摘要
目的 :探讨传染性非典型肺炎的X线表现及变化规律。方法 :对河南省临床诊断的 1 5例患者发病后不同时间的系列胸片和CT进行回顾性分析。结果 :1 5例胸部X线病灶初始形态为斑片状 1 1例 (73.3% ) ,大片状 4例 (2 6 .7% ) ;双侧 9例 (6 0 .0 % ) ,单侧 6例 (4 0 .0 % ) ,均为中、下肺野 (1 0 0 % )。动态观察发现病变进展快 ,病变发展到高峰期时间为 4～ 1 4d , x±s(7.7± 3.2 )d ,双侧 1 3例 (86 .7% ) ,单侧 2例 (1 3.3% ) ,两肺叶及两肺叶以上病变者 1 4例 (93.3% )。病变开始吸收时间为 6～ 2 1d , x±s(1 1 .3± 4 .1 )d ;完全或基本吸收时间 8～ 2 6d , x±s(1 6 .4± 5 .0 )d。1 5例经治疗均痊愈出院。住院时间 1 8～ 4 2d , x±s(31 .9± 7.9)d。 结论 :传染性非典型肺炎的胸部X线特点为急性双侧或单侧多叶炎性浸润阴影 ,以中、下野常见 ,进展迅速 ,及时复查胸部X线对临床诊断及判断病情具有重要价值。
Aim:To evaluate the appearance and dynamic changes of chest roentgenography and CT in patients with Severe Acute Respiratory Syndrome(SARS). Methods:Serial roentgenography and CT of 15 SARS patients in Henan Province were analyzed retrospectively. Results:In the initial chest X-ray of 15 patients,the main abnormal appearance was patchy shadows (11 cases)or megaopague shadows (4 cases) and all in the middle-lower lung zones.The numbers of case were 9 and 6 in bilateral and single lung ,respectively.The area of opacity peaked from 4 to 14 days(mean 7.7±3.2 days), and the numbers of case were 13 and 2 in bilateral and single lung, respectively. Meanwhile,the numbers of multilobe case were 14.The opaque shadows disappeared gradually from 8 to 26 days(mean16.4±5.0 days). Conclusions:The most common appearance of chest roentgenography and CT in SARS is acute bilateral or multilobe lung infiltration, especialy in the middle-lower lung zones,which progresses rapidly. Checking chest X-ray in time is important for the clinical diagnosis and the judgement of patient' s condition.
出处
《郑州大学学报（医学版）》
CAS
北大核心
2003年第6期841-844,共4页
Journal of Zhengzhou University(Medical Sciences)
基金
河南省医学科技创新人才工程资助项目 2 0 0 3 0 97
