兩年來只為一項指控準備答辯，不滿控方在開庭前9日臨時增加指控，沒有足夠時間準備及安排證人，又指黃浩聲受案件困擾多時，修改指控延期聆訊令黃浪費金錢。醫委會法律顧問岑炳生則指，修訂指控合乎醫委會規例，醫委會最終接納修訂。

辯方指需要重新詢問專家意見及翻查當時醫療紀錄，醫委會決定押後至9月底再進行聆訊。

本報翻查資料，發現這次聆訊涉及的病人，為2009年2月時曾公開求捐肝的患者蔡文超，當年42歲，因急性乙型肝炎致肝衰竭，由QE轉送瑪麗醫院，但因等不及換肝，病人在等候期間死亡。

蔡的父母在2012年向醫管局提出訴訟，指是因QE的醫生延誤診治而致其子肝病惡化死亡。

5年前淋巴瘤病人同類事故亡

根據紀錄，醫管局未曾就此案列為醫療事故或刊登在季刊《風險通報》之內。但在2010年7月，醫管局曾在《風險通報》呈報一宗同類事故，指一名淋巴瘤病人進行化療前，主診醫生雖確定病人患乙肝，卻沒處方抗乙肝病毒藥物，該醫生4個月後才知出錯，但病人已出現肝衰竭，4周後死亡。

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