Midelfart J, Aase S
Institutt for morfologi, Regionsykehuset i Trondheim.
Tidsskr Nor Laegeforen. 1997 May 10;117(12):1784-5.
We have reviewed the reports from 222 autopsies performed during one year (1994) at our Department of Pathology. The majority (74%) of all autopsies were performed on patients from the Department of Internal medicine at our hospital. Autopsy findings were correlated with the clinically suspected causes of death, as revealed by the death certificates and the clinical information in the written requests for autopsies. The direct cause of death, as found at autopsy, had been suspected by the clinicians in 70% of cases. The underlying cause of death, as found by the pathologists at autopsy, had been diagnosed by the clinicians in 75% of the cases. In 26 cases (12%) the underlying cause of death had neither been diagnosed nor suspected by the clinicians. In the last mentioned group, 77% of the patients were more than 70 years of age. In six cases where the underlying cause of death had not been diagnosed or suspected by the clinicians, the findings at autopsy were classified as type-1 findings. These are findings, if they had been known when the patient was still alive would probably have led to therapy that night have improved the prognosis.
我们回顾了1994年在我们病理科进行的222例尸检报告。所有尸检中的大多数（74%）是对我院内科的患者进行的。尸检结果与死亡证明及尸检书面申请中的临床信息所显示的临床怀疑死因相关。尸检发现的直接死因，临床医生在70%的病例中曾怀疑过。病理学家在尸检中发现的潜在死因，临床医生在75%的病例中曾诊断过。在26例（12%）病例中，临床医生既未诊断也未怀疑过潜在死因。在上述最后一组中，77%的患者年龄超过70岁。在临床医生未诊断或怀疑潜在死因的6例病例中，尸检结果被归类为1型发现。这些发现如果在患者还活着时就已知晓，可能会导致当晚进行治疗，从而改善预后。
