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目的:对比研究临床病理尸检和法医病理尸检引起的不良后果和原因以及应对措施。方法:选取本辖区自1995年-2015年20年间600例尸体解剖资料,以10年为单位分析其来源构成以及临床尸检和法医学尸检的发展。结果:针对本辖区开展尸体解剖资料分析,数据统计结果显示:1995年-2005年间尸检率构成比例为76.47%(221/289),而2015年-2005年尸检构成比例为64.63%(201/311),则前10年较之后10年的尸检率显著降低(P<0.05),具有统计学意义;医疗争议委托尸检从1995-2005年检查率为10.73%(31/289),而2005年-2015年接受争议委托尸检率为48.23%(150/311),则前10年较之后10年的尸检检出率显著升高(P<0.05),具有统计学意义。结论:随着医疗纠纷不断增多,更多家属需要尸检操作比例大幅度上升,致使对法学尸检和临床尸检的要求不断提高。
OBJECTIVE: To compare the adverse consequences and the causes of post mortem autopsy and pathological autopsy in autopsy and the countermeasures. Methods: The autopsy data of 600 corpses in our area from 1995 to 2015 were selected. The origin of the samples and the development of clinical autopsy and forensic autopsy were analyzed in 10 years. Results: According to the analysis of autopsy data in this area, the statistical results showed that the autopsy rate was 76.47% (221/289) between 1995 and 2005, while the autopsy rate was 64.63% between 2015 and 2005 (201/311 ), The autopsy rate in the first 10 years was significantly lower than that in the next 10 years (P <0.05), with statistical significance. The autopsy medical autopsy was examined by autopsy from 1995 to 2005 at a rate of 10.73% (31/289) In 2015, the rate of post-mortem examination was 48.23% (150/311), and the autopsy detection rate in the first 10 years was significantly higher than that in the next 10 years (P <0.05). CONCLUSIONS: With the increasing number of medical disputes, more dependents need a substantial increase in the proportion of autopsy operations, resulting in an increasing demand for autopsy and clinical autopsy.