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The case of Deng Guisi| Xu Deyi, the administrative director at the time of joint establishment of a committee to investigate the accident, bowed and apologized

2023-01-11T06:20:01.856Z


Tang Guisi, a patient with "hepatitis A immunoglobulin nephropathy", went to the United Hospital for treatment in 2017. It was suspected that two doctors missed medicine at the time, which led to an acute liver attack. He underwent liver replacement twice and finally died in August of the same year. was still


Tang Guisi, a patient with "hepatitis A immunoglobulin" nephropathy, went to United Hospital for treatment in 2017. It was suspected that two doctors missed medicine at the time, which led to an acute liver attack. He underwent liver replacement twice and finally died in August of the same year.

Xu Deyi, the former deputy director of the Food and Health Bureau who was still the administrative director of the United Hospital, bowed and apologized to the patient's family for the incident.

After checking the information, Xu Deyi was asked many times about the follow-up work of the accident, including the reporting system and drug guidelines. After the incident, the Hospital Authority has introduced new measures and guidelines to medical staff, including hepatitis B and the prevention of Drug guidelines for the prevention of hepatitis relapse.


Tang Guisi is a patient of "hepatitis A immunoglobulin nephropathy". In April 2017, he sought medical treatment at the United Hospital due to chest discomfort. Due to liver function problems, he needed to stay in the hospital for observation. However, his condition deteriorated rapidly within a few days, and he was finally transferred to Queen Mary Hospital for acute liver failure. , and need a liver transplant.

The eldest daughter's blood type matched that of her mother's and hoped to donate a liver to save her mother's life. However, she was not yet 18 years old and was rejected by the hospital. This must have caused controversy over organ donation by minors.

Although Deng Guisi had two liver transplants, including a 26-year-old female clerk Zheng Kaizhen, who did not know each other, offered to donate 2/3 of her living liver, Deng Guisi finally died in August of the same year.

The good mother Deng Guisi died of acute liver failure because two doctors of the United Hospital missed the prescription of antiviral drugs, and died of liver replacement twice.

(provided by the patient's family)

In fact, on May 9 of that year, the United Hospital announced a review of Deng Guisi's medical records and found that two specialists ignored the record of hepatitis B infection when prescribing steroids earlier than Deng Guisi's medical records in January of the same year, and did not prescribe antiviral drugs to reduce the risk of hepatitis outbreak , but did not take the initiative to inform the family.

It wasn't until Deng Guisi's family asked the United Hospital for medical records that the hospital notified the Hospital Authority, and then explained the incident to the family.

At that time, Xu Deyi, the administrative director of the United Hospital, bowed and apologized to Deng Guisi and his family for the medical error, and the hospital established an independent committee to investigate.

After the medical malpractice broke out, there was a wave of withdrawal of organ donation registration in Hong Kong.

After the incident, the number of people canceling their organ donation registrations increased sharply for several weeks.

The United Hospital held a press conference that year, bowing and apologizing for Deng Guisi's liver failure incident.

(profile picture)

At that time, the Hospital Authority announced the establishment of an independent review team to review the scope and definition of medical risk warning events and important risk events, the reporting mechanism, notification and announcement mechanism, and recommend relevant follow-up work to the Hospital Authority, and report to the Hospital Authority within 8 weeks Report to the General Assembly.

After Deng Guisi stayed in the hospital for 4 months, he was infected and died of shock on August 26.

At that time, Xu Deyi was the deputy director of the Food and Health Bureau. He responded that he felt sad and regretful about Deng's death, and said that he was very concerned about the accident. The bureau would seriously follow up on the incident, including strengthening the rigor of medical operations to prevent similar incidents from happening , and will also pay attention to the pressure on frontline personnel.

The then Chief Executive Carrie Lam Cheng Yuet-ngor expressed that she was very saddened by the death of Deng Guisi, saying that "the Tang Guisi case is not a simple matter for the SAR government, and it will not pass."

She pointed out that she has asked the Secretary of the Food and Health Bureau to follow up on two aspects, including strengthening the medical care of public hospitals, examining whether front-line doctors are under great pressure in the public medical system, and examining social concerns about the age of liver donation and related political issues. , social, and moral considerations, and pointed out that the government has conducted consultations earlier, and the results will be announced later.

In September of the same year, Xu Deyi was asked about the follow-up work of the accident. He said that the bureau was still following up and needed time to review manpower and supporting issues. The hospital would continue to support Tang Guisi's family. The reporting system will announce new measures and guidelines to medical staff as soon as possible.

Xu Deyi was asked at the time whether there would be special measures for the dispensing mechanism for patients with special diseases or special drug needs in the future. He said, "Regarding individual incidents, we have published guidelines for hepatitis B and prevention of hepatitis recurrence. So we have followed up accordingly.”

In September 2021, the Medical Council held a hearing on the incident afterwards and ruled that the doctors involved, Lin Zhikun and Chen Xiaojian, were guilty of professional misconduct. Lin Zhikun was sentenced to delisting for 5 months and suspended for 36 months, while Chen Xiaojian was sentenced Delisted for 3 months and suspended for 18 months.

The coroner began a pre-closed inquest review in October last year.

According to the website of the judiciary, the case is scheduled to start trial on February 27 this year, and it is expected to take 15 days.

In September, police arrested two doctors and each charged them with one count of manslaughter.

Lin Zhikun (first from left) and Chen Xiaojian (second from left) attended the hearing of the Medical Council.

Deng Guisi was transferred to the nephrology department, followed up with liver failure, and died after twice liver replacement. Lin Cheng Zengzan, Deng's eldest daughter, was strong, suspected of prescribing a leaked drug, and Deng Guisi died of a liver attack in 2017. Two doctors were charged with "manslaughter" today. The coroner's court will start in February next year. The leaked medicine caused Deng Guisi's liver attack and his death. Compensation [Interview] Chinese University Scholar Hopes to Support Deng Guisi’s Daughter’s Liver Donation for Hong Kong Ethics Remedial Classes, Right or Wrong?

Xu Deyi was questioned again about the Deng Guisi incident: Of course we have to follow up. If there are details, he will explain to the United Hospital that Deng Guisi is a copy?

The doctor pointed out that there is no guideline for Boai to "prescribe leaked medicine" and it is questionable [Deng Guisi died of illness] Ah Zhen has no regrets to donate a liver to hope that Deng Guisi's family can regain their strength

Source: hk1

All news articles on 2023-01-11

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