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在患有致命疾病的儿童中，主动脉缩窄在生前被正确诊断的频率是多少？对医疗和尸检记录的回顾性研究。

How often is coarctation of aorta correctly diagnosed antemortem in children with fatal illnesses? A retrospective review of medical and autopsy records.

作者信息

Karande S, Kumar S, Vaideeswar P

机构信息

Department of Pediatrics, Seth G. S. Medical College and K. E. M. Hospital, Parel, Mumbai, Maharashtra, India.

Department of Pathology (Cardiovascular and Thoracic Division), Seth G. S. Medical College and K. E. M. Hospital, Parel, Mumbai, Maharashtra, India.

出版信息

J Postgrad Med. 2020 Jul-Sep;66(3):169-171. doi: 10.4103/jpgm.JPGM_125_20.

DOI:10.4103/jpgm.JPGM_125_20
PMID:32675455
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7542064/
Abstract

This retrospective study analyzed the level of concordance between clinical and autopsy diagnosis of coarctation of aorta over 10 years. Utilizing the Goldmann classification, the concordance rate was found to be 16%. Major discrepancies (Class I and II) were found in 56% cases and minor discrepancies (Class III and IV) in 28% cases.

摘要

这项回顾性研究分析了10年间主动脉缩窄临床诊断与尸检诊断之间的一致性水平。采用戈德曼分类法，发现一致性率为16%。在56%的病例中发现了主要差异（I类和II类），在28%的病例中发现了次要差异（III类和IV类）。

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本文引用的文献

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Evaluation of the discrepancy between clinical diagnostic hypotheses and anatomopathological diagnoses resulting from autopsies.评价临床诊断假设与尸检解剖病理诊断之间的差异。
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It Is Not Always Sepsis: Fatal Tachypnea in a Newborn.并非总是败血症：新生儿致命性呼吸急促
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World J Cardiol. 2015 Nov 26;7(11):765-75. doi: 10.4330/wjc.v7.i11.765.
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Diagnostic Value of Transthoracic Echocardiography in Patients with Coarctation of Aorta: The Chinese Experience in 53 Patients Studied between 2008 and 2012 in One Major Medical Center.经胸超声心动图对主动脉缩窄患者的诊断价值：2008年至2012年在一家大型医疗中心对53例患者的中国经验
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