Glumov V Ia, Gabushev P I, Shumikhin K V
Arkh Patol. 1990;52(6):72-4.
Iatrogenic diseases which were an immediate cause of death or played an important role in thanatogenesis were found in 319 (14.2%) of 2250 autopsy cases of patients with surgical, therapeutical and neurosurgical pathology. Surgical iatrogenesis was established in 226 (70.8%), and therapeutical one in 59 (18.5%) cases. Revealing a neurosurgical iatrogenesis (10.7%) represented considerable difficulties. The pathologists, in the authors opinion, do not pay a sufficient attention to establishing iatrogenic pathology in spite of its constant increase during last years and the fact it occupies a considerable percentage in the morbidity structure and thanatogenesis. The necessity to respect the instructions of the ICD-9th concerning "second diseases" is outlined. The pathologists together with clinicians should try to clarify the causes of iatrogenic diseases and their true incidence.
在2250例患有外科、治疗性和神经外科病理学疾病的患者尸检病例中，发现319例（14.2%）存在作为直接死因或在死亡发生过程中起重要作用的医源性疾病。外科医源性疾病在226例（70.8%）中被确定，治疗性医源性疾病在59例（18.5%）中被确定。发现神经外科医源性疾病（10.7%）存在相当大的困难。作者认为，尽管医源性病理学在过去几年中持续增加，且在发病率结构和死亡发生过程中占相当比例，但病理学家对确定医源性病理学的重视程度仍不够。概述了遵守国际疾病分类第九版关于“继发性疾病”指示的必要性。病理学家应与临床医生一起努力阐明医源性疾病的原因及其真实发病率。
