法医学杂志

法医学杂志 ›› 2020, Vol. 36 ›› Issue (6): 841-847，851.DOI: 10.12116/j.issn.1004-5619.2020.06.014

• 教育与管理 • 上一篇    下一篇

新型冠状病毒肺炎诊疗方案的修订历程及法医学贡献

张路，孔令杰，张傑，程子惠，于龙，何颂跃   

  1. 北京法源司法科学证据鉴定中心，北京 100062
  • 收稿日期:2020-04-24 发布日期:2020-12-25 出版日期:2020-12-28
  • 通讯作者: 何颂跃，男，医学博士，主任法医师，主要从事法医临床学和法医病理学的教学、科研和鉴定；E-mail：songyue-He@163.com
  • 作者简介:张路（1976—），女，主检法医师，主要从事法医临床学研究；E-mail：zhang_lu@vip.sohu.com

Course of Revision of the Diagnosis and Treatment Protocol for COVID-19 and the Forensic Contribution

ZHANG Lu, KONG Ling-jie, ZHANG Jie, CHENG Zi-hui, YU Long, HE Song-yue   

  1. Beijing Source of Judicial Identification Center of Scientific Evidence, Beijing 100062, China
  • Received:2020-04-24 Online:2020-12-25 Published:2020-12-28

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摘要： 2020年1月15日至3月3日，国家卫生健康委员会先后发布了七版新型冠状病毒感染所致肺炎的 诊疗方案，诊疗方案名称也由最初的《新型冠状病毒感染的肺炎诊疗方案》改为《新型冠状病毒肺炎诊疗方 案》，对病原学特点、临床表现与类型、诊断流程、具体治疗措施不断优化和完善，使病例临床管理更加科 学。在诊疗方案的修订过程中，法医学专家就临床诊治内容也发挥了积极的建言作用，特别是针对新型冠 状病毒肺炎的病理学改变，在不同层面反复呼吁应迅速开展遗体解剖。在得到各方支持、理解和配合之 后，相关专家实施了10余例遗体法医学检验，对认识本病的临床特点、病理特征以及救治方案的改进做出 了重要贡献。

关键词: 法医学, 法医病理学, 临床方案, 新型冠状病毒肺炎, 尸体解剖

Abstract: From January 15 to March 3, 2020, seven editions of the guidelines for the diagnosis and treatment of COVID-19 have been issued successively by the National Health Commission of the People’s Republic of China, and the guidelines’name was changed from Guidelines for Diagnosis and Treatment of Novel Coronavirus Pneumonia to Diagnosis and Treatment for COVID-19. It optimized and perfected the etiology, clinical manifestations and types, diagnostic procedures and specific treatment measures of the disease, so that the clinical management of the cases was more scientific. In the revision process of guidelines for diagnosis and treatment, forensic medicine experts have also made some positive suggestions on clinical diagnosis and treatment. Especially regarding the pathological changes of COVID-19, they have repeatedly called for rapid autopsy at different levels. With the support, understanding and cooperation of all parties, pathological examination of more than ten cases of the remains were carried out, which made an important contribution to the understanding of the clinical characteristics and pathological characteristics of the disease and the improvement of treatment plans.

Key words: forensic medicine, forensic pathology, clinical protocol, COVID-19, autopsy

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