Istomin G P
Vestn Khir Im I I Grek. 1977 Oct;119(10):136-8.
The paper deals with the analysis of diagnostic errors and lethality causes among the victims of traffic accidents. It was found that 40.75% of cases died from craniocerebral injuries, 32.5%-from traumatic shock and blood loss. Complete coincidence of clinical and medicolegal diagnosis was in 47.05% of cases, and complete discrepancy in 8.13%. The greatest number of errors are concerned with the diagnosis and treatment of chest and abdomen injuries. The least number of errors were made in big multiprofile clinics with well organized reanimation service. Some recommendations on the improvement of the organization of the treatment of traffic accident cases, ways of preventing diagnostic errors and the decrease of lethality are suggested.
本文探讨交通事故受害者诊断错误及致死原因分析。研究发现,40.75%的病例死于颅脑损伤,32.5%死于创伤性休克和失血。临床诊断与法医诊断完全相符的病例占47.05%,完全不符的占8.13%。错误最多的是胸部和腹部损伤的诊断与治疗。大型综合诊所且复苏服务组织良好的情况下错误最少。文中针对交通事故病例治疗组织的改进、预防诊断错误及降低致死率提出了一些建议。