Mergner W J, Sutherland J C, Tigertt W D, Trump B F
Arch Pathol Lab Med. 1980 Apr;104(4):167-70.
Autopsies are important in the quality control of medical practice, in research, and in teaching. We have attempted to realize more of the service, teaching, and research potential from doing autopsies. The key of all efforts is the involvement of the senior staff. This involvement should be made possible by supporting such a person by a qualified team that consists of the mortuary service, pathologist's assistants, and highly trained and qualified residents. Such a staff person can direct his or her attention toward improving communication with clinicians, answering open questions in-depth, encouraging collaborative clinicopathological projects, developing new approaches to the performance of autopsies, such as the immediate autopsy, and using special laboratory modalities, such as electron microscopy and immunofluorescence. Computer storage of autopsy data and retrieval for special studies seem to make autopsy data available and usable. It is most important that autopsies be performed, that they be done well, and that their findings be carefully evaluated using all available scientific tools and, finally, that the results are adequately communicated.
尸检在医疗实践的质量控制、研究和教学中都很重要。我们试图从尸检中挖掘更多的服务、教学和研究潜力。所有努力的关键在于资深工作人员的参与。应通过由太平间服务人员、病理学家助理以及训练有素且资质合格的住院医师组成的专业团队来支持这样的人员,从而使其能够参与其中。这样的工作人员可以将注意力转向改善与临床医生的沟通、深入解答未解决的问题、鼓励开展临床病理协作项目、开发新的尸检方法(如即时尸检)以及使用特殊的实验室技术(如电子显微镜检查和免疫荧光)。对尸检数据进行计算机存储并用于专项研究,似乎能使尸检数据变得可用且实用。至关重要的是要进行尸检,要做好尸检工作,要使用所有可用的科学工具仔细评估尸检结果,最后,要充分交流结果。