女子因败血症死亡前的决策“不可辩护” 家属提供资料 汉娜·韦斯特于2024年在西萨福克医院去世，验尸官称其护理存在严重疏漏 佐伊·奥布莱恩摄于伊普斯维奇萨福克验尸法庭 2026年10月2日 一名因感染败血症而在医院去世的女子本可以存活，如果当时没有做出那些“不可辩护”的决策，一次验尸调查听证会如此表示。
Decisions before woman's sepsis death 'indefensible' Family handout Hannah West died at West Suffolk Hospital in 2024 after what a coroner described as failings in her care Zoie O'Brien at Suffolk Coroner's Court, Ipswich 2 October 2026 A woman who died in hospital after contracting sepsis could have survived if "indefensible" decisions had not been made, an inquest was told.
验尸官达伦·斯图尔特认定，西萨福克医院的护理失误“直接导致”了28岁的汉娜·韦斯特死亡。
Coroner Darren Stewart concluded failures by West Suffolk Hospital "directly contributed" to the death of 28-year-old Hannah West.
在周五的听证会结束时，他采取了极为罕见的举措，将两名参与护理的医生上报至英国医学总会，随后才正式记录结论。
At the end of Friday's hearing, he took the rarely seen step of reporting two doctors involved in her care to the General Medical Council, before recording a narrative conclusion.
韦斯特女士最初于2024年1月18日格林尼治标准时间01:00前不久因腹部自伤伤口被送往位于伯里圣埃德蒙斯的该医院，最终在该院去世。急诊科记录显示，患者由救护车送来时腹部有两处伤口。
Ms West died at the hospital in Bury St Edmunds having initially presented with self-inflicted wounds to the abdomen shortly before 01:00 GMT on 18 January 2024. Notes from the Accident & Emergency department showed the patient was brought in by ambulance with two wounds to her stomach.
她告诉急诊科医护人员，刺穿皮肤的物品进入时是干净的，但“出来时是脏的”。
The item which pierced her skin had gone in clean and "come out dirty" she told A&E staff.
然而，验尸官被告知，这一表明其可能存在内脏穿孔的信息并未得到及时重视，也未及时转达给值班外科顾问。
However, this information which indicated she may have an internal perforation, was not acted upon quickly enough or passed on to the on-call surgical consultant, the coroner was told.
相反，医疗团队选择了“保守治疗”，包括监测体征、使用抗生素和输液。
Instead, "conservative" care was agreed which included observations, antibiotics and the administration of fluids.
在接下来的七个小时里，韦斯特女士的病情持续恶化，但直到08:00她才被安排接受手术，而手术又延迟了三个半小时才进行。
Over the course of the next seven hours, Ms West's condition deteriorated but she was not prepared for surgery until 08:00 and it was not performed for another three and a half hours.
专家证人、普通外科顾问奥马尔·汗先生在听证会上表示，他认为是“完全不可辩护的”在紧急手术的情况下仍选择保守治疗。
Expert witness Mr Omar Khan, a consultant general surgeon, told the inquest he believed it was "utterly indefensible" to proceed with conservative care instead of operating urgently.
验尸调查还了解到，护士们曾向高级临床人员报告了胃液泄漏的情况，CT扫描也显示其腹部存在液体或气体，但手术安排并未因此升级。
Her inquest heard that nurses reported gastric fluid leakages to senior clinical staff and that a CT scan also showed the presence of fluid or gas in the abdomen, but that her surgery was not escalated.
汗医生表示，“根据概率权衡”，如果能在08:00前开始紧急剖腹手术，汉娜很可能能够存活。
Dr Khan said that "on the balance of probability" Hannah would have been likely to have survived if an emergency laparotomy had commenced by 08:00.
手术于11:27进行，但手术结束时，汉娜已经出现了感染性休克的迹象。她于次日去世。
Surgery took place at 11:27, but by the time it was completed Hannah was already showing signs of septic shock. She died the following day.
资深外科医生阿克沙伊·巴维卡特·普拉萨纳库马尔决定进行CT扫描，而非立即手术。尽管另一位工作人员在向调查庭作证时称，他们曾询问是否应立即将她送医手术，因为刺穿汉娜胃部的物体上沾有粪便。
Senior surgeon Dr Akshay Bavikatte Prasannakumar made the decision for a CT scan rather than immediate surgery. That was despite another member of staff giving evidence to the inquest that they asked whether she should go to surgery immediately, because of the presence of faecal matter on the object which pierced Hannah's stomach.
