Walewska-Zielecka B
Zakład Immunopatologii Państwowego Zakładu Higieny w Warszawie.
Przegl Epidemiol. 1995;49(4):353-9.
Pathomorphological studies were performed in 60 HIV-infected patients and the accuracy of clinical diagnoses of infections and neoplasms was evaluated. In 5 cases clinical diagnosis of AIDS was not confirmed at autopsy. 114 infections and neoplasms were found in 55 AIDS-patients, of these 80 (70%) were not diagnosed clinically. Clinical diagnosis of the cause of death was consistent with morphological findings in 24 AIDS cases (45.5%). The results justify a plea for a close co-operation of clinicians, microbiologists and pathologists to improve the accuracy of clinical diagnoses in AIDS patients. In a fatal case of AIDS a post-mortem study should always be performed.
对60例HIV感染患者进行了病理形态学研究，并评估了感染和肿瘤临床诊断的准确性。5例患者临床诊断为艾滋病，但尸检未得到证实。在55例艾滋病患者中发现了114例感染和肿瘤，其中80例（70%）临床未诊断出来。24例艾滋病病例（45.5%）的临床死因诊断与形态学结果一致。这些结果表明，临床医生、微生物学家和病理学家应密切合作，以提高艾滋病患者临床诊断的准确性。对于艾滋病死亡病例，应始终进行尸检研究。
