[1]嚴申龍,馬 寧,任 杰,等.新型冠狀病毒肺炎的CT影像特點及應用價值[J].醫學信息,2020,(04):1-3.[doi:10.3969/j.issn.1006-1959.2020.04.001]
 YAN Shen-long,MA Ning,REN Jie,et al.CT Imaging Characteristics and Application Value of Novel Coronavirus Pneumonia[J].Medical Information,2020,(04):1-3.[doi:10.3969/j.issn.1006-1959.2020.04.001]
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新型冠狀病毒肺炎的CT影像特點及應用價值()
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醫學信息[ISSN:1006-1959/CN:61-1278/R]

卷:
期數:
2020年04期
頁碼:
1-3
欄目:
新冠肺炎專題
出版日期:
2020-02-15

文章信息/Info

Title:
CT Imaging Characteristics and Application Value of Novel Coronavirus Pneumonia
文章編號:
1006-1959(2020)04-0001-03
作者:
嚴申龍馬 寧任 杰
(咸陽市中心醫院CT診斷室,陜西 咸陽 712000)
Author(s):
YAN Shen-longMA NingREN Jieet al
(CT Diagnosis Room of Xianyang Central Hospital,Xianyang 712000,Shaanxi,China)
關鍵詞:
新型冠狀病毒肺炎CT核酸檢測武漢
Keywords:
Novel coronavirus pneumoniaCTNucleic acid detectionWuhan
分類號:
R563.1
DOI:
10.3969/j.issn.1006-1959.2020.04.001
文獻標志碼:
A
摘要:
目的 探討新型冠狀病毒肺炎(NCP)的CT表現與核酸檢測結果間的相互關系,為臨床診療提供更多參考依據。方法 收集我院2020年1月21日~2月2日收治的10例NCP患者的CT影像資料、臨床資料及核酸檢測結果,分析CT圖像中病變主要分布區域及范圍、病灶形態特征、治療后病灶發展及核酸檢測結果變化情況。結果 CT結果示磨玻璃影8例、鋪路石征2例、大片狀實變影9例、碎石征2例、斑片狀模糊影6例、胸膜下網狀影5例、條索影4例、小結節影1例、伴隨血管增粗6例、充氣支氣管征2例;1例患者核酸檢測連續4次顯示陰性,但末次CT圖像顯示肺內病灶仍未完全吸收;1例患者核酸檢測陽性,但2次CT檢查均未見明顯異常征象。結論 NCP患者肺部早期呈現多發小斑片影及間質性改變,以肺外帶明顯,進而發展為雙肺多發磨玻璃影、浸潤影,嚴重者可出現肺實變;核酸測定結果與CT肺內病灶征象可出現不同步情況。臨床治療中應根據患者實際情況,同時結合核酸測定及CT表現綜合評估以制定診療方案,提高NCP的診治能力。
Abstract:
Objective To explore the correlation between CT findings and nucleic acid test results of novel coronavirus pneumonia (NCP), and to provide more reference for clinical diagnosis and treatment. Methods CT image data, clinical data and nucleic acid test results of 10 NCP patients admitted from January 21 to February 2, 2020 in our hospital were collected, the main distribution area and range of lesions in CT images, the morphological characteristics of lesions, the development of lesions after treatment and the changes of nucleic acid detection results were analyzed. Results CT results showed 8 cases of ground glass shadows, 2 cases of paving stone signs, 9 cases of large patchy solid signs, 2 cases of lithotripsy signs, 6 cases of patchy blurred shadows, 5 cases of subpleural reticulum shadows, and 4 cord shadows cases, 1 case of nodular nodules, 6 cases with thickening of blood vessels, 2 cases of inflatable bronchi sign; 1 patient showed negative nucleic acid test for 4 consecutive times, but the last CT image showed that lung lesions were not fully absorbed; 1 patient had nucleic acid The test was positive, but no obvious abnormal signs were found on two CT examinations.Conclusion In the early stage of NCP patients, multiple small patchy and interstitial changes appear in the lungs, which are obvious outside the lung, and then develop into multiple ground glass and infiltrates in both lungs. In severe cases, lung consolidation may occur; nucleic acid measurement results and CT lung Signs of internal lesions may appear out of sync. The clinical treatment should be based on the actual situation of the patient, combined with nucleic acid measurement and comprehensive evaluation of CT performance to develop a diagnosis and treatment plan, and improve the ability of NCP diagnosis and treatment.

參考文獻/References:

[1]Richman DD,Whitley RJ,Hayden FG,et al.Clinical virology[M].4th ed.Washington: ASM Press,2016. [2]Ksiazek TG,Erdman D,Goldsmith CS,et al.A novel coronavirus associated with severe acute respiratory syndrome[J].N Engl J Med,2003,348(20):1953-1966. [3]De Groot RJ,Baker SC,Baric RS,et al.Middle East respiratory syndrome coronavirus (MERS-CoV):announcement of the Coronavirus Study Group[J].J Virol,2013,87(14):7790-7792. [4]WHO.Summary of probable SARS cases with onset of illness from 1 November 2002 to 31 July 2003[EB/OL].(2003-09-26).https://www.who.int/csr/sars/country/table2003_09_23/en/. [5]WHO.Middle east respiratory syndrome corronavirus(MERS-COV)[EB/OL].(2019-12).http://www.who.int/emergencies/mers-cov/en/. [6]國家衛生健康委員會.“新型冠狀病毒感染的肺炎診療方案”試行(第四版)[EB].(2020-01-27).http://www.nhc.gov.cn/yzygj/s7653p/202001/4294563ed35b43209b31739bd0785e67/files/7a9309111267475a99d4306962c8bf78.pdf

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