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用“国际疾病分类”法对36年来≥13岁的3183例尸体解剖的主要病理诊断作回顾性分析。结果表明:肿瘤检出率为33.6％,在34/36年中均居首位,近年仍有增高趋势。男性肝癌数远高于女性,女性以肺癌为多。传染病和寄生虫病的检出率逐年下降,但近15年内结核病又见上升,且半数以上生前被误诊或漏诊,尤其老年病例。肝脏疾病约占总尸检的1/5,其中肝癌和肝硬化占2/3以上,且仍在随年上升。近10年随着尸检病例平均年龄的增高,老年性疾病也在增多。
A retrospective analysis of the main pathological diagnosis of 3183 cases of autopsy with ≥13 years old in 36 years by International Classification of Diseases. The results showed that the detection rate of tumors was 33.6%, ranking the first place in 34/36 years and still increasing in recent years. The number of male liver cancer is much higher than that of women, and women are more likely to have lung cancer. The detection rate of infectious diseases and parasitic diseases has been declining year by year. However, in the recent 15 years, the incidence of tuberculosis has risen again. More than half of the cases were misdiagnosed or missed during their lifetime, especially in elderly cases. Liver disease accounts for about 1/5 of the total autopsy, of which liver cancer and cirrhosis account for more than 2/3, and is still increasing year by year. Nearly 10 years with the average age of autopsy cases increased, senile diseases are also increasing.