Bernicker E H, Atmar R L, Schaffner D L, Greenberg S B
Department of Medicine, Baylor College of Medicine, Houston, Texas 77030, USA.
Am J Med Sci. 1996 May;311(5):215-20. doi: 10.1097/00000441-199605000-00004.
The authors set out to evaluate the use of the autopsy in an urban public teaching hospital setting during the AIDS era. Demographic and length of hospital stay data were obtained from weekly mortality review reports on all patients dying on the medicine service between 1/1/92 and 12/31/93. Clinical and autopsy diagnoses were compared for those patients who had autopsies. The autopsy rate was 16% (152/974). Significant, unsuspected diagnoses were found in 35% (53/152) of the cases, with infections, pulmonary emboli, and myocardial infarctions being most common. Human immunodeficiency virus-infected patients had a greater percentage of unsuspected findings (55%, 23/42), and many of these also were from an infectious etiology. The authors conclude that valuable, unsuspected information frequently can be obtained from autopsies in this clinical setting.
作者着手评估在艾滋病时代城市公立教学医院环境中尸体解剖的使用情况。人口统计学和住院时间数据来自1992年1月1日至1993年12月31日期间内科病房所有死亡患者的每周死亡率审查报告。对进行尸体解剖的患者的临床诊断和尸检诊断进行了比较。尸检率为16%（152/974）。在35%（53/152）的病例中发现了重要的、未被怀疑的诊断，其中感染、肺栓塞和心肌梗死最为常见。感染人类免疫缺陷病毒的患者未被怀疑的发现比例更高（55%，23/42），其中许多也源于感染病因。作者得出结论，在这种临床环境中，经常可以从尸体解剖中获得有价值的、未被怀疑的信息。
