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尸检。最后的核查。

The autopsy. The ultimate audit.

作者信息

Gambino S R

出版信息

Arch Pathol Lab Med. 1984 Jun;108(6):444-5.

PMID:6547293
Abstract

Four hundred twenty-eight autopsy cases were reviewed at a departmental conference over a 4 1/2-year period. All diagnostic test data were discussed before the results of the autopsies were known, and the participants tried to extract the maximum diagnostic information from the clinical findings and the test data. Fifty-two percent of the autopsy cases failed to provide any additional major insight; premortem clinical and laboratory findings were sufficient for diagnosis. In the remaining 48%, however, the autopsies contributed to the improvement of medical care.

摘要

在一次部门会议上,对428例尸检病例进行了为期4年半的回顾。在尸检结果出来之前,讨论了所有诊断测试数据,与会者试图从临床发现和测试数据中提取最大的诊断信息。52%的尸检病例未能提供任何额外的主要见解;生前临床和实验室检查结果足以做出诊断。然而,在其余48%的病例中,尸检有助于改善医疗护理。

相似文献

1
The autopsy. The ultimate audit.尸检。最后的核查。
Arch Pathol Lab Med. 1984 Jun;108(6):444-5.
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Medical autopsy: whose gain is it? An audit.医学尸检:谁从中获益?一项审计。
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Comparison of premortem clinical diagnosis and autopsy findings in patients with burns.烧伤患者生前临床诊断与尸检结果的比较。
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What new information pediatric autopsies can provide: a retrospective evaluation of 100 consecutive autopsies using family-centered criteria.儿科尸检能提供哪些新信息:采用以家庭为中心的标准对连续100例尸检进行回顾性评估。
Arch Pediatr Adolesc Med. 2007 Dec;161(12):1190-6. doi: 10.1001/archpedi.161.12.1190.
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[The evaluation of autopsy in the pediatric intensive unit].[儿科重症监护病房尸体解剖的评估]
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Medical certification of causes of death in an Australian metropolitan hospital. Comparison with autopsy findings and a critical review.澳大利亚一家大都市医院的死因医学认证。与尸检结果的比较及批判性综述。
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The value of the perinatal and neonatal autopsy.围产期和新生儿尸检的价值。
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Are autopsies useful? Do premorbid findings predict postmortem results in head and neck cancer patients?尸检有用吗?病前检查结果能否预测头颈癌患者的尸检结果?
Ann R Coll Surg Engl. 2002 Mar;84(2):133-6.

引用本文的文献

1
Is autopsy dead in the ICU?尸检在重症监护病房中过时了吗?
Intensive Care Med. 2003 Apr;29(4):522-5. doi: 10.1007/s00134-002-1631-9. Epub 2003 Mar 18.
2
Autopsy and medical education: a review.尸检与医学教育:综述
J R Soc Med. 1994 Apr;87(4):232-6.
3
Can histopathologists diagnose bronchopneumonia?组织病理学家能诊断支气管肺炎吗?
J Clin Pathol. 1995 Feb;48(2):120-3. doi: 10.1136/jcp.48.2.120.
4
Autopsy rate in younger and older hospitalized patients.年轻和老年住院患者的尸检率。
Eur J Epidemiol. 1986 Jun;2(2):151-7. doi: 10.1007/BF00157027.
5
Assessing the autopsy.评估尸检情况。
Am J Pathol. 1987 Aug;128(2):362-79.
6
Death certification: increased clinical confidence in diagnosis and lack of interest in confirmation by necropsy is not justified.死亡证明:临床诊断信心增强且对尸检确认缺乏兴趣是不合理的。
J Clin Pathol. 1989 Jan;42(1):13-7. doi: 10.1136/jcp.42.1.13.