10,400 million bottles of infusion of one year of our country, lose 8 bottles averagely for each person every year
10,400 million bottles of infusion of one year of our country, lose 8 bottles averagely for each person every year
The expert warns, must remember well that take medicine first, and then intramuscular injection, the principle of infusing finally Staff reporter Wang Yue has a fever, how could let inflammation disappear fastest? A lot of patients have surprising and unanimous answer to this question: " infusion " . Shortly before New Year's Day, national development and reform committee Deputy Director Zhu Zhixin revealed the newest data, in 2009, China's medical infusion uses 10,400 million bottles, in other words 1,300 million people lose 8 bottles of liquid for each person every year, well-above 2.5- 3.3 bottles of levels in the world. On earth what reason causes Chinese to love the infusion so? Have " had disease and infused at once soon and recovered quickly " View why rooted in the hearts of the people? The end and beginning of the year, " the the intersection of life and Times " reporter deepen the intersection of Beijing and many of tertiary first rate hospital, the intersection of community and hospital and children's hospital carry on the investigation, find the number of people of the infusion is growing on and on, from small disease to serious disease, quite a few of people regard the infusion as first choosing to treat the way. All hospital infusion rooms are nearly exploded fully " think that is infusing in the room and looking for a seat, it is difficult to buy the train ticket more than the spring transportation. " At 4 o'clock on the the afternoon of December 30, the reporter crosses the crowded crowd of outpatient building, when come to the subsidiary largest clinic infusion room of Beijing Chaoyang hospital of Capital University of Medical Sciences, find less than 200 infusion chairs and sit full to the brimly, even corridor and corridor have been packed with people. Originally bright spacious the intersection of infusion and room, countless to hang bottle, split one pieces of little area into, seem disorderly extremely. Uncle Xu living in the gold platform is because it becomes cold, chronic bronchitis proruption, just reach infusion of the hospital. "So long as this old trouble has been made, the infusion that I will come, recover quickly, endure hardships little. " Uncle Xu just finishes speaking, aunt of letting on one side is too impatient to say: "Good to recover quickly, it is present medicine that spend, fail 3 days in the past more and more, it can be good to basically take one week now. " Mr. Cai coming to see the doctor from Shandong states outright especially: "From type, have bit, stand to now, want, let pieces of seat buy train ticket to be difficult than spring transportation I. " Nurse Li on duty tells reporters, this institute will only receive nearly 700 persons soon every day in the infusion room of the clinic, close to a thousand people in peak period, probably receive over 20,000 infusion patients each month. "Infuse in the native place, must fail after reaching Beijing. " At 9 o'clock a.m. on January 1, the room of infusion of BJ Children's Hospital. Will it be first day New Year, it is like a children's paradise even more to be in riotous profusion balloon and a variety of toys assign here. "Having a holiday, we got to Beijing and handled child's disease that very night. " Live Zhang Yi of Zhangjiakou tells reporter, her daughter has a high fever, coughs for near two weeks, diagnosed as pneumonia by the local hospital. "Been defeated by antibiotic Zhangjiakou all the time, the result must be lost to Beijing. " In the corridor of the children's hospital, on the stair, parents and child seeing the doctor sit. The reporter has inquired nearly 50 people at random, among them 80% show, their child needs infusion. Enlarge the introduction according to Yang Yong, Professor of BJ Children's Hospital, the clinic quantity of the intersection of institute and sun these is close to 10,000 persons, among them nearly 1/3 of the children all need infusion. "Come to community's hospital for the infusion. " At 12 o'clock at noon on January 2, the hospital of one community of Chaoyang District of Beijing, four or five old persons sit in the infusion room, another patient holds the medicine turn on in the loud hospital, is requiring the doctor to give him infusion. The nurse on duty here says frankly, many people see the doctor to go to the large hospital, come to community's hospital only for the infusion. " hang the forest of the bottle " How bring up, " in all infusion, have half unnecessary at least. " Famous medicine bad reaction expert, national rational administration of Ministry of Public Health monitor expert's grandson's faithful professor to point out the reporter, the problem with excessive infusion has been existing in our country all the time. The generally acknowledged one uses medicine the policy is in the world, oral medicine should account for more than 50%, intramuscular injection is taken 30% - 40% , The infusion accounts for about 10%. But in some domestic hospitals, the proportion of the infusion even exceeds 40%. The reporter knows, the medicine of the clinic infusion is generally divided into three major kinds: One kind is a antibiotic medicine; The second kind is a medicine to treat senile diseases such as heart cerebrovascular diseases,etc.; The third kind is some other disease administration such as antiallergic,etc.. In three medicine these, reach overwhelming majority antibiotic. On one hand the patient chooses the infusion voluntarily, it is that it has been regarded as for medicine way dailily that some doctors will infuse on the other hand, and seldom tell its bad reaction, lead to the fact that hangs the bottle and stands in great numbers in the infusion room, even someone describes them " Hang the forest of the bottle " . "Can't recover quickly unless infusing and could become effective, this is patient's greatest mistaken idea to infusion. " Subsidiary Vice President of Beijing Chaoyang hospital Professor Shen YanYing of Capital University of Medical Sciences says, require voluntarily the patient of the infusion is not rare on clinic. "Some people