A comparative study of clinical diagnoses and autopsy pathologic diagnoses in 147 pediatric autopsy cases

ZHU Su-min; et al

doi:10.13406/j.cnki.cyxb.2010.05.049

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A comparative study of clinical diagnoses and autopsy pathologic diagnoses in 147 pediatric autopsy cases

更新时间：2024-01-17

- A comparative study of clinical diagnoses and autopsy pathologic diagnoses in 147 pediatric autopsy cases
- Journal of Chongqing Medical University Vol. 35, Issue 5, Pages: 750-753(2010)
- 作者机构：
  
  重庆医科大学基础医学院法医学教研室
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2010.05.049
  CLC： D919
- Published：2010，
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[1]朱素敏,唐任宽,段晋琦,黄伟,李永国,李剑波.147例儿童临床诊断与尸检病理诊断的对比性研究[J].重庆医科大学学报,2010,35(05):750-753.

ZHU Su-min, et al. A comparative study of clinical diagnoses and autopsy pathologic diagnoses in 147 pediatric autopsy cases. [J]. Journal of Chongqing Medical University 35(5):750-753(2010)
[1]朱素敏,唐任宽,段晋琦,黄伟,李永国,李剑波.147例儿童临床诊断与尸检病理诊断的对比性研究[J].重庆医科大学学报,2010,35(05):750-753. DOI： 10.13406/j.cnki.cyxb.2010.05.049.

ZHU Su-min, et al. A comparative study of clinical diagnoses and autopsy pathologic diagnoses in 147 pediatric autopsy cases. [J]. Journal of Chongqing Medical University 35(5):750-753(2010) DOI： 10.13406/j.cnki.cyxb.2010.05.049.

摘要

目的:比较147例儿童临床诊断与尸检病理诊断异同。方法:回顾分析重庆医科大学法医学教研室1988～2008年

147例涉及到医疗纠纷的儿童尸体解剖案例

统计内容主要包括性别、年龄、医院等级、临床诊断、尸检诊断、就诊时间、死亡原因。结果:临床诊断与尸检诊断完全一致的有45例（占30.6%）

临床诊断与尸检诊断不一致的有32例（21.8%）

临床诊断与尸检诊断部分不一致的有42例（28.6%）

诊断不明的有28例（19%）。主要致死疾病是肺炎

误诊率最高的是心血管系统和神经系统

疾病中心肌炎、结核与伤寒的误诊率较高。结论:尸检是处理医疗纠纷客观的证据之一

也是推动医学发展

提高临床诊治水平的重要手段之一

应积极提高尸检率。

Abstract

Objective:To compare the difference between clinical diagnosis and forensic pathologic diagnosis in 147 pediatric autopsy cases.Methods:147 cases of pediatric death related to medical tangle

were autopsied by the department of forensic medicine of Chongqing medical university during 1988-2008.Statistics data including sex

age

the rank of hospital

clinical diagnosis

autopsy diagnosis

treatment time

and distribution of disease were analyzed.Results:The cases of complete coincidence between clinical diagnosis and forensic pathologic diagnosis were 45(30.6%)

the cases of discordant coincidence were 32(21.8%)

the cases of part coincidence were 42(28.6%)

and there were 28 cases(19%)of undefinite diagnoses.The main causes of death was pneumonia.The highest misdiagnosis rate were the disease of cardiovascular system and nervous system

meanwhile the most frequently misdiagnosed diseases were myocarditis

tuberculosis and typhoid fever.Conclusion:Autopsy is one of the most objective evidence for medical tangle.It is also an important means to promote medical advances and improve the levels of clinical diagnosis and treatment.The autopsy will be improved actively.

关键词

尸检临床诊断病理诊断医疗纠纷

Keywords

autopsyclinical diagnosisPathological diagnosisMedical tangle

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