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目的 总结 2 0 a间的尸体解剖材料 ,分析临床诊断与病理诊断不同的病例 ,究其原因 ,为临床医师开拓诊断思路 ,提高诊断水平提供信息。方法 整理病理科 1980～ 1999年期间尸检材料 ,观察历年的数量分布和尸检率。发现临床诊断与病理诊断不相符合的病例 ,试分析其造成误差可能出现的原因 ,总结其经验教训。结果 2 0 a中共行尸检 6 6 5例 ,其中成人占 36 6例。 6 6 5例中无明确临床诊断的或临床与病理诊断不符合的有 33例 ,这其中以心血管系统疾病致死及以恶性肿瘤为主要疾患的居多 ,分别为 12例及 14例。结论 尸体解剖对明确主要疾病的诊断和明确死因是最有效的手段 ,但近年来尸检数量有所下降。临床上对症状不典型的病例要尽可能详尽的询问病史 ,尽可能细致的予以检查 ,给予全面的考虑。
OBJECTIVE: To summarize the autopsy materials of 20 days and analyze the different cases of clinical diagnosis and pathological diagnosis, and to investigate the reasons for them. It provides information for clinicians to develop diagnostic ideas and improve the diagnostic level. Methods The autopsy materials during the period from 1980 to 1999 were collected and the distribution of numbers and autopsy rates were observed. Found cases of clinical diagnosis and pathological diagnosis do not match, try to analyze the possible causes of errors, summarize their experiences and lessons. Results There were 665 autopsy cases in 20 months, of whom 366 were adults. There were 33 cases with no definite clinical diagnosis or clinically and pathologically diagnosed in 6 6 cases. Among them, 12 cases were mainly fatal to cardiovascular diseases and 12 were mainly malignant tumors. Conclusion The autopsy is the most effective way to confirm the diagnosis of the main diseases and to clarify the cause of death. However, the autopsy volume has declined in recent years. Clinical symptoms of atypical cases as detailed as possible history, as detailed as possible to be examined, given full consideration.