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本组资料包括我院在大连和遵义两地40年间完成的尸检2389例,其中大医20年间(1949～1968年)完成1783例,占74.6％;遵医20年间(1969～1988年)完成696例。占25.4％,大医尸检量是遵医的2.9培。遵医尸检率为12.7％。两地前三位疾病构成类同,依次为呼吸系统疾病、传染寄生虫性疾病。消化系统疾病。各年龄组第一位致死疾病各不相同:围产期及婴幼儿组为呼吸系统疾病,少儿组为传染寄生虫性疾病,青壮年组为循环系统疾病,老年组为恶性肿瘤。临床诊断与病理诊断不符合率为34.3％,以结核病的不符合率最高,其次是恶性肿瘤。本文还就两地尸检量之差异的原因,疾病组成特点以及提高尸检率和诊断符合率的意义进行了讨论。
This group of data includes 2389 cases of autopsies completed in 40 years between Dalian and Zunyi in our hospital. Among them, 1783 cases (74.6%) were completed in 20 years (1949-1968) of major hospitals, and completed in 20 years (1969-1988) 696 cases. Accounting for 25.4%, medical autopsy volume is compliance with 2.9 training. Compliance with medical autopsy was 12.7%. The top three diseases in both places constitute similarities, followed by respiratory diseases and parasitic diseases. Digestive system diseases. The first lethal disease in each age group varied from perinatal and infancy to respiratory disease, juvenile to infectious parasitic diseases, young and middle aged adults with circulatory diseases, and elderly patients with malignant tumors. Clinical diagnosis and pathological diagnosis of non-compliance rate was 34.3%, the highest rate of non-compliance with tuberculosis, followed by malignant tumors. This article also discussed the difference between the two autopsy volume, the characteristics of disease composition and the significance of improving the autopsy rate and diagnosis coincidence rate.