尸检在围手术期死亡中的价值。
Value of the necropsy in perioperative deaths.
作者信息
Shanks J H, McCluggage G, Anderson N H, Toner P G
机构信息
Queen's University Department of Pathology, Royal Victoria Hospital, Belfast, Northern Ireland.
出版信息
J Clin Pathol. 1990 Mar;43(3):193-5. doi: 10.1136/jcp.43.3.193.
A series of 213 perioperative deaths was studied out of a total of 1451 consecutive necropsies carried out over three years. Discrepancies between the clinical and the necropsy diagnosis were assessed under four classes of discrepant diagnosis: class I, patient survival affected, treatable; class II, patient survival affected but not treatable; class III, correlated to cause of death but treatable; and class IV, incidental diagnosis which could not have been made before death. Major discrepancies of classes I and II were found in 44 (21%) and 62 (29%) cases, respectively. Minor discrepancies of classes III and IV were found in 63 (30%) and 101 (47%) cases, respectively. No discrepancies were found in 50 (23.5%) cases. These results confirm the continuing value of the necropsy in the assessment of perioperative deaths.
在三年期间连续进行的1451例尸检中，对其中213例围手术期死亡病例进行了研究。根据四类诊断差异评估临床诊断与尸检诊断之间的差异：I类，影响患者生存且可治疗；II类，影响患者生存但不可治疗；III类，与死亡原因相关但可治疗；IV类，死前无法做出的偶然诊断。I类和II类的主要差异分别在44例（21%）和62例（29%）病例中发现。III类和IV类的次要差异分别在63例（30%）和101例（47%）病例中发现。5个月（23.5%）病例未发现差异。这些结果证实了尸检在评估围手术期死亡中的持续价值。
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