一份伪造的CT诊断报告,医生们要注意了!

2016-06-13 佚名 中山六院

一份伪造的CT诊断被批“太假”,医院发布严正声明:提醒广大医生。群众提高警惕!

小编看到一则新闻,中山大学附属第六医院的一位医生门诊遇到病人提供的一份本院影像科出具的CT检查报告,细看后大吃一惊,内容错误百出,难道是影像科诊断水平太差吗?经过中山六院调查后才知道这是一份伪造的CT检查报告。让我们一起见识下这份牛叉的报告。


错误实在太多:

1、检查部位是错的,一般都是上腹部,不会单独写出某个器官。
 
2、报告标题为胃部增强CT平扫,看着就是个笑话。
 
3、CT检查对胃肠等空腔脏器的早期病变只会提示异常以及有无周围淋巴结增大,不会给予相关诊断;
 
4、该伪造报告应该是根据肝硬化的报告修改的,编的牛头不对马嘴。
 
以下是中六院博士团的专家解读

via@CYCY
CT谁会去量胃的大小啊;CT还能看粘膜充血;CT狂提示脾大合并脾亢,都食管胃底静脉曲张了,结论没有,估计到处复制黏贴拼凑的
 
via@刀锋战士
1、先不说诊断的错误,就是报告的描述内容也是乱七八糟的没有一点逻辑跟顺序,正常的描述都是按照扫描层面从上到下来,他这样食管来食管去的首尾呼应中间穿插,明显就是个乱复制粘贴的水货
2、贲门还写成了"喷门",我都忍不住要喷一下山寨的不专业
3、肿物的体积描述,0.2cm在CT上他都能量出来?CT一般对1CM以上病变判读敏感,太小的CT君自己都恐怕无能为力了
4、是不是早期胃癌看的不是肿瘤大小,看的是深度!不关注粗细,只关注多深;况且,并没有早期弥漫性胃癌的诊断,弥漫型的一般都是进展期了,可是看他的描述,没有任何一点弥漫...
5、术前胃镜病理都是活检一小块的,你看他病理单的描述!!!CT说胃体病变,病理单的标本是远端胃跟淋巴结,还有大网膜!!!哥,这明显是手术后切下来的标本才有那么多东西啊,又不知道从哪里粘贴过来的病理报告,胃镜病理的话,连个对应的胃镜号都没有~
 
via@CZC
这也给大家提个醒啊!看到的不一定是真的。23岁胃癌,估计就是让你误诊,想骗钱;CT报告怎么会牵扯到病理呢,一般ct不会提病理的事,胃镜会提。还有病理都有一个严格要求的病理号,这张没有...

以下是中山六院的官方声明

关于假冒我院名称欺骗患者就诊
和伪造医院医疗文件的严正声明
 
近日接到反映,患者张某持有假冒我院相关检查结果报告到其他医疗机构就诊。基于实事求是的原则,医院立刻组织相关部门展开调查。经门诊办、病理科、CT室、保卫科等部门多方求证,现将调查结果公布如下:
患者门急诊信息、CT报告、病理报告等资料均未能在我院信息系统中检索,说明该患者未曾在我院就诊
CT、病理报告格式明显不符合医院的标准。
门诊疾病诊断证明书与我院在用的样本明显不相符。
医院与患者取得联系后得知,患者自诉在4月2日凌晨3时来到医院门口,即被一名穿白大褂的男子引导至距离医院10余分钟路程的地方就诊。
初步推断有不法医疗机构假冒我院名称欺骗患者就诊和检查,并伪造CT报告、病理报告等医疗文件,这种行为严重损害了患者的合法权益和我院的社会声誉,为维护医院和患者的合法权益,我院已报警并作郑重声明:
一、我院是经国家卫生行政部门批准成立的正规三级甲等医院,医院一切制度均受有关部门监督,望广大病友切勿轻信谣言,以免受医托所骗。
二、针对该类不法行为,我院将提交相关部门进行审查,以正视听,并将追究其相关法律责任,打击非法医托,还医院清白。
三、呼吁广大同行、群众提高警惕。

中山大学附属第六医院
2016年4月11日

这种低智商的伪造报告,一般医生一眼就能看出来。但是如果报告伪造的水平高的话,作为接诊的医生你是否还能看出来,由此导致的相关医疗问题怎么办?
 
