The novel coronavirus pneumonia autopsy report expert: after infection, the lung is no longer lung.

category:Global
 The novel coronavirus pneumonia autopsy report expert: after infection, the lung is no longer lung.


The first novel coronavirus pneumonia autopsy report released: airway thick sticky secretions mainly cause distal alveolar damage (source: video synthesis).

Novel coronavirus pneumonia, novel coronavirus pneumonia, has the same characteristics as SARS, but also has its own characteristics. Professor Liu Liang, who led the first case of the new crown pneumonia death remains anatomically. From the current pathological results, some of the lungs of the dead can see mucinous secretions, which he thinks is the place to be vigilant in clinical treatment.

Liu Liang:

Its very sticky. Its like paste. This thing may reflect that in the early stage of this persons secretion is thick, unlike our common cold and virus infection, which is clear snot and running water. Our name is cata (symptom). It does not reflect what kind of situation. It also appears in the deep airway, which is the mucus component. If we do not deal with it specifically in treatment It may be counterproductive.

Reporter:

If you dont open the body, you will never know?

Liu Liang:

I do not know!

Reporter:

What can you see when you are on the spot and give you a short time? What was observed?

Liu Liang:

I can see the color of the whole lung. Is it the same as the normal lung? Its texture can be felt. Then I can squeeze the lung and see if there is anything coming out.

Reporter:

For later

Liu Liang:

Very important. For example, our normal lung feels like a sponge and contains air, but it doesnt feel like this. Its not a lung anymore. Its a consolidation. Its replaced by something else.

Reporter:

How important is your feeling?

Liu Liang:

If you dont experience this feeling, you cant tell (the doctor) that the doctor doesnt know the inside (whats the situation), whether the lung is a stone like change, or a soft one, what is the white lung, whether it is (as hard as a marble), or (as hard as a wood), or (as hard as a cork).

Reporter:

What will the information you capture and collect bring to the front-line doctors?

Liu Liang:

He knows at least where there are snipers, so Ill kill them. The treatment should be targeted. If it is very intensive, send gunners. So in this case, if the disease is a soldier who is afraid of water, I will get the water, and if you are afraid of fire, I will get the fire. See what kind of disease it is, and treat it pertinently. Otherwise, for example, ventilation is useless at the end. The road is blocked. Its like the road is blocked. Its useless to send a car there. You need to loosen the road as soon as possible.

Due to the lack of complete pathological data provided by systematic autopsy, researchers can not accurately determine the pathogenesis, organ damage and other effects of the disease.

After novel coronavirus pneumonia outbreaks, novel coronavirus pneumonia Liu Liang has been calling for new body anatomy. On February 16, Liu Liangs team completed two cases of pathological anatomy, which is a very dangerous work.

Liu Liang:

One is that the air is very stuffy inside. The second one is that you dont know how much virus will be emitted when the body is exposed.

Reporter:

Is this about time?

Liu Liang:

Of The longer its exposed, the greater the concentration of the virus, and were at the core of the radiation.

Reporter:

Are you afraid? Because this thing cant be avoided, but you have to be so close to these patients who have already left. It should be said that there are many (viruses) in their bodies, right?

Liu Liang:

Yes, or fear, not fear is false. Although I have dissected SARS and AIDS before, they are all done by others. (this) you dont know whats going on in the next 14 days. You dont know whether theres such a thing in its air aerosols, so its a very risky thing. These three cases are equivalent to doing this for the first time in the world.

Reporter:

Then why fight for this and be the first?

Liu Liang:

Somebody has to do this. Before the world-class disaster, if we dont play a starting role in it, we are ashamed.

Reporter:

Lets say that the doctor is fighting against the virus. Is your role a Scout?

Liu Liang:

Yes, we want to grab a tongue and come back. When we get back, we will ask all kinds of people to interrogate your name and your arms.

Reporter:

Its you who have captured the prisoners.

Liu Liang:

Yes. You just need to cross a blockade line, wade through mines, and then bring people back. If you cant, you never know how many people are there and whats hidden, so someone has to take a risk. We have a lot of plans. Who will go in? The older or the younger?

Reporter:

In this plan, do you belong to the first group or the last group?

Liu Liang:

In the original plan, we had two old ones. But this time, when we look at the disease, the pneumonia bullies the old people. Many people who walk are old people. So the plan at that time was to adjust it. We said let the young people go. Then we old people act as assistants and do chores nearby. But when we got to the first one, we changed our mind again. What we went in was two old people working on it, and we found a young man to do chores nearby.

Reporter:

Why change your mind?

Liu Liang:

After all, they have no experience. If something happens to them, they have to rush inside.

Reporter:

Whats wrong with that?

Liu Liang:

If something goes wrong with us, we should protect other people from the panic.

Novel coronavirus pneumonia is not clear in the development and pathogenesis of the disease, and after the general observation, microscopic observation, molecular detection and observation are needed to improve the understanding of the disease, guide diagnosis and treatment, and prevent and control the epidemic, many clinicopathological experts say. Different from the fierce onset of SARS, this new coronavirus pneumonia has a long incubation period and mild early illness. It is necessary to select cases with different conditions, such as cases of sudden aggravation and death after treatment for a period of time, which may reflect the overall situation of the epidemic more comprehensively.

Autopsy is rarely carried out in clinical pathology in China, and there is no basic anatomical condition in the pathology department of the hospital. Considering that the objective conditions of autopsy were not met, the team selected minimally invasive puncture sampling, which had little damage to the body of the dead, would not cause environmental pollution, and had little risk of infection, so as to protect the safety of operators.