van Ingen G, Meijer C J
Academisch Ziekenhuis Vrije Universiteit, afd. Pathologie, Amsterdam.
Ned Tijdschr Geneeskd. 1994 Apr 9;138(15):767-70.
To evaluate the reasons for autopsies requested by general practitioners, compared with autopsies requested by clinicians.
Retrospective descriptive comparative study.
Department of Pathology, Free University Hospital, Amsterdam; Medical Centre Alkmaar; Regional Laboratory Twente, Enschede and Regional Pathology Laboratory, Blaricum.
In a series of 303 autopsies requested by general practitioners, the reasons for the autopsy were divided into the following categories: sudden unexpected death, short fatal course of disease, intrauterine and perinatal death, evaluation of a protracted course of disease, non-natural death, and others. Results were compared with two series of 2961 and 1747 autopsies performed for clinicians in a university hospital and a non-university hospital, respectively.
General practitioners requested autopsy mainly in cases of sudden unexpected death (48.2%) and short fatal courses of disease (16.5%). For the autopsies requested by clinicians in the university hospital these figures were 6.1% and 15.5%, respectively, in the non-university hospital 9.1% and 18.2%. Owing to the autopsies requested the percentage of cases with unknown or uncertain cause of death was reduced from 67.1% to 14.4%.
General practitioners mainly request autopsy when important questions of themselves or of the bereaved need to be answered. Thresholds for autopsy, including financial ones, need to be eliminated to enable general practitioners to request autopsies.
评估全科医生要求进行尸检的原因，并与临床医生要求进行尸检的原因作比较。
回顾性描述性对比研究。
阿姆斯特丹自由大学医院病理科；阿尔克马尔医疗中心；埃因霍温特温特地区实验室和布莱里姆地区病理实验室。
在全科医生要求进行的一系列303例尸检中，尸检原因分为以下几类：猝死、疾病致死病程短、宫内及围产期死亡、评估疾病的迁延病程、非自然死亡及其他。将结果与分别在一所大学医院和一所非大学医院为临床医生进行的2961例和1747例尸检的两个系列进行比较。
全科医生主要在猝死（48.2%）和疾病致死病程短（16.5%）的病例中要求进行尸检。对于大学医院临床医生要求进行的尸检，这些数字分别为6.1%和15.5%，在非大学医院分别为9.1%和18.2%。由于进行了这些尸检，死因不明或不确定的病例百分比从67.1%降至14.4%。
全科医生主要在自身或死者家属的重要问题需要得到解答时要求进行尸检。需要消除包括经济因素在内的尸检门槛，以使全科医生能够要求进行尸检。
