昆明護士遇襲引發醫界罷工討論

The reports in Chinese news outlets on Monday about an attack on a nurse in a hospital in the southwestern city of Kunming were brief and virtually identical, suggesting they were coordinated by the authorities — often a sign of a politically delicate issue. They described how on Sunday, around 12:30 p.m., a man stabbed the nurse at the First Affiliated Hospital of Kunming Medical University, seriously wounding her.

中國新聞媒體週一對西南部城市昆明一家醫院的護士遭襲一事的報道都很簡短，而且幾乎相同，暗示着當局對報道統一了口徑，這往往是涉及政治敏感問題的跡象。報道描述了週日下午12點30分左右，一名男子如何在昆明醫科大學第一附屬醫院用刀砍了一位護士，致其重傷。

The 30-year-old nurse, the mother of a 4-year-old, had undergone emergency surgery, and the man had been apprehended by the police, said the reports on Xinhua, the state news agency, as well as on Yunnan Online and on China National Radio. Some reports included photos showing a room where the attack was said to have taken place, with a pool of blood on the floor. Zeng Yong, the deputy head of the hospital, was quoted as saying that the hospital would improve its “stability maintenance” work.

官方通訊社新華社、以及雲南網和中央廣播電臺的報道都說，這位護士今年30歲，有一個4歲的孩子，她已接受了緊急手術治療，將其砍傷的男子已被警方控制。有些報道還提供了據稱是發生襲擊房間的照片，房間的地上有很多血跡。報道援引醫院副院長曾勇的話說，醫院將進一步加強“維穩”工作。

But outside the tightly controlled state news media, a more freewheeling discussion among physicians online revealed a profession under siege after years of underfunding by the state and mounting anger from patients fed up with corruption and malpractice. The comments on the Hippocratic Community site displayed deep frustration and even raised the possibility of organizing a strike:

但在受嚴格控制的國家新聞媒體以外，網上的醫生們之間更隨意的討論，揭示了醫療行業的困境，多年來，國家給的醫療經費不足，患者對行業中的腐敗問題和醫療事故的不滿日益增長。希波克拉底醫療圈裏的評論表現出深深的無奈，有人甚至提出罷工的可能性：

“Chinese law has no deterrent effect on attacks on medical personnel!”

“中國的法律對涉醫暴力無震懾力！！！”

“If doctors and nurses can’t go on strike, the situation can only get worse! The government also needs to be pressured!”

“如果全體醫護不能罷工，事情只會愈演愈烈！政府也需要壓力！”

“Striking isn’t a smart option under the present system. Only self-protection is left! But self-protection is also difficult! Sometimes self-defense isn’t successful! Justified self-defense may also be punished!”The suggestion of a labor strike, though it was dismissed — such a move would probably meet with a harsh response from the authorities — highlights the anger among Chinese medical professionals over dangerous working conditions and the constant threat of attacks by dissatisfied patients, their relatives or professional “troublemakers” hired by them. Corruption among medical workers, in the form of the widely expected hongbao — a red envelope filled with cash to ensure good care — also creates resentment among patients and their families, medical sociologists say.

“現行體制罷工不可取，只有自衛！自衛也很難！有時防不勝防！正當防衛可能還是被處理了！”儘管罷工的建議沒有被考慮——這種行動必將得到當局的嚴厲響應——但建議本身凸顯了醫護人員的憤怒情緒，他們在危險環境下工作，隨時面臨着對醫療效果不滿的患者及其家屬、以及受僱於他們的專業“醫鬧”襲擊的威脅。醫學社會學專家說，醫務工作者中的腐敗，也就是廣泛存在的爲確保得到良好的醫療，用裝滿現金的“紅包”賄賂醫生的問題，也在患者及其家屬中製造了不滿情緒。

Many hospitals see a physical attack about once every two weeks, with the situation worse in smaller provincial facilities, according to the China Hospital Association and officials.

據中國醫院協會和官員說，許多醫院隔一兩週就發生一起暴力襲醫事件，這種情況在較小的省級醫院更糟糕。

Attacks on medical staff have become politically sensitive because the government is trying to manage the rising anxiety among doctors and nurses over their vulnerability, medical professionals say.

醫療行業的人士說，涉醫暴力問題已具有政治敏感性，因爲政府試圖平息醫生和護士對自身安全不斷上升的憂慮。

In an attempt to reduce the attacks, the authorities are bringing in new regulations to govern cases of medical malpractice, according to the Supreme People’s Court Monitor blog. The authorities hope to encourage people to turn to the courts as a way to resolve grievances.

據“最高人民法院觀察”博客，當局正在爲指導解決醫療糾紛案件引入新法規，以圖減少暴力襲醫事件的發生。當局希望能鼓勵人們求助於法院來化解恩怨。

The Hippocratic Community site provided additional details about the nurse’s stabbing: The man detained for the attack had been found lying unconscious on the street by a passer-by, who then called an ambulance. The patient was taken to a hospital and treated free of charge. But after regaining consciousness he ran out, only to return with a knife and attack the intensive care unit nurse, Qin Lixia, in a room on the second floor.

希波克拉底醫療圈提供了有關那位護士被砍傷的更多細節：被拘留的砍人男子先是被一位過路者發現昏倒在路邊，路人打電話叫了救護車。男子隨後被送往醫院，醫院爲其提供了免費治療。但他醒過來後跑了出去，提了把刀回來，在醫院二層的一個房間裏，砍傷了急診科護士秦麗霞。

Ms. Qin’s injuries included stab wounds to her head and hands. Her condition was said to be serious. What motivated the attack is unknown, both the Hippocratic Community and the state media reported.

秦麗霞的頭部和右手被砍傷，據說傷情嚴重。希波克拉底醫療圈和官方媒體的報道都表示，目前不知道是什麼原因導致了襲擊發生。

The man was later surrounded by security and other personnel and taken into custody, but not before wounding a man who tried to subdue him, according to video footage from the Hippocratic Community site has about 90,000 users, “mainly doctors, as we only provide professional information,” said Gordon Liu Yang, a spokesman reached by telephone.

據來自醫院的視頻片段，該男子後來被保安和其他人員圍住，並已被拘留，但在被控制前，他還砍傷了一位試圖控制他的男子。記者通過電話聯繫到希波克拉底醫療圈的發言人戈登·劉洋(Gordon Liu Yang)，他說他們的網站有約9萬個用戶，“主要是醫生，因爲我們只提供專業信息。”

“There is too much medical violence in China,” Mr. Liu said in a separate text message. “Doctors cannot bear the burden anymore.”

劉先生在另行發來的短信中說，“中國暴力襲醫事件太多了。醫生們已經承受不了了。”