| 朱曙光,俞咏梅,闻奇遇,等.新型冠状病毒肺炎 16例 CT影像学表现[J].安徽医药,2022,26(3):488-491. |
| 新型冠状病毒肺炎 16例 CT影像学表现 |
| CT features of 16 cases with coronavirus disease 2019 |
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| DOI：10.3969/j.issn.1009-6469.2022.03.015 |
| 中文关键词: 新型冠状病毒肺炎(COVID-19) 体层摄影术， X线计算机 影像 CT检查 |
| 英文关键词: Coronavirus disease 2019 (COVID-19) Tomography, X-ray computed Imaging CT examination |
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| 中文摘要: |
| 目的探讨新型冠状病毒肺炎( COVID-19)CT影像特点，以提高对本病的诊断及变化认识。方法回顾性分析 2020年 1—2月经池州市人民医院临床证实且住院治疗的 16例 COVID-19病人的影像资料，分析病人的胸部 CT表现并对比 CT影像变化。结果 16例 COVID-19主要表现为间质性肺炎的特点，早期多为双肺多发，边界较清楚，以肺野外带为著；进展期表现为肺内病变范围的扩大，多肺叶的受累，肺的实变等； 3例转归期表现为肺内病灶明显吸收，残存小叶间隔增厚及纤维化等； 1例危重者两肺呈“白肺”改变。结论 COVID-19的 CT表现具有特征性。早期主要表现为两肺多发的磨玻璃影或混合斑片磨玻璃影。进展期时病变累及范围扩大、受累肺叶增多，出现肺内实变灶等。转归期严重者呈“白肺”样改变；炎症吸收可残存小叶间隔增及纤维化等。 CT能为 COVID-19诊断及分型提供影像学依据，具有较高临床价值。 |
| 英文摘要: |
| Objective To investigate the CT features of coronavirus disease 2019 (COVID-19) to improve the understanding of the diagnosis and changes in this disease.Methods The imaging data of 16 patients with COVID-19 who were clinically confirmed andhospitalized in People′s Hospital of Chizhou from January 2020 to February 2020 were retrospectively analyzed, the chest CT manifestations of the patients were analyzed, and the changes were compared.Results Sixteen case of COVID-19 mainly showed interstitialpneumonia. In the early stage, most of them were multiple lungs, with clear boundaries, mainly in the field of the lungs; in the advancedstage, the scope of lesions in the lungs expanded, and multiple lobes were involved. Three patients in the outcome stage showed obviousabsorption of pulmonary lesions, thickening and fibrosis of the residual interlobular septum. The two lungs of one critically ill patientshowed "white lung" changes.Conclusions The CT manifestations of COVID-19 are characteristic. In the early stage, it mainly manifests as multiple ground-glass shadows or mixed patchy ground-glass shadows in both lungs. In the advanced stage, the scope of the lesions expanded, the number of involved lobes was increased, and intrapulmonary consolidation foci appeared. Severe patients presentwith "white lung"-like changes in the outcome stage; increased interlobular septum and fibrosis may remain in the absorption of inflammation. CT can provide an imaging basis for the diagnosis and classification of COVID-19 and has high clinical value. |
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