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目的比较临床诊断与尸体检验诊断结果,分析、评估临床误诊率。方法回顾分析重庆医科大学法医教研室1988-2007年医疗纠纷尸体解剖356例,统计内容包括性别、年龄、在医院的时间、科别,死亡疾病和医院的等级,比较尸体检验诊断与临床诊断的一致率。结果临床诊断与尸检诊断完全一致的有162例(45.5%),临床诊断与尸检诊断不一致的有101例(28.4%),临床诊断与尸检诊断部分不一致的有63例(17.7%),无法比较的有30例(8.4%)。误诊率最高的是循环系统和呼吸系统疾病,其中心肌病、主动脉粥样硬化与高血压致主动脉破裂、肺炎的误诊率最高。结论科学的尸体检验不但为医疗事故的处理提供医学依据,而且为相关临床学科提高诊疗水平提供科学依据。
Objective To compare the clinical diagnosis and autopsy diagnosis results, analyze and evaluate the clinical misdiagnosis rate. Methods A retrospective analysis of 356 cases of autopsy from 1988 to 2007 in medical department of Chongqing Medical University was carried out. The statistics included gender, age, time in hospital, departmental, death and hospital grade, and compared the diagnosis of carcass with that of clinical diagnosis rate. Results There were 162 cases (45.5%) in clinical diagnosis and autopsy diagnosis, 101 cases (28.4%) were inconsistent in clinical diagnosis and autopsy diagnosis, 63 cases (17.7%) were inconsistent in clinical diagnosis and autopsy diagnosis, which could not be compared There are 30 cases (8.4%). Misdiagnosis rate is the highest circulatory system and respiratory diseases, including cardiomyopathy, aortic rupture caused by aortic atherosclerosis and hypertension, pneumonia, the highest misdiagnosis rate. Conclusion Scientific corpse examination not only provides a medical basis for the treatment of medical accidents, but also provides a scientific basis for improving the diagnosis and treatment level of related clinical subjects.