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.