[老年机构中的老年痴呆症——临床诊断与病理诊断之间的符合率]
[Senile dementia in institutions for the elderly--agreement rate between clinical and pathological diagnoses].
作者信息
Inagaki T
机构信息
Department of Internal Medicine, Nagoya-Shi Koseiin Geriatric Hospital, Nagoya, Japan.
出版信息
Yakubutsu Seishin Kodo. 1993 Aug;13(4):263-7.
A study was performed to assess the occurrence of senile dementia in institutions for the elderly. In a total of 747 cases examined in 1986 we diagnosed 316 (42.3%) to be suffering from dementia. The patients were subdivided by etiology into 4 categories: Vascular type (VD) 51.6%, Alzheimer type (DAT) 21.8%, Mixed type 9.2% and others 17.4%. Subsequently 124 of these demented patients died and autopsies were performed on 104 cases by 1990. Final clinical diagnoses were made and correction of initial diagnoses was necessary in 15 cases. The agreement rate between final clinical and pathological diagnoses was 79.8% for all 104 cases where data was available. For individual categories treated separately, the rates were VD 83.3%, DAT 89.3%, Mixed 64.7% and others 63.6%.
一项旨在评估老年机构中老年人患老年痴呆症情况的研究展开。在1986年检查的总共747例病例中，我们诊断出316例（42.3%）患有痴呆症。患者按病因分为4类：血管型（VD）占51.6%，阿尔茨海默型（DAT）占21.8%，混合型占9.2%，其他类型占17.4%。随后，这些痴呆患者中有124人死亡，到1990年对104例进行了尸检。做出了最终临床诊断，15例需要对初始诊断进行修正。在所有可获取数据的104例病例中，最终临床诊断与病理诊断的符合率为79.8%。对于单独处理的各个类别，符合率分别为：VD 83.3%，DAT 89.3%，混合型64.7%，其他类型63.6%。
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