小儿尸检临床及病理对照分析

Compare of clinic and pathology in 36 pediatrical autopsies

目的 评价分析小儿尸检 36例的结果。方法 对比 36例小儿尸检病历的临床及病理诊断。结果36例小儿尸检中 ,新生儿尸检 17例 ,临床诊断基本符合 5例 ,临床诊断不符 9例 ,待诊 3例 ;2 8天 - 2岁 12例 ,临床诊断基本符合 9例 ,临床诊断不符 1例 ,待诊 2例 ;2 - 12岁 7例 ,临床诊断基本符合 2例 ,临床诊断不符 1例 ,待诊 4例。结论 分析表明 ,尸检是帮助临床医师提高诊治水平的重要手段。

Objectives To evaluate and analize the result of 36 pediatrical autopsies.Methods To contrast clinical with pathologic diagnosis were performed in 36 pediatrical autopsies.Results Among 17 autopsies of newborn,clinical diagnosis accorded with pathologic results in 5 cases,incorrect antemortem diagnosis were 9 cases,unconfirmed clinical diagnoses were 3 cases .Among 12 autopsies between 28 day to 2 years,clinical diagnosis accorded with pathologic results in 9 cases ,incorrect antemortem diagnosis was 1 case,unconfirmed clinical diagnoses were 2 cases?Among 7 autopsies between 2-12 years,clinical diagnosis accorded with pathologic results in 2 cases ,incorrect antemortem diagnosis was 1 case,unconfirmed clinical diagnoses were 4 cases.Conclusions This suggests that autopsies play a important role of confirming or correcting clinical diagnosis.