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对新冠疫情逝者进行尸检？绝对有必要！

Autopsies of COVID-19 deceased? Absolutely!

作者信息

Sperhake Jan-Peter

机构信息

Department of Legal Medicine, University Medical Center Hamburg-Eppendorf, Butenfeld 34, D-22529 Hamburg, Germany.

出版信息

Leg Med (Tokyo). 2020 Nov;47:101769. doi: 10.1016/j.legalmed.2020.101769. Epub 2020 Jul 26.

DOI:10.1016/j.legalmed.2020.101769
PMID:32739876
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7382931/
Abstract

Autopsies are an essential tool for understanding new diseases. Against this background, it is incomprehensible why there is great reluctance worldwide to perform autopsies on COVID-19 deceased patients. The article provides an overview of the status of the autopsy series published worldwide and shows the path taken by the city of Hamburg in Germany, where autopsies are ordered by the health authorities in the interests of disease control. The risk of infection posed by SARS-CoV-2-positive deceased persons may be overestimated. The scientific benefit that can be drawn from experience with autopsies and further examination of tissue samples is immeasurable.

摘要

尸检是了解新疾病的重要工具。在此背景下，全球范围内极不情愿对新冠死亡患者进行尸检，这令人费解。本文概述了全球已发表的尸检系列的情况，并展示了德国汉堡市所采取的路径，该市出于疾病控制的考虑，由卫生当局下令进行尸检。新冠病毒检测呈阳性的死者带来的感染风险可能被高估了。通过尸检经验以及对组织样本的进一步检查所能获得的科学益处是不可估量的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cfd/7382931/ff049cf3c355/gr5_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cfd/7382931/ff44356adb82/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cfd/7382931/14ed573deb62/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cfd/7382931/f3f69c51baa2/gr3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cfd/7382931/52ee6861bc85/gr4_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cfd/7382931/ff049cf3c355/gr5_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cfd/7382931/ff44356adb82/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cfd/7382931/14ed573deb62/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cfd/7382931/f3f69c51baa2/gr3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cfd/7382931/52ee6861bc85/gr4_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cfd/7382931/ff049cf3c355/gr5_lrg.jpg

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Unlocking the lockdown of science and demystifying COVID-19: how autopsies contribute to our understanding of a deadly pandemic.解除科学封锁并揭开新冠疫情的神秘面纱：尸检如何助力我们理解这场致命的大流行。
Virchows Arch. 2020 Sep;477(3):331-333. doi: 10.1007/s00428-020-02887-5. Epub 2020 Jul 9.
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The evolution of pulmonary pathology in fatal COVID-19 disease: an autopsy study with clinical correlation.
Pilot study in Hamburg on the prevalence of SARS-CoV-2 infections and pandemic survey in the German funeral industry.
汉堡关于 SARS-CoV-2 感染率的初步研究和德国殡葬业大流行调查。
Forensic Sci Med Pathol. 2024 Jun;20(2):500-507. doi: 10.1007/s12024-023-00661-y. Epub 2023 Jun 24.
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Postmortem lung and heart examination of COVID-19 patients in a case series from Jordan.对约旦一系列病例中新冠病毒肺炎患者进行的尸检肺和心脏检查。
J Pathol Transl Med. 2023 Mar;57(2):102-112. doi: 10.4132/jptm.2023.01.30. Epub 2023 Mar 14.
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