心血管疾病临床诊断与尸检病理分析

目的 探讨心血管疾病死亡或其他疾病并发心脏损害的患者临床尸检结果.方法 对86例死亡原因不确定的患者进行完整尸体解剖,结合临床诊治经过、尸检肉眼所见及镜下观察结果,确定引发死亡的主要病因.结果 86例尸检中有心脏病变69例.比较病理诊断和临床诊断的差异,心源性死亡患者27例,诊断相符率为81.5%;非心脏性疾病但并发或累及心脏并加速患者死亡42例,诊断相符率为78.6%.结论 科学准确地进行尸体解剖,不但可明确死因,而且丰富和发展相关临床学科的内容,对提高诊治水平具有重要意义.

Abstract：

Objective To investigate the clinical autopsy results of patients died of cardiovascular disease or other disease complicated with cardiac damage. Methods Complete autopsy was performed on 86 cases with uncertain cause of death. Through integrating clinical diagnosis and treatment with gross autopsy findings and microscopic observations, 86 autopsies were determined the major cause of death. Results In 86 autopsies, 69 cases were heart disease. Differences between pathological diagnosis and clinical diagnosis were compared. Twenty-seven cases were cardiac deaths, with diagnosis accrodance rate of 81. 5%. Fortytwo cases died of non-cardiac disease but complicated with heart disease or involving the heart which accelerated the death in patients, with accordance rate of 78.6%. Conclusion Scientific and correct performance of autopsy was important to determine the causes of death, to promote development of related disciplines and to improve the diagnosis and treatment of the diseases.

The clinicopathologic analysis in autopsy patients with cardiovascular disease

Objective To investigate the clinical autopsy results of patients died of cardiovascular disease or other disease complicated with cardiac damage. Methods Complete autopsy was performed on 86 cases with uncertain cause of death. Through integrating clinical diagnosis and treatment with gross autopsy findings and microscopic observations, 86 autopsies were determined the major cause of death. Results In 86 autopsies, 69 cases were heart disease. Differences between pathological diagnosis and clinical diagnosis were compared. Twenty-seven cases were cardiac deaths, with diagnosis accrodance rate of 81. 5%. Fortytwo cases died of non-cardiac disease but complicated with heart disease or involving the heart which accelerated the death in patients, with accordance rate of 78.6%. Conclusion Scientific and correct performance of autopsy was important to determine the causes of death, to promote development of related disciplines and to improve the diagnosis and treatment of the diseases.