急诊猝死疾病构成分析与尸检结论对比

Diseases Analysis of Sudden Death in Emergency Department and in Contrast to the Clinical Diagnosis and Autopsy Findings

目的:分析急诊猝死病例临床特点,探讨尸检在临床诊断中的意义。方法:对10例急诊猝死病例回顾性研究,总结临床资料及尸检报告,比较临床诊断与尸检结论。结果:10例患者中,l例患者的生前临床诊断存在漏诊,2例生前临床诊断病因不明,7例患者生前诊断与尸检结论有差别。结论:相当部分临床诊断存在误诊和漏诊。尸检是明确诊断的主要依据。

Objective Analysis of characteristics and etiology of cases those sudden death in emergency department, Discuss the significance of autopsy findings in clinical diagnosis. Methods A cases retrospective study on 10 cases of sudden death in emergency department, Analysis of disease composition, summarize the clinical data and autopsy reports, comparing clinical diagnoses and autopsy findings. Results In 10 patients, one patient have in the presence of missed antemortem clinical diagnosis, two patients with clinical diagnosis antemortem etiology is unknown, seven patients the antemortem diagnosis and autopsy findings have different. Conclusion A considerable portion of the antemortem clinical diagnosis is in the presence of misdiagnosis and missed diagnosis. The autopsy is the definitive diagnostic method.