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目的对临床各类型的休克进行ICD-10编码分析,保证休克编码质量。方法对休克的临床类型、病因进行分析研究,结合ICD-10编码的规则,对2003年-2005上半年所有出院的休克病例编码质量逐一调查分析。结果调查的休克病例有245例,编码错误38例,误码率15.5 %。结论休克的临床诊断与ICD-10存在差异；休克的病因多种和休克的类型多样化；编码员对ICD-10编码的规则不熟练等是误码的主要原因。
Objective To carry out ICD-10 coding analysis of all kinds of clinical shock to ensure the quality of shock coding. Methods The clinical types and etiology of shock were analyzed. According to the rules of ICD-10 coding, the quality of all the shock patients who were discharged from hospital during the first half of 2003-2005 were analyzed. Results There were 245 shock cases investigated, 38 cases were coded incorrectly, and the error rate was 15.5%. Conclusions The clinical diagnosis of shock is different from that of ICD-10. The causes of shock are diverse and the types of shock are diversified. The unscrupulous coder of ICD-10 is the main reason of error.