用网友via@铭亲王的评论给本次事件做个总结,希望能够引起大家重视,提高警惕。

1、这个现象暴露了目前各医院检查不联网但又被要求互认的弊端
2、没有签署“关于采纳外院检查报告声明”,是现有医疗流程的一个重大缺陷
3、对于关键性检查的诊断,一般不采纳外院结果
4、该行为涉嫌诈骗,理应报警
5、建立全国范围的患者就诊征信系统,涉嫌诈骗就医,欠费逃单,医闹等行为的,医院可以在接诊时提前获知信息。

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在此留言
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  1. [GetPortalCommentsPageByObjectIdResponse(id=147945, encodeId=28ee14e945ce, content=别整这种事情出了问题很严重, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151226/IMG567EB873985DE3928.jpg, createdBy=ea941622301, createdName=inter158, createdTime=Thu Oct 13 23:43:57 CST 2016, time=2016-10-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=109298, encodeId=ef4d109298bc, content=好文,值得学习,赞!, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Fri Sep 02 07:57:00 CST 2016, time=2016-09-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=92583, encodeId=10d2925835b, content=开眼界了,以后要一万个小心, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=a37a1710612, createdName=oo902, createdTime=Sun Jul 10 16:20:00 CST 2016, time=2016-07-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=89846, encodeId=da548984604, content=是道还是魔?, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b3781729882, createdName=WEIXINa82df6bc, createdTime=Tue Jun 14 14:19:00 CST 2016, time=2016-06-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=89808, encodeId=e5ad8980872, content=这个新闻不新了, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=d0921674448, createdName=gyczyxy, createdTime=Tue Jun 14 01:31:00 CST 2016, time=2016-06-14, status=1, ipAttribution=)]
    2016-10-13 inter158

    别整这种事情出了问题很严重

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=147945, encodeId=28ee14e945ce, content=别整这种事情出了问题很严重, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151226/IMG567EB873985DE3928.jpg, createdBy=ea941622301, createdName=inter158, createdTime=Thu Oct 13 23:43:57 CST 2016, time=2016-10-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=109298, encodeId=ef4d109298bc, content=好文,值得学习,赞!, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Fri Sep 02 07:57:00 CST 2016, time=2016-09-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=92583, encodeId=10d2925835b, content=开眼界了,以后要一万个小心, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=a37a1710612, createdName=oo902, createdTime=Sun Jul 10 16:20:00 CST 2016, time=2016-07-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=89846, encodeId=da548984604, content=是道还是魔?, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b3781729882, createdName=WEIXINa82df6bc, createdTime=Tue Jun 14 14:19:00 CST 2016, time=2016-06-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=89808, encodeId=e5ad8980872, content=这个新闻不新了, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=d0921674448, createdName=gyczyxy, createdTime=Tue Jun 14 01:31:00 CST 2016, time=2016-06-14, status=1, ipAttribution=)]
    2016-09-02 ylzr123

    好文,值得学习,赞!

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=147945, encodeId=28ee14e945ce, content=别整这种事情出了问题很严重, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151226/IMG567EB873985DE3928.jpg, createdBy=ea941622301, createdName=inter158, createdTime=Thu Oct 13 23:43:57 CST 2016, time=2016-10-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=109298, encodeId=ef4d109298bc, content=好文,值得学习,赞!, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Fri Sep 02 07:57:00 CST 2016, time=2016-09-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=92583, encodeId=10d2925835b, content=开眼界了,以后要一万个小心, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=a37a1710612, createdName=oo902, createdTime=Sun Jul 10 16:20:00 CST 2016, time=2016-07-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=89846, encodeId=da548984604, content=是道还是魔?, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b3781729882, createdName=WEIXINa82df6bc, createdTime=Tue Jun 14 14:19:00 CST 2016, time=2016-06-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=89808, encodeId=e5ad8980872, content=这个新闻不新了, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=d0921674448, createdName=gyczyxy, createdTime=Tue Jun 14 01:31:00 CST 2016, time=2016-06-14, status=1, ipAttribution=)]
    2016-07-10 oo902

    开眼界了,以后要一万个小心

    0

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    2016-06-14 WEIXINa82df6bc

    是道还是魔?

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=147945, encodeId=28ee14e945ce, content=别整这种事情出了问题很严重, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151226/IMG567EB873985DE3928.jpg, createdBy=ea941622301, createdName=inter158, createdTime=Thu Oct 13 23:43:57 CST 2016, time=2016-10-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=109298, encodeId=ef4d109298bc, content=好文,值得学习,赞!, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Fri Sep 02 07:57:00 CST 2016, time=2016-09-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=92583, encodeId=10d2925835b, content=开眼界了,以后要一万个小心, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=a37a1710612, createdName=oo902, createdTime=Sun Jul 10 16:20:00 CST 2016, time=2016-07-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=89846, encodeId=da548984604, content=是道还是魔?, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b3781729882, createdName=WEIXINa82df6bc, createdTime=Tue Jun 14 14:19:00 CST 2016, time=2016-06-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=89808, encodeId=e5ad8980872, content=这个新闻不新了, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=d0921674448, createdName=gyczyxy, createdTime=Tue Jun 14 01:31:00 CST 2016, time=2016-06-14, status=1, ipAttribution=)]
    2016-06-14 gyczyxy

    这个新闻不新了

    0