摘要
目的分析新型冠状病毒肺炎(COVID-19)临床及胸部CT影像特点,提高对本病的认识。方法回顾性分析温州医科大学附属第三医院69例新型冠状病毒肺炎(COVID-19)患者临床及首次胸部CT影像资料。结果16例患者首次胸部CT检查未见肺炎表现。53例患者首次胸部CT出现不同肺炎表现,多数患者病灶分散于两肺多叶(22/53,41.51%),呈胸膜下分布(41/53,77.36%),病灶形态各异,密度不一,病灶内出现小叶间隔增厚16例(16/53,30.19%),血管束增粗20例(20/53,37.74%),出现纤维条索影5例(5/53,9.4%)。均未出现肺门或纵隔淋巴结肿大。结论对于新型冠状病毒肺炎(COVID-19)流行期间,需全面结合流行病学病史、临床及胸部CT影像资料,提高疾病诊断准确率。
Objective To analyze the clinical and chest CT imaging features of novel coronavirus pneumonia(COVID-19)so as to improve the understanding of it.Methods Clinical and chest CT imaging datas of 69 patients with(COVID-19)in the third affiliated hospital of wenzhou medical university were reviewed.Results No pneumonia was found on first chest CT in 16 case.Different manifestations of pneumonia were found on first chest CT in 53 cases.The lesions in most cases were distributed in multileaf of both lung(22/53,41.51%)and subpleura(41/53,77.36%).The shapes and densities of the lesions were different.Thickening of interlobular septum was revealed in 16 cases(16/53,30.19%).Thickening of vascular bundle was revealed in 20 cases(20/53,37.74%).Fibrous streak shadow was revealed in 5 cases(5/53,9.4%).No hilar or mediastinal lymphadenopathy was found.Conclusion During(COVID-19)spread,we need to combine the epidemiological history,clinical and chest CT imaging data to improve the accuracy of disease diagnosis.
作者
戴婷婷
李阳
罗敏
岑秀雅
林一锱
任淮
何迪
林都
高源统
DAI Tingting;LI Yang;LUO Min;CEN Xiuya;LIN Yizi;REN Huai;HE Di;LIN Du;GAO Yuantong(Department of Radiology,Third Affiliated Hospital of Wenzhou Medical University,Wenzhou 325200,P.R.China)
出处
《医学影像学杂志》
2020年第10期1813-1816,共4页
Journal of Medical Imaging
基金
浙江大学新型冠状病毒肺炎(COVID-19)应急科研专项资金资助(编号:2020XGEX036)。
作者简介
戴婷婷(1991-),女,浙江温州人,毕业于温州医科大学,医学硕士,住院医师,主要从事医学影像诊断工作;通信作者:李阳,主任医师,E-mail:liyang989@163.com。
