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2004•Acta Acadimae Qingdao UmvesitatisRequires access

AUTOPSY: AN ANALYSIS OF 558 CASES

Fang Ji

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Abstract

Objective To study the changes in autopsy rate between 1970 and 2002, and to analyze the accordance between major diseases distribution and clinical diagnosis accuracy in different periods. Methods 558 cases of autopsies were analyzed to study the accordance between pathological and clinical diagnosis. Results The total disagreement rate of clinical diagnosis and pathological findings was 34.59%, with the highest in 1990-1999 (39.78%), and the lowest in 1980-1989(33.20%). Diagnostic errors were most common in parasitic diseases(66.67%), blood diseases(63.64%), and infectious diseases(61.54%). Most errors occurred in respiratory, congenital and cardiovascular diseases. Conclusion Autopsy is very important to increase the accuracy of clinical diagnosis.

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What this paper is about

Objective To study the changes in autopsy rate between 1970 and 2002, and to analyze the accordance between major diseases distribution and clinical diagnosis accuracy in different periods. Methods 558 cases of autopsies were analyzed to study the accordance between pathological and clinical diagnosis. Results The total disagreement rate of clinical diagnosis and pathological findings was 34.59%, with the highest in 1990-1999 (39.78%), and the lowest in 1980-1989(33.20%). Diagnostic errors were most common in parasitic diseases(66.67%), blood diseases(63.64%), and infectious diseases(61.54%). Most errors occurred in respiratory, congenital and cardiovascular diseases. Conclusion Autopsy is very important to increase the accuracy of clinical diagnosis.

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Available abstract

Objective To study the changes in autopsy rate between 1970 and 2002, and to analyze the accordance between major diseases distribution and clinical diagnosis accuracy in different periods. Methods 558 cases of autopsies were analyzed to study the accordance between pathological and clinical diagnosis. Results The total disagreement rate of clinical diagnosis and pathological findings was 34.59%, with the highest in 1990-1999 (39.78%), and the lowest in 1980-1989(33.20%). Diagnostic errors were most common in parasitic diseases(66.67%), blood diseases(63.64%), and infectious diseases(61.54%). Most errors occurred in respiratory, congenital and cardiovascular diseases. Conclusion Autopsy is very important to increase the accuracy of clinical diagnosis.

Key concepts: Autopsy, Pathological, Medicine, Clinical diagnosis, Pediatrics, Pathology

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