PATHOMORPHOLOGY OF THE LUNGS AT DEATH FROM COVID-19 ON FORENSIC MATERIAL (period march-december 2020)

Abstract

Abstract. The purpose o f the article was to study the pathom orphological changes in the lungs and other organs on the basis o f forensic medicalm aterial during the death of persons outside hospitals from the asymptomatic course o f COVID-19. The sectional m aterial of the thanatology departm ent of the Republican Center for Forensic M edicine o f the M inistry of Health of the Kyrgyz Republic for the period M arch-Decem ber 2020 was analyzed. In the amount o f 232 cases, o f w hich 89 (38.4%) cases were confirmed by polymerase chain reaction, 53 (22.8% ) were not confirmed, and in 90 cases (38.8%), unspecified broncho­pneum onia was exhibited. The age o f the deceased is from 37 to 60 and over, 151 (65.1%) men, 81 (34.9%) women. In pathomorphologycal changes in the lungs corresponded to different phases o f developm ent o f diffuse alveolar damage (DAP). In the exudative phase, edema, desquam ation o f the alveolar epithelium, the presence o f hyaline membranes and throm bohemorrhagic phenom ena prevailed. In the proliferative phase, pronounced deposits of fibrin and fibrin-like substances in the alveoli, thickening o f the interalveolar septa, the growth o f connective tissue in the interalveolar septa. In the liver, pronounced fatty dystrophy, in the myocardium, pronounced edema.