摘要
目的研究不同临床分型新型冠状病毒肺炎(COVID-19)患者胸部CT表现,旨在为临床治疗决策的制定、疫情防控提供重要依据。方法回顾性分析2020年1月23日—2月15日甘肃省确诊并收治的4例不同临床分型的COVID-19病例,临床资料包括一般情况、临床症状、实验室检查、胸部CT影像。结果轻型患者临床症状较轻,CT表现缺乏特征性,部分患者可表现为双肺多发条索影,易漏诊;普通型患者CT表现为双肺多发磨玻璃影,内血管影清晰可辨,少数伴有“空气支气管征”,病灶以胸膜下分布为主,一般不伴有胸腔积液;重型和危重型患者多合并有基础疾病,CT表现为双肺弥漫性斑片及磨玻璃影,少数患者出现“白肺”征象。结论不同临床分型COVID-19的影像学具有一定的特征性,结合流行病学史、临床症状可做出初步诊断,为临床治疗决策的制定、疫情防控提供重要依据。
Objective To investigate the chest CT findings of different clinical types of the Corona Virus Disease 2019(COVID-19)and to provide an imaging basis for early diagnosis.Methods The age,sex,clinical history,epidemiological history,laboratory examination results and chest CT imaging data of 4 cases with different clinical types of the COVID-19 in appearing Gansu Province were analyzed retrospectively.Results CT of mild patients only showed multiple stripes and"small tree buds"in both lungs;CT of ordinary patients showed multiple ground glass shadows in both lungs,especially under the pleura;CT of severe patients showed multiple patchy high-density shadows in both lungs;CT in critically ill patients showed multiple patches and ground glass shadows in both lungs with left pleural effusion.Conclusion The imaging of different clinical types of COVID-19 has different characteristics,combined with epidemic history and clinical symptoms,it can provide effective help for the diagnosis of COVID-19。
作者
高玉岭
邓兆贵
张艳利
王帅文
苟露斌
郭顺林
雷军强
祁小龙
Gao Yu-ling;Deng Zhao-gui;Zhang Yan-li;Wang Shuai-wen;Gou Lu-bin;Guo Shun-lin;Lei Jun-qiang;Qi Xiao-long(Department of Radiology,The First Hospital of Lanzhou University,Lanzhou 730000,China;Clinical Laboratory,The First Hospital of Lanzhou University,Lanzhou 730000,China;Institute of Portal Hypertension,The First Hospital of Lanzhou University,Lanzhou 730000,China;Gansu Intelligent Imaging Engineering Research Center,Lanzhou 730000,China)
出处
《兰州大学学报（医学版）》
CAS
2020年第2期45-49,共5页
Journal of Lanzhou University（Medical Sciences）
基金
甘肃省新型冠状病毒肺炎科技重大专项。
