Navone R, Valente G, Angelino P F
G Ital Cardiol. 1980;10(7):892-6.
20091 autopsies performed in the period 1946-77 yielded 110 cases of infective endocarditis. The anatomical findings were compared with those of published studies on groups of patients of similar age groups. The diagnosis of infective endocarditis was suspected during the life in 40.6% of patients below 50 years of age, in 10.8% over 50 and in none of the patients over 70. Moreover the diagnostic accuracy was down from 36.8% in the 1946-61 period to 23.3% in the 1962-77 period. These negative data are discussed, emphasizing usefulness of autopsy as a systematic check on clinical diagnosis in practical medicine, and especially in geriatric medicine.
1946年至1977年间进行的20091例尸检中发现了110例感染性心内膜炎。将解剖学发现与针对相似年龄组患者群体的已发表研究结果进行了比较。50岁以下患者中有40.6%在生前被怀疑患有感染性心内膜炎，50岁以上患者中有10.8%被怀疑患有，而70岁以上患者中无人被怀疑患有。此外，诊断准确率从1946年至1961年期间的36.8%降至1962年至1977年期间的23.3%。对这些负面数据进行了讨论，强调了尸检作为临床医学尤其是老年医学中对临床诊断进行系统核查的有用性。