在直接回应普拉萨纳库马尔医生的证词时，验尸官达伦·斯图尔特表示，他向法庭提供了“不准确的信息和半真半假的说法，意图呈现一个特定的叙事，以避免将自己描绘成最糟糕的形象”。
Directly addressing the evidence of Dr Prasannakumar, coroner Darren Stewart said he gave the court "inaccuracies and half-truths intended to present a particular narrative that did not present him in the worst possible light".
验尸官将向英国医学总会（GMC）举报他，以及另一位参与韦斯特女士治疗的医生。
He will be reported to the GMC by the coroner, along with one other doctor involved in Ms West's care.
因失去亲人而“心碎” 在验尸官于法庭宣读的一份声明中，汉娜的家人称她是一个“全心全意去爱”的人。
'Devastated' at loss In a statement read in court by the coroner Hannah's family described her as a woman who "loved with her whole heart".
声明写道：“汉娜是一个充满爱、善良、慷慨、宽容且幽默的人。”
"Hannah was a loving, kind, generous, forgiving and funny person," it said.
“她的父母、兄弟和姐妹都非常爱她，她的离去让他们心碎不已。”
"Her mum, dad and brothers and sister loved her dearly and are devastated at her loss.
“她塑造了每一位侄子和侄女的童年。当一位姑姑，对她来说不只是一项职责——而是她真正的自我。” 调查庭还审查了她在社区中因情绪不稳定人格障碍而接受的护理，该护理由诺福克和萨福克国家医疗服务体系基金会信托机构提供。
"She shaped the childhoods of every niece and nephew she had. Being an aunt wasn't just something she did — it was who she was." The inquest also examined the care she received in the community for Emotionally Unstable Personality Disorder from the Norfolk and Suffolk NHS Foundation Trust.
当验尸官详细说明她因“听到有声音让她伤害自己”而拨打111并联系非工作时间社区护理服务时，她的家人泪流满面。
Members of her family were in tears as the coroner detailed how she called 111 and an out-of-hours community care service because she "heard voices telling her to harm herself".
据报道，有一次，当她考虑自残时，值班的精神健康团队曾告诉她“看电视”。
At one point, it was reported that she was told to "watch television" by the on-call mental health team when she was considering harming herself.
验尸官被告知，她的护理计划和安全计划均未更新。她的顾问精神科医生也未出席多次有关其护理和治疗的会议。
The coroner was told that her care plan had not been updated, nor had a safety plan. Her consultant psychiatrist was not present at multiple meetings regarding her care and treatment.
该家庭的律师梅格·乔治表示：“验尸官的结论清楚地表明，西萨福克国家医疗服务体系基金会信托和诺福克与萨福克国家医疗服务体系基金会信托（即该郡的精神健康服务提供方）存在多起严重失职行为。
The family's solicitor Meg George said: "The coroner's conclusion leaves no doubt about the scale of multiple failures by West Suffolk NHS Foundation Trust and Norfolk & Suffolk NHS Foundation Trust [the county's mental health services provider].
“就西萨福克而言，验尸官认定这些失职行为属于疏忽，并直接导致了汉娜的死亡。”西萨福克国家医疗服务体系基金会信托首席执行官伊文·卡梅伦博士表示：“对于我们在照顾汉娜·韦斯特方面的失职，我深感抱歉。在这个艰难的时刻，我们向她的家人致以深切慰问。
"In relation to West Suffolk, the coroner found that these failures amounted to neglect and directly contributed to Hannah's death." Dr Ewen Cameron, chief executive at West Suffolk NHS Foundation Trust, said: "I'm deeply sorry for the failures in our care for Hannah West. Our thoughts are with the family at this difficult time.
“我们服务的每一位患者都应获得安全、有效且充满关怀的护理，这是国家医疗服务体系的基本原则。
"Every single patient we see is deserving of safe, effective, and compassionate care, which are the foundational principles of the National Health Service.
“我们对未能更早为汉娜实施手术深感遗憾。我们接受验尸官的调查结果，并将继续探索改善未来所有患者护理质量的方法。
"We regret the missed opportunities to operate on Hannah earlier. We accept the findings from the coroner and will continue to look at ways of improving the care we offer all our patients in the future.
“我们已加强了相关培训，以辅助决策，确保此类悲剧不再重演。”如果您受到此事件的影响或需要支持，可以通过BBC行动热线找到提供援助和信息的机构。您是否有关于萨福克地区的新闻线索？请通过以下方式联系我们。
"We've enhanced the training we undertake to aid decision making so these tragic events are never repeated." If you have been affected by this story or would like support then you can find organisations which offer help and information at the BBC Action Line Do you have a story suggestion for Suffolk? Contact us below.