Nekachalov V V
Arkh Patol. 1990;52(11):14-7.
The incidence of iatrogenic diseases on the basis of necropsy materials in Leningrad in 1988 is 1.2% (168 of 13928 necropsies). The categories (I, II, III) for the evaluation of the severity degree of iatrogenic diseases are suggested. The I category includes iatrogenic diseases which were the cause of death (58 cases or 0.41% of total number of necropsies). The II category: iatrogeny is not connected directly with the main disease but facilitated the development of severe complications (87 cases--0.62%). The III category: iatrogenic diseases did not play a considerable role in the thanatology. The necessity is underlined to discuss iatrogenic pathology at the clinicopathologic conferences establishing its causes and the degree of severity.
根据1988年列宁格勒尸检材料得出的医源性疾病发病率为1.2%(13928例尸检中有168例)。文中提出了评估医源性疾病严重程度的类别(I、II、III类)。I类包括作为死亡原因的医源性疾病(58例,占尸检总数的0.41%)。II类:医源性因素虽与主要疾病无直接关联,但促使了严重并发症的发生(87例,占0.62%)。III类:医源性疾病在死因学中未起重要作用。强调有必要在临床病理讨论会上探讨医源性病理学,确定其病因及严重程度。