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诊断病理学家的COVID-19概述:临床病理相关性与诊断技术

An overview of COVID-19 for diagnostic pathologists: clinicopathological correlation and diagnostic techniques.

作者信息

Ghosh Abhisek, Colling Richard

机构信息

, Histopathology Registrar, Department of Cellular Pathology, John Radcliffe Hospital, Oxford, UK. Clinical Lecturer in Cellular Pathology, University of Oxford, Oxford, UK. Conflicts of interest: none declared.

, Honorary Consultant in Histopathology, Department of Cellular Pathology, John Radcliffe Hospital, Oxford, UK. Senior Clinical Research Fellow in Cellular Pathology, University of Oxford, Oxford, UK. Conflicts of interest: none declared.

出版信息

Diagn Histopathol (Oxf). 2020 Nov;26(11):529-536. doi: 10.1016/j.mpdhp.2020.06.001. Epub 2020 Jun 8.

Abstract

The emergence of COVID-19 as a global pandemic has led to a rapid focus on understanding its pathobiology. The constellation of clinical, histological and laboratory findings seen in these patients is similar to other forms of viral pneumonia, but somewhat distinctive aspects exist which may raise the index of suspicion for this disease. The pathological findings are not limited to the respiratory system; cardiovascular, gastrointestinal and renal abnormalities have also been described. Establishing a link between the clinical features and macroscopic and microscopic findings is not only important for the practicing autopsy pathologist, but also for understanding of the disease as a whole. Furthermore, context-sensitive interpretation of diagnostic tests is essential. This article aims to review understanding of clinicopathological correlation in COVID-19, as well as clarifying the role of current diagnostic techniques.

摘要

新型冠状病毒肺炎(COVID-19)作为全球大流行疾病的出现,促使人们迅速聚焦于了解其病理生物学。这些患者出现的一系列临床、组织学和实验室检查结果与其他形式的病毒性肺炎相似,但也存在一些独特之处,这可能会提高对该疾病的怀疑指数。病理检查结果不仅限于呼吸系统;心血管、胃肠道和肾脏异常也有相关描述。建立临床特征与大体及微观检查结果之间的联系,不仅对从事尸检病理工作的病理学家很重要,对于整体理解该疾病也很重要。此外,对诊断检测进行结合具体情况的解读至关重要。本文旨在综述对COVID-19临床病理相关性的认识,以及阐明当前诊断技术的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12ed/7834147/1518c906ef82/gr1_lrg.jpg

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