虚拟解剖在新型冠状病毒肺炎法医病理学研究中的应用展望  

Application Prospects of Virtual Autopsy in Forensic Pathological Investigations on COVID-19

作　　者：李锐 殷坤 张凯[2] 王韵怡 吴秋萍 唐双柏[2] 成建定[2] LI Rui;YIN Kun;ZHANG Kai;WANG Yun-yi;WU Qiu-Ping;TANG Shuang-bo;CHENG Jian-ding(School of Forensic Sciences,Xi’an Jiaotong University Health Science Center,Xi’an 710061,China;Department of Forensic Medicine,Zhongshan School of Medicine,Sun Yat-sen University,Guangzhou 510080,China)

机构地区：[1]西安交通大学医学部法医学院,陕西西安710061 [2]中山大学中山医学院法医学系,广东广州510080

出　　处：《法医学杂志》2020年第2期149-156,共8页Journal of Forensic Medicine

基　　金：“十三五”国家重点研发计划资助项目(2017YFC0803502);国家自然科学基金资助项目(81920108021)。

摘　　要：传染病死者的尸体解剖对于公共卫生事件的管理具有重要意义。由于多种原因限制,新型冠状病毒肺炎(corona virus disease 2019,COVID-19)疫情发生以来,对2019新型冠状病毒感染死者进行法医学尸体解剖的数量较少,使法医学在传染病防治中的作用未能及时发挥。虚拟解剖(virtual autopsy,virtopsy)对传染病死者尸体的检验具有独特的优势,积累虚拟解剖影像学资料对COVID-19的病理机制研究及临床诊治具有重要意义。本文介绍了COVID-19的病理学和影像学改变的对应关系以及虚拟解剖在传染病尸体检验中的应用,旨在为法医工作者在COVID-19疫情中开展虚拟解剖检验提供参考。Autopsy of patients who died of infectious diseases is of significance for public health management.Few forensic autopsies have been performed since the outbreak of the corona virus disease 2019(COVID-19)due to some limitations,thus forensic pathological examination failed to contribute to the prevention and treatment of infectious diseases.Virtual autopsy has unique advantages in the forensic examination of patients who died of infectious diseases.Accumulated virtual autopsy image data are of great value to the study of the pathological mechanism and diagnosis of COVID-19.This article reviews the relationship between imaging changes and pathology of the COVID-19 as well as the application of virtual autopsy in autopsy of patients who died of infectious diseases,in order to provide reference for performing virtual autopsy in the outbreak of COVID-19.

关 键 词：法医病理学 放射学 虚拟解剖 传染病 新型冠状病毒肺炎 

分 类 号：DF795.1[医药卫生—法医学]