摘要
目的分析新型冠状病毒肺炎CT表现,结合严重急性呼吸综合征(SARS)和中东呼吸综合征(MERS)文献复习,总结CT影像特征,提高快速和准确诊断的能力.方法报道2例确诊新型冠状病毒肺炎CT表现,复习并总结SARS及MERS影像表现文献.结果2例确诊病例均为急性期表现,CT呈现双肺多发、散在分布磨玻璃影,与SARS、MERS急性期病灶CT表现相似.结论新型冠状病毒肺炎CT表现与SARS、MERS相似,有一定特征性,并随病程快速变化.急性期主要表现为磨玻璃影和铺路石征.进展期陆续出现小叶间隔增厚、实变.吸收期病灶消散或遗留纤维化、肺结构扭曲和细支气管扩张等.淋巴结肿大和胸水少见.
Objective To analyze the CT manifestations of corona vims disease 2019(COVID-19)combined with severe arute respiratory syndrome(SARS)and Middle East respiratory syndrome(MERS)literature review,and summarize the characteristics of CT imaging,so as to improve the ability of rapid and arc urate diagnosis.Methods CT manifestations of two confirmed rases of COVID-19 were reported,and the literatures on SARS and MEHS imaging performance were reviewed and summarized.Results The two rases of COVID-19 were both in acute stage,the CT imaging showed multiple and scattered ground-glass opacity(GGO)in both lungs,which is similar to the CT performance of SARS and MERS in acute stage.Conclusions The CT features of COVID-19 are similar to SARS and MERS.It has certain chararteristics and changes rapidly with the course of the disease.In the acute stage,GGO and crazy paving were the main manifestations.In the advanced stage,the interlobular septal thickening and consolidation appeared.During the absorption periorl,the lesions disappeared or fibrosis was left behind,with lung strurture distortion and bronchiertasis.Lyniphadenopathy and hyrlrothorax are rare.
作者
杨长蔚
范成辉
程爱兰
刘靖
祝崇文
胡博
王荣芳
屈莉红
刘中民
初曙光
Yang Changwei;Fan Chenghui;Cheng Ailan;Liu Jing;Zhu Chongwen;Hu Bo;Wang Rongfang;Qu Lihong;Liu Zhongmin;Chu Shuguang(Department of Radiology,Shanghai East Hospital(Affiliated East Hospital of Tongji University),Shanghai 200120,China;Department of Cardiology,Shanghai East Hospital(Affiliated East Hospital of Tongji University),Shanghai 200120,China;Department of Infectious Diseases,Shanghai East Hospital(Affiliated East Hospital of Tongji University),Shanghai 200120,China;Department of Cardiac Surgery Shanghai East Hospital(Affiliated East Hospital of Tongji University),Shanghai 200120,China)
出处
《中国中西医结合急救杂志》
CAS
CSCD
北大核心
2020年第2期190-192,共3页
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
