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[一名53岁新冠肺炎男性患者的尸检CT及尸检结果]

[Findings in post-mortem CT and autopsy in a 53-year-old-man with COVID-19].

作者信息

Leth Peter Mygind, Rasmussen Claus-Henrik, Pagh Mette

出版信息

Ugeskr Laeger. 2020 Jul 6;182(28).

Abstract

In this case report, a 53-year old man died after ten days with fever and coughing and was tested positive for coronavirus disease 2019 (COVID-19). A post-mortem CT disclosed ground-glass opacities with focal consolidation in both lungs. At autopsy, the lungs were dark and heavy with increased consistency and without pleural fibrin. Microscopy of lung tissue showed diffuse alveolar damage with hyaline membranes, sparse chronic interstitial inflammation and foci of bronchopneumonia. The deceased was a non-smoker, who did not suffer from a serious illness. He was overweight (BMI = 34 kg/m2), an emerging predictor for poor outcome of COVID-19.

摘要

在本病例报告中,一名53岁男性在出现发热和咳嗽十天后死亡,新型冠状病毒肺炎(COVID-19)检测呈阳性。尸检CT显示双肺磨玻璃影伴局灶性实变。尸检时,肺脏颜色灰暗、重量增加、质地变硬且无胸膜纤维蛋白。肺组织显微镜检查显示弥漫性肺泡损伤伴透明膜形成、稀疏的慢性间质性炎症和支气管肺炎病灶。死者不吸烟,无严重疾病史。他超重(体重指数=34kg/m²),这是COVID-19预后不良的一个新的预测因素。

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