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79例小儿尸检病例的临床与病理诊断对照分析

A comparative analysis of clinical and pathologic diagnoses in 79 pediatric autopsy cases

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【作者】 赵玲玲杨宇嘉程瑞雪

【Author】 Zhao Linlin Yian Yujia Chen Reixie (Department of Pediatrics, Xiangya Hospital, Hunan Medical University, Changsha 410008)

【机构】 湖南医科大学病理学教研室

【摘要】 9例小儿尸检病例的临床与病理诊断作对照分析。结果显示:14例误诊,误诊率为1772%;在~28d,~5岁,~10岁和~14岁4个小儿年龄组中,新生儿组误诊率为2963%,明显高于其他年龄组(P<0.05),且日龄越小误诊率越高;呼吸系统疾病是误诊的主要病种,占4286%;而年长儿的2例误诊均为结核病。提示对新生儿疾病诊断时,要详细了解围生期情况,积极寻找原发病;结核病对儿童的致命威胁应引起儿科医生的高度重视。

【Abstract】 This study is a comparative analysis between pathologic and clinical diagnoses of 79 pediatric autopsy cases. We found that 14 cases were misdiagnosed. The rate of misdiagnosis is 17.72%. The 79 cases were divided into four groups of children aged ~28 days, ~5 years, ~10 yeras and ~14 years, the rate of misdiagnosis of the first group is 29.63%. This rate is apparently higher than other age groups( P <0.05). The younger the age group is, the higher the chances of misdiagnosis. Respiratory disease was the main misdiagnosis rating 42.86%, while the two misdiagnosed cases were found to be tuberculosis. We suggest that doctors be aware of the perinatal factor when they diagnose newborns and try to find out the primary cause of illness, the threat of tuberculosis to children. Pediatricians should heed.

【关键词】 尸体解剖诊断误诊儿童
【Key words】 autopsydiagnosemisdiagnosischildren
  • 【文献出处】 湖南医科大学学报 ,BULLETIN OF HUNAN MEDICAL UNIVERSITY , 编辑部邮箱 ,1999年03期
  • 【分类号】R361.1
  • 【被引频次】3
  • 【下载频次】24
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