摘要
目的探讨扬州地区新型冠状病毒肺炎(NCP)患者的CT影像学表现。方法回顾性分析23例NCP患者的胸部CT影像资料,其中男10例,女13例,年龄22~72岁,均符合国家卫生健康委员会《新型冠状病毒感染的肺炎诊疗方案(试行第六版)》的诊断标准。结果23例患者CT表现可分为早期6例,进展期17例;病灶累及肺叶:1个肺叶1例,2个肺叶3例,3个肺叶3例,4个肺叶4例,5个肺叶12例;分布范围:胸膜下为主17例,胸膜下和中心同时受累6例;病灶形态:23例均出现磨玻璃影,同时伴间质增厚、网状影16例,实变10例,血管增粗10例,空气支气管征5例,“铺路石”征3例,淋巴结增大1例,胸腔少量积液1例。结论扬州地区NCP患者CT影像学均为早期、进展期表现,主要为多发磨玻璃影,以胸膜下分布多见,伴有间质的增厚及血管增粗。
Objective To explore the CT imaging features of patients with novel coronavirus pneumonia(NCP)in Yangzhou area.Methods The chest CT imaging materials of 23 patients with NCP(10 male patients and 13 female patients with age from 22 to 72 years old)were analyzed retrospectively and patients′diagnosis were accorded with Diagnosis and Treatment of Novel Coronavirus Pneumonia(V6 for Trial)formulated by National Health Commission of the People′s Republic of China.Results CT manifestations of 23 patients can be divided into 6 cases with early stage and 17 cases with progressive stage.According to lesions involving lung lobes,the patients can be divided into one case with one lung lobe,3 cases with 2 lung lobes,3 cases with 3 lung lobes,4 cases with 4 lung lobes,and 12 cases with 5 lung lobes.According to distribution range,the patients can be divided into 17 cases with dominant subpleural area,6 cases with both invasions of subpleural and central area.According to lesions shape,all of 23 patients had ground glass shadow,and at the same time,16 cases had interstitial thickening and reticular shadow,10 cases had solid change,10 cases had vascular augmentation,5 cases had air bronchus,3 cases had sign of“paving stone”,1 case had enlarged lymph node and 1 case had small amount of pleural effusion.Conclusion CT imaging features are mainly early stage and progressive stage manifestations in NCP patients in Yangzhou area,the patients have multiple ground glass shadows in the subpleural area,and most of them are complicated with interstitial and vascular thickening.
作者
施斌斌
傅剑雄
孙骏
叶靖
林华
SHI Binbin;FU Jianxiong;SUN Jun;YE Jing;LIN Hua(Department of Medical Imaging,SubeiPeople′s Hospital of Yangzhou University,Yangzhou,Jiangsu,225001;Neurological Intensive Care Unit,SubeiPeople′s Hospital of Yangzhou University,Yangzhou,Jiangsu,225001)
出处
《实用临床医药杂志》
CAS
2020年第4期10-12,共3页
Journal of Clinical Medicine in Practice
作者简介
通信作者:傅剑雄,E-mail:richfjx@126.com。
