摘要
目的探讨广州地区普通型新型冠状病毒肺炎(COVID-19)患者胸部高分辨率CT(HRCT)影像动态变化特点。方法回顾性分析31例普通型COVID-19患者胸部HRCT的影像动态变化表现。结果31例普通型COVID-19患者首次CT影像表现主要为磨玻璃影(100%)、间质间隔增厚(48.4%)、条索影(48.4%)、局部实变影(45.2%);病变进展时肺内索条影(77.4%)、局部实变影(73.3%)较首次CT明显增多;病灶吸收时实变影(32.3%)明显减少,相应条索影(80.6%)增加。结论普通型COVID-19患者CT显示磨玻璃影逐渐出现实变改变,实变和条索影增加,可提示COVID-19普通型患者病变进展,临床上需警惕患者症状突然加重。
Objective To study the CT features of common COVID-19.Methods The CT images and clinical features of 31 patients with common COVID-19 were retrospectively analyzed.Results In the early stage of common COVID-19,the findings in CT were ground-glass opacities(100%),thickening of interstitial septum(48.4%),linear opacities(48.4%),and local consolidation(45.2%).During the progression,linear opacities(77.4%)and local consolidation(73.3%)were more prominent than early stage.During absorption stage,local consolidation(32.3%)was significantly reduced,while linear opacities was more prominent(80.6%).Conclusion In patients with common COVID-19,the increases of local consolidation and linear opacities in CT scan could indicate the progression of the disease.
作者
黄德扬
张烈光
甘清鑫
凌洲焜
瞿静
刘晋新
HUANG De-yang;ZHANG Lie-guang;GAN Qing-xin;LING Zhou-kun;QU Jing;LIU Jin-xin(Guangzhou Eighth People's Hospital,Guangzhou 510440,Guangdong,China)
出处
《广东医学》
CAS
2020年第12期1211-1214,共4页
Guangdong Medical Journal