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【明報專訊】近日流感肆虐，到公立醫院急症室求診的病人破了紀錄，許多病人輪候半天還沒有醫生診治，需要住院的也因為病房人滿之患，在急症室走廊苦等十多小時尚未能「上樓」，情况似乎失控。連特首也要微服出巡，到伊利沙伯醫院體察民情，並指令醫管局馬上改善情况。<\/p>\n

當年急症室 醫生hea做等轉職<\/p>\n

回想當年剛剛醫學院畢業，也曾在瑪麗醫院的急症室工作了半年。那時候有志從事專科培訓的醫科生，大多鍾情於內、外、婦產和兒科這四個熱門科目，其他的專科，以及普通科門診和急症室等outpost，較少人問津。可是熱門專科的培訓崗位有限，公營的大型急症醫院只有瑪麗醫院和伊利沙伯醫院，瑪嘉烈醫院剛剛落成，還未能完全運作。醫科畢業生欲進行專科培訓，往往要先在冷門科目的部門和outpost「等位」。當年沒有急症專科，大部分的急症醫生都是畢業不久，等待機會「蟬曳殘聲過別枝」的「臨時工」；有部分更是準備獃一兩年便自行執業當普通科私醫；整個部門可能只有主管是「長工」。當年緊守醫療體系大門最前線的重責，便落在這班水流柴般的過客肩上。<\/p>\n

當年香港欠缺醫療人手的狀况比現時差得多，急症室的景况又如何？答案是效率奇高，但質素卻乏善可陳，以當時的社會狀况，病人根本對公營醫療沒有什麼要求。我在急症室上班不久，值通宵班時一位和我談得來的資深男護士長跟我說﹕「X醫生（一位高我好幾屆的專科醫生）在這裏做時，通宵班通常都是一覺睡到天明，病人都是我們診治，他早上起來在病歷卡上簽名便搞掂。」急症醫生不看病人真是駭人聽聞，今時今日他不給病人投訴給醫務委員會停牌才怪。<\/p>\n

有殺錯冇放過 統統上病房<\/p>\n

當年急症室病人多醫生少儀器欠奉，年輕醫生在毫無支援下容易犯錯，在「有殺錯冇放過」的心理支使下，往往寧枉毋縱地把本來毋須住院的病人收進醫院。和現今情况有別的，是不論病房病牀如何緊絀，所有入院病人都會給推上病房，從來不會在急症室等待，所以也沒有現在那樣迫爆急症室的情况，迫爆的只是病房而已。當時我留意到不少病人都是因為疑似心臟病發入院，但其實很多可能只是胃部不適或肌肉疼痛，但苦於急症室沒有心電圖（ECG）儀器，無法確定病人是否真的患有心臟病。有一次有一名中煤氣（一氧化碳）毒的胖婦昏迷入院，送到急症室時已經沒有呼吸脈搏，也聽不到心跳。可是中一氧化碳毒的人都是膚色紅潤，加上身軀龐大肥胖，單憑望聞問切實不能肯定是否還有微弱心跳和脈搏，沒有ECG實未能確定其生死，唯有把她送到病房。病房醫生接收到死屍自然大為不滿，向醫院當局投訴急症室。我乘機向主管提議向醫院申請購置一部心電圖儀，主管聽了笑笑，把我扯到一旁輕聲地說﹕「傻仔，事情不是這麼簡單。我們不是心臟專科，看ECG有機會出錯，要是看錯了怎麼辦？還是把病人都收進醫院保險得多。」<\/p>\n

比起當年，今天急症室的醫療服務水平，真是進步得多了。<\/p>\n

文：霍泰輝（中大副校長，兒科專科醫生）<\/p>\n

https:\/\/health2.mingpao.com\/ftp\/Health2\/20170731\/news\/_31YC002_.jpg迫爆病房——相比當年，急症室會把所有病人推上病房，所以急症室不會像現在般迫爆，而是迫爆病房。（資料圖片）;<\/inline><\/p>\n","protected":false},"author":2,"featured_media":6871,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"rank_math_lock_modified_date":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[3],"tags":[587,1165],"class_list":["post-6872","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-3","tag-587","tag-1165"],"publishpress_future_action":{"enabled":false,"date":"2026-11-16 13:49:31","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category"},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts\/6872"}],"collection":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/comments?post=6872"}],"version-history":[{"count":0,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts\/6872\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/media\/6871"}],"wp:attachment":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/media?parent=6872"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/categories?post=6872"},{"taxonomy":"post_tag","embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/tags?post=6872"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}