[1]景赟杭,强 跳,刘 青△,等.新型冠状病毒肺炎患者胸部CT表现及动态变化规律分析[J].陕西医学杂志,2020,49(10):1203-1206,1218.[doi:DOI:10.3969/j.issn.1000-7377.2020.10.001]
　JING Yunhang,QIANG Tiao,LIU Qing,et al.CT findings and dynamic changes in the chest of patients with COVID-19[J].,2020,49(10):1203-1206,1218.[doi:DOI:10.3969/j.issn.1000-7377.2020.10.001]
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新型冠状病毒肺炎患者胸部CT表现及动态变化规律分析
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
49
期数:
2020年10期
页码:
1203-1206,1218
栏目:
“新型冠状病毒肺炎”专题
出版日期:
2020-10-05

文章信息/Info

Title:
CT findings and dynamic changes in the chest of patients with COVID-19
作者:
景赟杭; 强 跳; 刘 青△; 贾燕龙; 王 雷; 文 铁; 闫 军; 韩 炜; 白利杰; 王 剑; 姬 星
延安大学附属医院影像科(延安716000)
Author(s):
JING Yunhang; QIANG Tiao; LIU Qing; et al.
Department of Imaging,Affiliated Hospital of Yan'an University(Yan'an 716000)
关键词:
新型冠状病毒肺炎;  胸部;  X线计算机断层摄影;  表现;  动态;  规律
Keywords:
Corona virus disease;  Chest;  Computed tomography;  Performance;  Dynamic;  Regularity
分类号:
R563.1
DOI:
DOI:10.3969/j.issn.1000-7377.2020.10.001
文献标志码:
A
摘要:
目的:探讨新型冠状病毒肺炎(COVID-19)患者胸部CT表现及其动态变化规律。方法:收集经病毒核酸检测确诊的5例COVID-19患者完整胸部CT资料,所有患者住院期间持续随访胸部CT,每次胸部CT间隔2～7 d不等。重点分析每次CT图像上病灶的位置、数目、分布、形态、密度与随时间变化的特点。结果:5例患者中男性3例,女性2例,年龄3～60岁。首次CT检查:1例(1/5)阴性, 1例(1/5)仅左肺上叶单发,3例(3/5)双肺多发。病变位于肺外带3例(3/5),肺外带及中央1例(1/5)。磨玻璃影2例(2/5),磨玻璃影与网格状影1例(1/5),磨玻璃与斑片状实变影1例(1/5),伴随血管增粗4例(4/5),支气管充气征1例(1/5)。动态变化(病变演变)过程中磨玻璃影逐渐减少,实变影先增多后减少,纤维索条逐渐增多。入院第6～9天病变不同程度进展,形态多样。10～14 d后病变逐渐吸收。结论:COVID-19患者CT表现有一定的特征,动态变化有一定规律,掌握这些特点及规律对该病早诊断、早隔离、早治疗及疗效评价具有重要价值。
Abstract:
Objective:To investigate the CT findings and dynamic changes of patients with corona virus disease 2019(COVID-19).Methods:The complete chest CT data of 5 patients with COVID-19 confirmed by viral nucleic acid test were retrospectively analyzed.All patients were followed up with chest CT during hospitalization,with interval of 2-7 days for each chest CT.The characteristics of the location,number,distribution,morphology,density and time variation of the lesions on each CT image were analyzed.Results:There were 3 males and 2 females aged from 3 to 60 years old.The first CT examination showed that 1 case(1/5)was negative,1 case(1/5)had single lesion in the left superior lobe,and 3 cases(3/5)had multiple lesions in double lungs.The lesions were located in the extraneous zone of the lung in 3 cases(3/5),and the extraneous zone and central zone of the lung in 1 case(1/5).There were 2 cases of ground glass shadow(2/5),1 case of ground glass shadow and mesh shadow(1/5),1 case of ground glass shadow and patchy consolidation shadow(1/5),4 cases of blood vessel thickening(4/5),and 1 case of bronchial inflation sign(1/5).In the process of dynamic changes(pathological changes),the ground glass shadow decreased gradually,the consolidation shadow increased first and then decreased,and the fiber cords increased gradually.On the 6th to 9th day of admission,the lesions progressed to different degrees and varied in morphology.The lesions were gradually absorbed after 10-14 days.Conclusion:The CT manifestations of the COVID-19 have certain characteristics,and the dynamic changes were regular.These characteristics and rules are important for early diagnosis,early isolation,early treatment and efficacy evaluation.

参考文献/References:

[1] Huang C,Wang Y,Li X,et al.Clinical features of patients infected with 2019 novel coronavirus in Wuhan,China[J].Lancet,2020,395(10223):497-506.
[2] 刘 伟,周 敏,杨世杰,等.新型冠状病毒肺炎聚集疫情流行病学特征分析[J].华中科技大学学报:医学版,2020,49(2):161-168.
[3] 国家卫生健康委办公厅,国家中医药管理局.新型冠状病毒肺炎诊疗方案”(试行第六版)[EB/OL].[2020-02-19].http://www.nhc.gov.cn/yzygj/s7653p/202002/8334a83 26dd94d329df351d7da8aefc2.shtml.
[4] 中华人民共和国国家卫生健康委员会.截至3月14日24时新型冠状病毒肺炎疫情最新情况[EB/OL].[2020-03-15].http://www.nhc.gov.cn/xcs/yqtb/202003/8331f12 6d3854413b6ea323009fbbcc5.shtml.
[5] 郭晓波,蔺 京,来春艳,等.新型冠状病毒与实时荧光RT-PCR核酸检测[J].陕西医学杂志,2020,49(3):264-266.
[6] Xie X,Zhong Z,Zhao W,et al.Chest CT for typical 2019-nCoV pneumonia:relationship to negative RT-PCR testing[J].Radiology.2020,296(2):41-45.
[7] 李宏军,徐海波.新型冠状病毒感染的肺炎影像学诊断指南(2020第一版)[J].医学新知杂志,2020,30(1):22-34.
[8] Chung M,Bernheim A,Mei X,et al.CT imaging features of 2019 novel coronavirus[J].Radiology,2020,295(1):202-207.
[9] 娄江华,付芳芳,白 岩,等.新型冠状病毒肺炎早期胸部高分辨率CT表现[J].中国医学影像技术,2020,36(3):396-399.
[10] 方 旭,蔡 军,梁 泉,等.武汉火神山医院506例不同临床分型的新型冠状病毒肺炎患者临床特征和胸部CT影像学表现[J].中华临床感染病杂志,2020,13(3):161-166.
[11] 王迎春,孔延亮,蔚文详,等.家庭聚集性新型冠状病毒肺炎患者初次就诊临床检验与CT特征分析[J].陕西医学杂志,2020,49(4):392-396.
[12] 刘发明,丁惠玲,龚晓明,等.新型冠状病毒肺炎(COVID-19)的胸部CT表现与临床特点[J].放射学实践,2020,35(3):266-268.
[13] 钟飞扬,张寒菲,王彬宸,等.新型冠状病毒肺炎的CT影像学表现[J].武汉大学学报:医学版,2020,41(3):345-348.
[14] Feng P,Ye T,Sun P,et al.Time course of lung changes on chest CT during recovery from 2019 novel coronavirus(COVID-19)pneumonia.[J].Radiology,2020,295(3):715-721.
[15] 姬广海,黄满华,张 庆,等.新型冠状病毒肺炎CT表现及动态变化[J].中国医学影像技术,2020,36(2):242-247.

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更新日期/Last Update: 2020-10-10