COVID-19 Clinical Report for Dead Infected Case

The novel coronavirus pneumonia is the most common  organ  damage  in  lung  and heart, followed by kidney  and liver. The novel coronavirus pneumonia is the most important risk factor for death in patients with new corona pneumonia. Besides, bacterial infection may also be an important factor to accelerate the death of patients. Malnutrition is common in critically ill patients.

For novel coronavirus pneumonia patients who died of respiratory failure in the study, Gong Zuojiong, a correspondent, told DeepTech deep technology interview that these patients were suffocated because there was a lot of mucus in the lungs, oxygen could not enter the alveoli and gas exchange, oxygen absorption could not be absorbed, and finally suffocated. The course of the disease is related to many factors, including the way and timing of respiratory support, early warning, and of course, the severity of the underlying disease. Now we need to establish an early warning evaluation system, so as to be able to intervene earlier and more actively, so as to reduce the mortality rate.

The novel coronavirus pneumonia and respiratory failure were diagnosed as clinical death causes. The same findings were also reported by Professor Liu Liang of the Department of forensic medicine of Tongji Medical College of Huazhong University of Science and Technology and his team's anatomy of the dead body of the new corona pneumonia.

Zhong Nanshan, senior member of the National Health Protection Committee and academician of China Academy of engineering, mentioned that in the new corona pneumonia, mucus removal in small airway is an important research objective. The novel coronavirus pneumonia is the most common organ damage in lung and heart, followed by kidney and liver. The novel coronavirus pneumonia is the most important risk factor for death in patients with new corona pneumonia. Besides, bacterial infection may also be an important factor to accelerate the death of patients. Malnutrition is common in critically ill patients.

General anatomy report of novel coronavirus pneumonia death corpse system was reported by Liu Liang team in the Journal of forensic medicine. The content of this report is a case of gross observation of systematic autopsy.

The research team pointed out that the lung injury of the dead was obvious, the lung was patchy, gray white focus and dark red bleeding were seen, and a large number of thick secretion overflowed from the alveoli in the section, suggesting that the new coronavirus mainly caused the inflammatory  reaction  characterized  by deep airway and alveoli injury. The case with multiple cerebral infarction was diagnosed as novel coronavirus on the thirteenth day after admission, and his test on nucleic acid is positive. The novel coronavirus pneumonia and respiratory failure were diagnosed as the cause of clinical death on the 28th day after admission.

Novel coronavirus pneumonia has a prominent feature: mucus in the small airway is very high, and the viscosity is very high, which obstruct airway patency, which causes secondary infection and more serious." Novel coronavirus pneumonia was a major research topic in February 27th. At the February 27th Guangzhou Medical University held the special news briefing on epidemic prevention and  control, Zhong Nanshan, senior member of the National Health Protection Committee and academician of China Academy of engineering, mentioned that in the new corona pneumonia, mucus removal in small airway is an important research object.

Appendix

Liu Liang and  his  report- General  anatomy  report  of novel  coronavirus pneumonia death corpse system

Recently, the  official website of the Journal  of Forensic Medicine updated and released  the  topic  of autopsy  of  the  new  type of  coronavirus  pneumonia.  The results of the report showed that, from the gross observation of the autopsy, the deceased's lung injury was obvious, white foam-like mucus was seen in the trachea, and jelly-like mucus was observed in the right lung bronchus. A large number of sticky secretions were seen from the lungs Spilled and visible fiber strands. This latest  discovery  has  made the  treatment  of  sputum excretion  of  new  coronary pneumonia the focus of attention.

Professor Liu Liang said in an interview with reporters: "We did find some mucus secretions on the section of the lungs of the deceased under the microscope, which can remind clinical treatment to be vigilant. At present, the alveolar function may be damaged. The tract is blocked by mucus, and the clinical manifestation of hypoxia will occur. Therefore, to improve the human hypoxia and maintain the airway patency, the mucus must be diluted or dissolved. In clinical treatment, if the mucus components are not resolved, the way of oxygen supply purely may not achieve the purpose, and sometimes it will  have  an adverse  effect.  Positive  pressure  oxygen may push the mucus deeper and wider, which will increase the patient's hypoxia.

Liang Liu, a professor of forensic pathology at Tongji Medical College of Huazhong University of Science and Technology, was interviewed

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