摘要
目的:探讨甲型H1N1流感危重症的影像变化及临床特点。方法:对确诊的23例危重症甲型H1N1流感患者的影像特点、临床特征进行分析。结果:甲型H1N1流感危重症孕妇患病率达到47.9%,一半以上病人就诊时间大于5d。60%病人体温高于38.5℃,症状以咳嗽、咳痰、胸闷为主,且80%病人肺部有湿啰音。影像以磨玻璃状影、实变影、纤维化为主,甚至出现白肺。病人的危重程度与病变的类型、密度、面积等有关。发热3d病人胸部CT多为片絮状影、肺小叶实变或弥散磨玻璃影;发热5d以上病人多为复合性病变:絮状影、多发实变、磨玻璃影及结节影并存。结论:甲型H1N1早期患者多为局限性单纯病变,晚期患者多为多发性复合性病变,且发展迅速。
Objective： To explore the clinical and imaging characteristic of severe A H1N1 influenza pneumonia. Methods： Analyzed the clinical and imaging characteristic of 23 patients with clinically confirmed influenza A H1N 1 infection. Results： The cases of pregnant women with influenza A H1N1 infection accounted for 47.9%. More than half of the went to hospital more than five days. The temperature of the 60% of the patients were more than 38.5 ℃, and the symptoms were cough, cough up phlegm and shortness of breath, and 80% of the lungs with the moist rales. Image by grinding glass or film, the shadows, fibrosis, even a white lung. Condition of the patients to the type and density and area of the relevant. Fever for three days, the patient＇s chest CT for shadows, the grinding glass or film. Fever for five days, the patient＇s chest CT were compound lesions. Conclusion： Fore the early A H1N1 influenza pneumonia patients, imaging characteristics was limit and simple lesions, for the terminal patients, imaging characteristics was compound lesions, and developed rapidly.
出处
《中医临床研究》
2012年第17期108-112,共5页
Clinical Journal Of Chinese Medicine
关键词
甲型H1N1流感危重症
影像
Influenza A H 1 N 1 critically ill
Imaging characteristic
