A comparative study of clinical diagnoses and autopsy pathologic diagnoses in 147 pediatric autopsy cases / 重庆医科大学学报

ABSTRACT

Objective:To compare the difference between clinical diagnosis and forensic pathologic diagnosis in 147 pediatric autopsy cases.Methods:147 cases of pediatric death related to medical tangle,were autopsied by the department of forensic medicine of Chongqing medical university during 1988-2008.Statistics data including sex,age,the rank of hospital,clinical diagnosis,autopsy diagnosis,treatment time,and distribution of disease were analyzed.Results:The cases of complete coincidence between clinical diagnosis and forensic pathologic diagnosis were 45(30.6%),the cases of discordant coincidence were 32(21.8%),the cases of part coincidence were 42(28.6%),and there were 28 cases(19%)of undefinite diagnoses.The main causes of death was pneumonia.The highest misdiagnosis rate were the disease of cardiovascular system and nervous system,meanwhile the most frequently misdiagnosed diseases were myocarditis,tuberculosis and typhoid fever.Conclusion:Autopsy is one of the most objective evidence for medical tangle.It is also an important means to promote medical advances and improve the levels of clinical diagnosis and treatment.The autopsy will be improved actively.