Kniep I, Heinemann A, Edler C, Sperhake J P, Püschel K, Ondruschka B, Schröder A S
Institute of Legal Medicine, University Medical Center Hamburg-Eppendorf, Butenfeld 34, 22529 Hamburg, Germany.
Rechtsmedizin (Berl). 2021;31(2):145-147. doi: 10.1007/s00194-021-00462-z. Epub 2021 Feb 15.
Post-mortem computed tomography (PMCT) is a rapid and noninvasive diagnostic tool for important contributions to the identification of pulmonary findings in the deceased with pneumonia, including cases of coronavirus disease 2019 (COVID-19). Although computed tomography (CT) shows a high sensitivity for pneumonia in living persons, it is relatively unspecific for COVID-19 pneumonia clinically. Typical CT findings for viral pneumonia therefore require confirmation by PCR tests (polymerase chain reaction tests), even if lung infections with severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) show characteristic patterns, most frequently ground glass opacities (GGO) and a combination of GGO and air space consolidations. In the consecutive autopsy series of SARS-CoV‑2 deaths from Hamburg, Germany, the most frequent cause of death was and still is COVID-19 pneumonia. Typical findings were frequently found in the PMCT in SARS-CoV-2-associated deaths, which were taken into account when classifying the death as COVID-19.
尸检计算机断层扫描（PMCT）是一种快速且无创的诊断工具，对识别肺炎死者的肺部发现有重要作用，包括2019冠状病毒病（COVID-19）病例。尽管计算机断层扫描（CT）对活人肺炎显示出高敏感性，但在临床上对COVID-19肺炎相对缺乏特异性。因此，病毒性肺炎的典型CT表现需要通过PCR检测（聚合酶链反应检测）来确认，即使严重急性呼吸综合征冠状病毒2型（SARS-CoV-2）引起的肺部感染呈现出特征性模式，最常见的是磨玻璃影（GGO）以及GGO与实变影的组合。在德国汉堡连续的SARS-CoV-2死亡病例尸检系列中，最常见的死亡原因过去是、现在仍然是COVID-19肺炎。在SARS-CoV-2相关死亡病例的PMCT中经常发现典型表现，在将死亡归类为COVID-19时会考虑这些表现。
