摘要
目的探讨新冠肺炎(COVID-19)的初诊HRCT影像表现和特征。方法收集四川攀枝花市2020年1月28日至2020年2月17日收治的确诊COVID-19患者16例,回顾性观察其初诊HRCT影像学表现,对其病灶的位置、分布、数目、密度等表现特征进行分析。结果13例COVID-19患者(81.25%)初诊HRCT可发现肺部急性炎性病灶,其中1肺叶1病灶2例(15.38%),1肺叶2病灶1例(7.69%),1肺叶多病灶2例(15.38%),2肺叶2病灶1例(7.69%),2肺叶多病灶1例(7.69%),多肺叶多病灶6例(46.15%)。9例(69.23%)患者病灶为单纯磨玻璃(GGO)阴影,3例(18.75%)患者以GGO为主伴不同范围的实变,1例(7.69%)患者病灶表现为实变影。11例(84.61%)患者病灶内中可见含气支气管影。7例(53.85%)患者病灶内部有铺路石征。5例(38.46%)患者病灶内部或边缘可见增粗血管影。1例(7.69%)病灶有晕征结节。1例(7.69%)胸腔积液。结论有流行病学史和临床症状支持条件下,初诊HRCT双肺实质外围多发GGO应高度怀疑COVID-19。
Objective To investigate the radiographic findings and features of initial HRCT for Corona Virus Disease 2019(COVID-19).Methods 16 confirmed patients were enrolled in panzhihua of sichuan province from January 28,2020 to February 17,2020.Radiographic findings and features of initial HRCT were analyzed for all confirmed COVID-19 patients,include the location,distribution,number and density of the lesions.Results 13 patients(81.25%)of COVID-19 have obvious abnormal performance of CT.2 patients(15.38%)is 1 lesion in single pulmonary lobe,1 patient(7.69%)is 2 lesions in single pulmonary lobe,2 patients(15.38%)is multiple lesions in single pulmonary lobe,1 patient(7.69%)is 2 lesions in 2 pulmonary lobes,1 patient(7.69%)is multiple lesions in 2 pulmonary lobes,6 patients(46.15%)is multiple lesions in multiple pulmonary lobes.9 patients(69.23%)had ground-glass opacities(GGO),3 patients(18.75%)had obvious ground-glass opacities and patchy consolidations.1 patient(7.69%)had consolidation.11 patients(84.61%)had air bronchograms,7 patients(53.85%)had reticular patterns,seemingly crazy paving patterns and 5 patients(38.46%)had microvascular dilation signs.1 patient(7.69%)had halo sign,and 1 patient(7.69%)had hydrothorax.Conclusion If the patient supported by epidemiological history and clinical symptoms,the initial HRCT radiographic of multifocal peripheral GGO is highly suspicious of COVID-19.
作者
赵张平
朱永高
杨燕
张凌
张开龙
ZHAO Zhang-ping;ZHU Yong-gao;YANG Yan;ZHANG Ling;ZHANG Kai-long(Department of Radiology,Panzhihua Central Hospital,Panzhihua 617067,Sichuan Province,China;Department of Radiology,Miyi Branch,Panzhihua Central Hospital,Panzhihua 617200,Sichuan Province,China;Department of Respiratory and Critical Care Medicine,Panzhihua Central Hospital,Panzhihua 617067,Sichuan Province,China;Department of Critical Care,Panzhihua Central Hospital,Panzhihua 617067,Sichuan Province,China)
出处
《罕少疾病杂志》
2021年第5期27-30,共4页
Journal of Rare and Uncommon Diseases
关键词
新冠肺炎
高分辨率CT
CT表现
Corona Virus Disease 2019
High-Resolution CT(HRCT)
CT Findings
