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本文引用的文献

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Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice.医疗事故中临床诊断与后续尸检结果的比较。
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Discrepancies between clinical and autopsy diagnoses: a comparison of university, community, and private autopsy practices.临床诊断与尸检诊断之间的差异:大学、社区和私人尸检实践的比较。
Am J Clin Pathol. 2008 Jan;129(1):102-9. doi: 10.1309/9M7DFE62RTDKHH4D.
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Premortem clinical diagnoses and postmortem autopsy findings: discrepancies in critically ill cancer patients.临终前临床诊断与尸检结果:重症癌症患者中的差异
Crit Care. 2007;11(2):R48. doi: 10.1186/cc5782.
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Comparison of clinical and post-mortem findings in intensive care unit patients.重症监护病房患者临床与尸检结果的比较。
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Discrepancies between clinical and autopsy diagnosis and the value of post mortem histology; a meta-analysis and review.临床诊断与尸检诊断之间的差异以及尸检组织学的价值;一项荟萃分析与综述
Histopathology. 2005 Dec;47(6):551-9. doi: 10.1111/j.1365-2559.2005.02243.x.
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Trends of accuracy of clinical diagnoses of the basic cause of death in a university hospital.某大学医院中死因基本病因临床诊断准确性的趋势
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Autopsy 101 (CE).
Geriatr Nurs. 2003 Nov-Dec;24(6):330-7. doi: 10.1016/j.gerinurse.2003.09.007.
8
Discrepancies between clinical and postmortem diagnoses in critically ill patients: an observational study.重症患者临床诊断与尸检诊断之间的差异:一项观察性研究。
Crit Care. 2003 Dec;7(6):R129-32. doi: 10.1186/cc2359. Epub 2003 Sep 5.
9
Analysis of the sensitivity of death certificates in 440 hospital deaths: a comparison with necropsy findings.440例医院死亡病例死亡证明的敏感性分析:与尸检结果的比较
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10
The value of histological examination in the audit of hospital autopsies: a quantitative approach.组织学检查在医院尸检审核中的价值:一种定量方法。
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临床研究还是尸检?尸检的重要性:一项回顾性研究。

Clinical or postmortem? The importance of the autopsy; a retrospective study.

作者信息

Costache Mariana, Lazaroiu Anca Mihaela, Contolenco Andreea, Costache Diana, George Simion, Sajin Maria, Patrascu Oana Maria

机构信息

Department of Pathology, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania ; Department of Pathology, Emergency University Hospital Bucharest, Romania.

Department of Pathology, Emergency University Hospital Bucharest, Romania.

出版信息

Maedica (Bucur). 2014 Sep;9(3):261-5.

PMID:25705288
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4305994/
Abstract

Medicine is continually evolving; the new technologies of diagnosis and treatment continue to improve the life expectancy and lead to new information concerning various pathologies. The autopsy is viewed more and more as an ultimate branch of medicine and used only in extreme cases or for forensic purposes. Nevertheless, many studies, including this one, prove the utility and indispensability of the autopsies, without which a complete and accurate diagnosis cannot be made. Finally, the autopsy followed by histopathological examination of the tissues remains the ultimate and most important step for the apprehension of the diseases and for further evolution of medicine. This study reveals the correspondence rate between the clinical and the postmortem diagnosis, as well as between macroscopic and histopathological diagnosis.

摘要

医学在不断发展;诊断和治疗的新技术持续提高预期寿命,并带来有关各种病症的新信息。尸检越来越被视为医学的一个终极分支,仅在极端情况下或用于法医目的。然而,包括本研究在内的许多研究证明了尸检的实用性和不可或缺性,没有尸检就无法做出完整准确的诊断。最后,尸检后对组织进行组织病理学检查仍然是了解疾病和医学进一步发展的终极且最重要的步骤。本研究揭示了临床诊断与死后诊断之间以及宏观诊断与组织病理学诊断之间的符合率。