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作者分析了圣彼得堡市一个区的1987～1989年在家里死亡的1843例病人的病理解剖资料。所有尸体都进行了组织形态学检查,必要时做细菌学和病毒学检查,同时分析门诊病历卡记录。病人在家里死亡的主要原因是循环器官疾病,急性心肌梗塞和慢性冠心病的总误诊率分别为70.5%和35.4%。其次是死于恶性肿瘤,其总误诊率:消化器官肿瘤为55.3%,呼吸系肿瘤为48%,泌尿生殖器官肿瘤为40.6%,其他肿瘤(主要是软
The authors analyzed the pathological anatomy of 1843 patients who died at home in a district of St. Petersburg from 1987 to 1989. All autopsies were histomorphologically examined, bacteriologically and virologically checked where necessary, and analyzed out-patient medical records. The main reason that patients died at home was that the total misdiagnosis rates of circulatory diseases, acute myocardial infarction and chronic coronary heart disease were 70.5% and 35.4% respectively. Followed by the death from malignant tumors, the total misdiagnosis rate: 55.3% of digestive organs tumors, respiratory tract tumors was 48%, 40.6% of genitourinary tumors, other tumors (mainly soft