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准确、可靠的人群死亡信息对制定我国的人口和卫生政策、确定资源配置和干预重点具有非常重要的意义。在死因诊断中,致死疾病与根本死因是两个重要的诊断,二者在概念上存在着根本的区别,它们是互为因果的关系。为了提高编码员对死因诊断的理解、判断与重新选择的能力,本文首先对如何理解死因诊断作了详尽的说明,再选用9个临床比较复杂的实例对根本死因和致死疾病的判断和选择进行了详细的分析。熟悉根本死因与致死疾病的定义是进行死因诊断分类的前提,掌握编码原则是进行死因诊断分类的关键,扎实而丰富的医学知识有助于提高致死疾病的判断与选择能力。
Accurate and reliable information on population deaths is of great importance in formulating our population and health policies and in determining the priorities for resource allocation and intervention. In the diagnosis of the cause of death, the cause of death and the root cause of death are two important diagnoses, there is a fundamental difference between the two concepts, they are mutually causal relationship. In order to improve the coder’s understanding of the cause of death diagnosis, the ability to judge and re-select, this paper first made a detailed explanation of how to understand the diagnosis of the cause of death, and then choose nine more clinically complex cases of death and death caused by the judgment and choice A detailed analysis. Familiar with the definition of the cause of death and lethal disease is the premise of diagnosis and classification of the cause of death, grasp the principle of coding is the key to diagnosis and classification of causes of death, solid and rich medical knowledge helps to improve the ability of judgment and selection of lethal diseases.