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9例小儿尸检病例的临床与病理诊断作对照分析。结果显示:14例误诊,误诊率为1772%;在~28d,~5岁,~10岁和~14岁4个小儿年龄组中,新生儿组误诊率为2963%,明显高于其他年龄组(P<0.05),且日龄越小误诊率越高;呼吸系统疾病是误诊的主要病种,占4286%;而年长儿的2例误诊均为结核病。提示对新生儿疾病诊断时,要详细了解围生期情况,积极寻找原发病;结核病对儿童的致命威胁应引起儿科医生的高度重视。
A Comparative Analysis of Clinical and Pathological Diagnosis of 9 Cases of Pediatric Autopsy. The results showed that misdiagnosis rate was 1772% in 14 cases. The misdiagnosis rate of newborns was 2963% in ~ 28 days, ~ 5 years old, ~ 10 years old and ~ 14 years old children, which was significantly higher In other age groups (P <0.05), the higher the rate of misdiagnosis, the higher the rate of misdiagnosis was. The respiratory disease was the main misdiagnosis, accounting for 4286%. The misdiagnosis of 2 cases was tuberculosis in older children. Tips for the diagnosis of neonatal disease, to learn more about the situation of the perinatal period, actively looking for the primary disease; the deadly threat of tuberculosis to children should cause paediatricians to attach great importance.