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为了更好地了解老年机构患者的死因和临床诊断的正确率,作者对234例尸解进行了研究。本组材料取材于1969～1983年死于纽约犹太人疗养院(收治老年人)的234例尸解。全部234例尸解记录均与临床记录加以比较。该院同期总尸解率为38%。结果 234例的平均年龄为84.5(64～103)岁。年龄分布如下:64～69岁8例,70～79岁44例,80～89岁126例,90～99岁53例,100岁以上3例。生前临床诊断最常见的死因为肺炎(33%),心力衰竭为第二位主要死因(15%),进行性癌(伴转移)为第三位死因(14%),肺栓塞则为第四位死因(8%),心肌梗塞、卒中、死因未明分别占7%、6%和8%。
In order to better understand the cause of death and clinical diagnosis of elderly patients, the authors studied 234 cases of autopsy. This group of materials was derived from 234 cases of autopsy who died of 1969-1983 death in the New York Jewish Sanitarium. All 234 autopsy records were compared with clinical records. The hospital’s total autopsy rate over the same period was 38%. Results The average age of 234 patients was 84.5 (64-103) years old. The age distribution was as follows: 8 cases from 64 to 69 years old, 44 cases from 70 to 79 years old, 126 cases from 80 to 89 years old, 53 cases from 90 to 99 years old, and 3 cases above 100 years old. The most common cause of death in prenatal diagnosis was pneumonia (33%), heart failure was the second leading cause of death (15%), progressive cancer (with metastasis) was the third cause of death (14%), and pulmonary embolism was the fourth The cause of death (8%), myocardial infarction, stroke, and cause of death were 7%, 6%, and 8%, respectively.