摘要
目的 总结 2 0 a间的尸体解剖材料 ,分析临床诊断与病理诊断不同的病例 ,究其原因 ,为临床医师开拓诊断思路 ,提高诊断水平提供信息。方法 整理病理科 1980～ 1999年期间尸检材料 ,观察历年的数量分布和尸检率。发现临床诊断与病理诊断不相符合的病例 ,试分析其造成误差可能出现的原因 ,总结其经验教训。结果 2 0 a中共行尸检 6 6 5例 ,其中成人占 36 6例。 6 6 5例中无明确临床诊断的或临床与病理诊断不符合的有 33例 ,这其中以心血管系统疾病致死及以恶性肿瘤为主要疾患的居多 ,分别为 12例及 14例。结论 尸体解剖对明确主要疾病的诊断和明确死因是最有效的手段 ,但近年来尸检数量有所下降。临床上对症状不典型的病例要尽可能详尽的询问病史 ,尽可能细致的予以检查 ,给予全面的考虑。
Objective To sum up the cases of autopsy in 20 years,find out the different between pathologic and clinical diagnosis,so as to provide some useful informations to clinical doctors.Methods To review all cases of autopsy during 1980～1999,observe the distribution of these cases per year,and find out the causes that clinical diagnosis differ from pathologic diagnosis.Results There were 665 cases of autopsys in 20 years.In this group of cases,33 had non definted diagnosis or had a mistake diagnosis.In 33 cases,12 cases belong to cardiovascular disease,14 cases to malignant tumor.Conclusions Autopsy is a good methods to definite the causes of death.The physician should pay attention to the sases with atypical symptoms,and give them thinking and examinations as overall as possible.
出处
《中国误诊学杂志》
CAS
2001年第2期191-193,共3页
Chinese Journal of Misdiagnostics
