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[临床尸检——其在现代医学中的作用]

[Clinical autopsy--its role in modern medicine].

作者信息

Diebold J

机构信息

Pathologisches Institut, Kantonsspital Luzern.

出版信息

Praxis (Bern 1994). 2007 Oct 24;96(43):1667-71. doi: 10.1024/1661-8157.96.43.1667.

Abstract

At the beginning of the 21st century, pathology is dominated by the advent of new molecular techniques. Presently pathology transforms into a clinical discipline at the interface of diagnosis and therapy. In this context many physicians feel that clinical autopsies are out-dated. However, the autopsy has developed into a highly effective and meaningful tool which uses the whole array of contemporary molecular techniques ("molecular autopsy"). For the future one can expect that the clinical autopsy will remain a pivotal instrument for quality management, student teaching and continuous education, epidemiology (e.g. cancer registries) and research (e.g. for neurodegenerative diseases). By endorsing autopsies physicians show that they are open for self-criticism and have an interdisciplinary view of their profession. Since autopsies often reveal unexpected findings, which can be important for both the lives of other patients and for family members of the deceased, relatives saying yes to an autopsy show true compassion and human solidarity.

摘要

在21世纪初,病理学领域因新分子技术的出现而发生了重大变革。如今,病理学正转变为一门处于诊断与治疗交叉点的临床学科。在这种背景下,许多医生认为临床尸检已经过时。然而,尸检已发展成为一种高效且有意义的工具,它运用了一系列当代分子技术(“分子尸检”)。展望未来,可以预期临床尸检仍将是质量管理、学生教学与继续教育、流行病学(如癌症登记)以及研究(如神经退行性疾病研究)的关键手段。医生支持尸检表明他们愿意进行自我批评,并且对自己的职业有跨学科的认识。由于尸检常常会揭示出意想不到的结果,这些结果对其他患者的生命以及死者家属都可能至关重要,所以同意进行尸检的亲属展现出了真正的同情心和人类团结精神。

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