北京大学医学部机构知识库
Advanced  
IR@PKUHSC  > 北京大学第三临床医学院  > 急诊科  > 期刊论文
学科主题: 急诊医学
题名:
急诊猝死患者尸检的特点及诊断对比分析
其他题名: Characteristics of patients before sudden death in emergency department and autopsy examination with comparison between ante-mortem diagnosis and autopsy diagnosis
作者: 张玉梅; 刘桂花; 郑亚安
关键词: 猝死 ; 尸检 ; 急诊 ; 临床诊断 ; 解剖诊断 ; 心血管原因 ; 感染性的 ; 误诊 ; Sudden death ; autopsy ; Emergency ; Antemortem clinical diagnosis ; Postmortem autopsy diagnosis ; Cardiovascular cause ; Infectious ; Clinical errors
刊名: 中华急诊医学杂志
发表日期: 2010
DOI: 10.3760/cma.j.issn.1671-0282.2010.02.020
卷: 19, 期:2, 页:185-189
收录类别: 中国科技核心期刊 ; 中文核心期刊 ; CSCD
文章类型: Journal Article
摘要: 目的 探讨在急诊科猝死患者的特点及尸体解剖诊断及与死亡前临床诊断的区别.方法 该研究对北京大学第三医院急诊科2002年1月1日至2009年12月15 日猝死的非儿科患者进行了回顾性分析,并将患者区分为尸检组和未尸检组,用t检验和x2检验进行两组比较.对尸检组患者病史及尸体解剖资料进行分析、比较死亡前临床诊断与尸体解剖诊断.结果 该研究共入选了2420例患者,尸检组8例,未尸检组2412例.与未尸检组相比,尸检组年龄较轻[(35.5±12.4)岁vs.(68.9±15.8)岁,t=5.973,P<0.001],性别分布差异无统计学意义(P>0.05).8例患者,其中3例患者为突发意识丧失而被送来诊.2例患者死亡前临床诊断与尸体解剖诊断基本相符.1例患者主要诊断不相符.5例患者通过尸体解刮明确了主要诊断.8例尸检患者中,尸体解剖诊断为心血管原因的5例、感染性的2例和其它原因1例.结论 在急诊室死亡的患者中,尸体解剖仍是明确病冈的主要手段,生前临床诊断有相当的误诊和漏诊.猝死的主要原因仍为心脏性的. Objective To identify the causes of discrepancy and to compare the clinical diagnosis and postmortem examination diagnosis in patients of sudden death with unknown etiology or with disputed causes in the emergeney department,and to analyze the discrepancy between them.Method The data of adult patients of sudden death in the emergency department of Beijing University Third Hospital,from January 1,21302 to December 15,2009,were tetrospectire reviewed.All patients were divided into the autopsy group,oup and non-autopsy group.The gender and age of the two groups were compared with Student t-test and Chi-squme test,and ante-mortem diagnoses were compared with autopsy diagnoses in autopsy group.Results A total of 2420 patients were eligible for inclusion in the study.There were 8 victims received the autopsy examination after death,while 2412 victims did not.Compsred with the non-antopsy pauents,the autopsy patients had yoanger ages[(35.5±12.4)vs.(68.9±15.8)years,t=5.973,P<0.01],but there was no significant difference in number between two genders.Three of the autopsy patients were sent to hospital by passer-by because of patients in aetate of unconsciousness.Of two patients,the ant-mortem diagnoses were consistent with the autopsy findings.There was one patient with a discrepancy between major ante-mortem diagnosis and the autopsy finding.And the major diagnoses in 5 patients were identified by autopsy examination.In all the 8 autopsy patients,the causes of death were detennined as cardiovaseular(5/8),infectious(2/8)and other(1/8).Conclusions As a last resort,autopsy is used to anthenticate the precise causes of fatal patients died in emergency department.There is a significant discrepancy rate between the ante-mortem diagnoses and autopsy findings.The major cause of sudden death in emergency department is cardiovascular disorder.
语种: 中文
原文出处: 查看原文
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/71465
Appears in Collections:北京大学第三临床医学院_急诊科_期刊论文

Files in This Item:

There are no files associated with this item.


作者单位: 北京大学第三医院急诊科,北京,100191

Recommended Citation:
张玉梅,刘桂花,郑亚安. 急诊猝死患者尸检的特点及诊断对比分析[J]. 中华急诊医学杂志,2010,19(2):185-189.
Service
Recommend this item
Sava as my favorate item
Show this item's statistics
Export Endnote File
Google Scholar
Similar articles in Google Scholar
[张玉梅]'s Articles
[刘桂花]'s Articles
[郑亚安]'s Articles
CSDL cross search
Similar articles in CSDL Cross Search
[张玉梅]‘s Articles
[刘桂花]‘s Articles
[郑亚安]‘s Articles
Related Copyright Policies
Null
Social Bookmarking
Add to CiteULike Add to Connotea Add to Del.icio.us Add to Digg Add to Reddit
所有评论 (0)
暂无评论
 
评注功能仅针对注册用户开放,请您登录
您对该条目有什么异议,请填写以下表单,管理员会尽快联系您。
内 容:
Email:  *
单位:
验证码:   刷新
您在IR的使用过程中有什么好的想法或者建议可以反馈给我们。
标 题:
 *
内 容:
Email:  *
验证码:   刷新

Items in IR are protected by copyright, with all rights reserved, unless otherwise indicated.

 

 

Valid XHTML 1.0!
Copyright © 2007-2017  北京大学医学部 - Feedback
Powered by CSpace