Suchil-Bernal L, Ponce de León-Rosales S, Osornio-Vargas A
Instituto Nacional de Cancerología, División de Investigación, México City, Tlalpan.
Arch Pathol Lab Med. 1994 Jan;118(1):71-8.
After modifying the format and content of the autopsy report traditionally used at the Instituto Nacional de Cardiología of México, Tlalpan, we present the results of the new, revised autopsy protocol here. The new autopsy protocol (model report) was designed as a "fixed format" to describe the cardiovascular diseases observed at our institution, thus pretending to collect more and better data, providing useful information, and contributing to better clinicopathologic correlations. The comparison between the model and traditional reports demonstrated an improvement in the autopsy data collection system--achieving better clinicopathologic correlations of the main disease and the cause of death, and identifying morphologic alterations that would explain it in more cases. The model report was also considered more accessible and useful since it permitted the answering of more questions raised by clinicians.
在修改了墨西哥国立心脏病学研究所（位于特拉尔潘）传统使用的尸检报告格式和内容后，我们在此展示新的、修订后的尸检方案的结果。新的尸检方案（模型报告）设计为“固定格式”，用于描述我们机构观察到的心血管疾病，从而旨在收集更多更好的数据，提供有用信息，并有助于实现更好的临床病理相关性。模型报告与传统报告之间的比较表明，尸检数据收集系统得到了改进——在主要疾病和死亡原因方面实现了更好的临床病理相关性，并在更多病例中识别出可以解释这些情况的形态学改变。该模型报告还被认为更易于获取且更有用，因为它能够回答临床医生提出的更多问题。
