79例小儿尸检病例的临床与病理诊断对照分析

７９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，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例误诊均结核病。提示对新生和疾病诊断时，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民儿科医生的高度重视

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

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 approximately 28 days, approximately 5 years, approximately 10 years and approximately 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.