take for two days the medicine does not get better, require the doctor to give him infusion at once, does not hear no matter how to advise. " Have a lot of young people, go to work, busy, have no time, take medicine, problematic to come the intersection of hospital and infusion, choose advanced, expensive antibiotic specially. "Some people think that understand medicines very much, very remember clearly even name of antibiotic, have actually hurt oneself. " Whom frequent infusion cause able to bear nature, let a lot of people become the intersection of infusion and " frequent visitor " of room ,Disease have infusion all one's life, otherwise the condition is unable to take a favorable turn, have already formed the vicious circle different to control. Uncle Xu is the typical case able to bear medicine to antibiotic, his spore's generation from the beginning begins to use four generations of spore to the end, have already used now " Top antibiotic " . Have many to suffer from the intersection of heart and the intersection of brain and vascular old man of disease, get, change according to the season, will reach hospital demand, fail some the intersection of mediation and vascular medicine, prevent disease from breaking out. It is only told reporters that the healthy education expert in the seat of honor of Ministry of Public Health is big and clear, this is another great mistaken idea of infusion, the method of such preventative infusion does not not only have scientific basis, but also will increase and infect probability in the courtyard, may even cause other complications. The relationship between doctors and patients is tense, doctor's self-insurance, the important reason causing the infusion to overflow too. Though method to give medicine add up down a dozen, take orally, intramuscular injection with infusion whom doctor most often select for use still. "I was unwilling to give the patient infusion too in the past, for this reason it is many to suffer and scold, some patients even patted the desk with me face to face, has said and taken your medicine and does not become effective for one week, why not hold the infusion for me? I study cleverly now, infuse if reach indication, a patient does not scold me again, grateful to a face of mine. " Some some doctors insisting on anonymity tell reporters feeling sad, in the present medical environment, the doctor wants to tell patient that needn't infuse, need certain courage. The relationship between doctors and patients is tense, letting some doctors not ask gaining merit seeks only not to have. Take antibiotic as an exmple, treatment of it in a very large range, with basically will produce too loud problem, and the back is hiding the enormous economic benefits. Personage in the know says, " in the tertiary hospital, antibiotic Accounts for about 30% of all medicines incomes, second hospital may up to 40%, suffer from in hospital? Favored with �� abundant �� Xi The intersection of lies and �� clucked The nurse of department of blade of a sword prolong enzyme �� admire first Qian and prolong bag guanidine of rose fall from the sky or outer space thinly? Nobody tells that reveals according to " the national medicines bad reaction of 2009 monitors the report " in risk of the infusion, injectable preparation accounts for 59% of all bad reactions, the main way is the infusion, can be said to be most unsafe for medicine waying. However, in reporter's investigation, about 80% of patients all know nothing about infusion risk, also seldom a doctor reminds the patient. In fact, the risk of the infusion is far higher than having an injection, taking medicine. The grandson is faithful and Shen YanYing all point out, the medicine enters blood circulation directly through the intravenous injection, have not passed the filtration of natural protective screen of the human body, though produce the drug effect faster, but if there are bad reactions, often faster, more serious. Some patients will have strong allergic response to the medicine; The medicine has not eliminated the pollutant and caused quality to worsen in the course of producing, sterilizing, all Q A. Cause danger, oral medicine can wash stomach, skin absorption injected to down need certain time, can all make certain condition, but " fast and convenient " of the infusion for first aid ,But often make people lose valuable rescue time. In addition, the operation question brought by itself of the infusion, will bring certain bad reaction. For example instil too fast, liquid hypothermia or insoluble particle, infusion utensil can not be reached, , phlebitis, aeroembolism and lung edema in heart failure that serious meeting results in generating heat. The medicine of the infusion enters blood circulation directly, has not passed the intestines and stomach, has omitted humoral immunity and cell immune link, infuse, but also will reduce human immunity frequently. In fact, in some countries of the west, the doctor will not give the patient infusion easily generally, the infusion is " The last one is given medicine way " . Only first aid, serious disease and patient that can't eat, just need to adopt the way of the intravenous infusion with higher this kind of risk. In China, the wind of the excessive infusion must be checked too! Hebei the intersection of children's hospital and the intersection of reputation and president, the intersection of Ministry of Public Health and the intersection of antibiotic and reasonable the intersection of application and the whole country popularize the intersection of expert and Professor, husband of Hao, Hu call upon strongly, children have already become their victims suffered most, can not infuse and try hard not to infuse certainly to them. Shen YanYing calls upon, except that the country will pass and strengthen the control on antibiotic, reduce outside the infusion, it is an essential prerequisite too to strengthen and believe in between doctors and patients. Whether you have a high fever or suffer from diarrhoea, don't require the doctor as your infusion voluntarily, must remember well that take medicine first, and then intramuscular injection, the principle of infusing finally. " the the intersection of life and Times " (2011-01-07 01st)
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