摘要
目的:掌握新型冠状病毒肺炎患者肺部CT影像学动态变化规律和特点,为早期诊断、临床治疗及评价治疗效果提供参考。方法:收集2020年1月24日—3月5日竹山县人民医院集中收治的35例新型冠状病毒肺炎确诊患者肺部影像学资料,所有患者在入院、出院、出院6个月和出院1年时进行肺部CT检查,观察不同阶段患者肺部CT影像学变化,分析患者肺部恢复情况。结果:35例患者入院时肺部均有磨玻璃影及网格状改变,病变部位主要分布于肺叶外围、胸膜下或支气管血管束周围,部分患者出现小叶间隔增厚。治愈出院时,肺部影像完全恢复正常5例,病灶明显吸收、范围减少24例,分别占14.29%、68.57%;出院6个月肺部完全恢复正常27例,占77.14%;出院1年时肺部病灶完全吸收,症状完全消失29例,占82.86%,仅有6例遗留肺部少许纤维化,占17.14%。结论:影像学特征分析是新型冠状病毒肺炎感染诊疗的重要一环。大部分新型冠状病毒肺炎患者治愈出院6个月内肺部可完全恢复正常,少部分患者随着康复时间的延长,仍有完全恢复的可能,其后遗症发生率明显低于SARS。
OBJECTIVE Through one-year follow-up of patients with COVID-19 from admission in Zhushan County People Hospital,the dynamic changes of lung computer tomography(CT)in different stages were analyzed to explore the recovery of pulmonary function and its impact on daily life.METHODS The lung imaging data of patients with COVID-19 diagnosed in Zhushan County People Hospital from January 24 to March 5,2020 were collected.All patients were scanned by lung CT at admission,discharge,6months and 1 year after discharge.The changes of lung imaging data and recovery of pulmonary function in different stages were analyzed.RESULTS All the 35 patients had ground-glass opacity and grid changes in the lungs CT when admitted to the hospital.The lesions were mainly distributed in the periphery of the lung lobe,under the pleura or around the bronchovascular bundle.Interlobular septal thickening was observed in several cases.At the discharged day,the lung CT completely restored in 5 cases,accounting for 14.29%;significant absorption and reduction of lesions were found in 24 cases,accounting for 68.57%.Moreover,27 cases were observed to return the normal level 6 months after discharge,accounting for 77.14%.And 29 cases were observed to return the normal level 1 year after discharge,accounting for 82.86%;only 6 cases were remain left with mild pulmonary fibrosis,accounting for 17.14%.CONCLUSION The features of lung CT were important parts of the diagnosis and treatment of COVID-19.The lung CT presentation of large proportion of COVID-19 patients could recover completely within half a year after discharge.With the extension of rehabilitation,it remained possible that a small number of patients would completely recover.The incidence of pulmonary sequelae in COVID-19 was significantly lower than that in SARS.
作者
王兴华
陈国栋
李世冰
孙长喜
WANG Xing-hua;CHEN Guo-dong;LI Shi-bing;SUN Chang-xi(Zhushan County People Hospital,Zhushan,Hubei,442200,China;不详)
出处
《中国初级卫生保健》
2022年第5期113-116,共4页
Chinese Primary Health Care
