尸体解剖558例资料分析  

AUTOPSY: AN ANALYSIS OF 558 CASES

作　　者：赵鹏[1] 姜天福[1] 纪方 丛林[1] 纪祥瑞[1] 

机构地区：[1]青岛大学医学院附属医院病理科,山东青岛266003 [2]山东省青岛疗养院

出　　处：《青岛大学医学院学报》2004年第1期29-30,共2页Acta Academiae Medicinae Qingdao Universitatis

摘　　要：①目的　探讨尸检率的变迁及其原因 ,了解尸检在不同时期疾病分布及与临床诊断的符合率。②方法　回顾分析 1 970～ 2 0 0 2年间尸体解剖资料 5 5 8例 ,比较病理诊断与临床诊断是否相符等。③结果　 5 5 8例总误诊率为 34.5 9% ,1 990～ 1 999年误诊率最高 ,为 39.78% ;1 980～ 1 989年最低 ,为 33.2 0 %。寄生虫病误诊率最高 ,为 6 6 .6 7% ,其次为血液系统疾病 (6 3.6 4 % )、传染病 (6 1 .5 4 % )。疾病分布以呼吸系统占首位 ,其次为先天性疾病、循环系统疾病。Objective To study the changes in autopsy rate between 1970 and 2002, and to analyze the accordance between major diseases distribution and clinical diagnosis accuracy in different periods. Methods 558 cases of autopsies were analyzed to study the accordance between pathological and clinical diagnosis. Results The total disagreement rate of clinical diagnosis and pathological findings was 34.59%, with the highest in 1990-1999 (39.78%), and the lowest in 1980-1989(33.20%). Diagnostic errors were most common in parasitic diseases(66.67%), blood diseases(63.64%), and infectious diseases(61.54%). Most errors occurred in respiratory, congenital and cardiovascular diseases. Conclusion Autopsy is very important to increase the accuracy of clinical diagnosis.

关 键 词：尸体解剖 病理学 误诊 临床诊断 

分 类 号：R361[医药卫生—病理学]