宁波通报小洛熙事件调查结果：一级甲等医疗事故，主刀医师吊销执业证书

Core Viewpoint - The incident involving the death of a child post-surgery at Ningbo University Affiliated Women and Children's Hospital has prompted a thorough investigation by local authorities, emphasizing the importance of patient safety and accountability in medical practices [1][2]. Group 1: Patient Diagnosis and Treatment - The patient, diagnosed with mixed atrial septal defect, coronary sinus atresia, and pulmonary hypertension, underwent surgery on November 14, 2025, but unfortunately succumbed to heart and respiratory failure post-operation [1]. - The medical team failed to conduct adequate pre-surgical evaluations and discussions, leading to significant oversights in the surgical process, which directly contributed to the patient's death [2][3]. Group 2: Medical Accident Investigation - An administrative investigation was initiated on November 17, 2025, with a panel of nine experts conducting a technical assessment of the medical accident, concluding that the hospital bore primary responsibility for the incident [2][3]. - The investigation revealed that the medical team did not follow proper protocols, including insufficient pre-operative discussions and inadequate monitoring of the patient's condition post-surgery [2][4]. Group 3: Accountability and Institutional Response - The investigation led to the dismissal of key medical personnel, including the chief surgeon and anesthesiologist, and the revocation of their medical licenses due to their negligence [6]. - The hospital was found to have systemic issues in its medical quality management and was mandated to implement corrective measures and improve communication with patients [6][7].