[Explanation] On February 28, the autopsy report of the first case of deceased patients with new coronary pneumonia was released. What are the implications of this report for the treatment of new coronary pneumonia? A reporter from China News Agency interviewed Lin Bingliang, deputy director of the infection department of the Third Affiliated Hospital of Sun Yat-sen University, and he interpreted the report.
[Explanation] Lin Bingliang said that in the report, it can be seen that the injured part is still mainly the respiratory tract, and the lesions outside the respiratory tract are not obvious. But he reminded that the beaded changes in the small intestine mentioned in the report are noteworthy.
[Contemporary] Lin Bingliang, Deputy Director, Department of Infectious Diseases, Third Affiliated Hospital of Sun Yat-sen University
Whether this (bead-like) change is normal or pathological may still be (indeterminate). First, the gastrointestinal tract contains a relatively rich amount of receptors for viruses, namely the ACE2 receptor. Second, these viruses have been isolated in the gastrointestinal tract, and the nucleic acid has been detected as positive. Some patients may have digestive tract symptoms as Lord, so this is something that everyone is paying attention to.
[Explanation] Lin Bingliang said that through this autopsy report, it can be seen that airway protection is very important. In addition, since the autopsy report, the deceased's lesions are mainly inflammatory and exudative, so it also indicates that the inflammatory response is obvious Patients need to be evaluated for the need for hormone therapy.
[Contemporary] Lin Bingliang, Deputy Director, Department of Infectious Diseases, Third Affiliated Hospital of Sun Yat-sen University
According to the results of the dissection, because it (leakage) is mainly exudation, if the exudation is reduced, the hormone actually has its role in reducing exudation. Of course, the concern of hormone treatment is whether there will be a problem of concurrent infection, but in the severe period, when the inflammatory response is obvious, I think that the proper use of some hormones should have a certain effect on relieving his condition. benefit.
[Explanation] However, Lin Bingliang also emphasized that at present there is only one case of anatomy report, and the course of the deceased's disease is only 15 days, so there are still many limitations. If more anatomy can be performed, it will bring more help to clinical treatment.
Wen Mengxin reports from Beijing
Editor-in-chief: [Liu Xian]