重症甲型H1N1流感肺炎的CT动态改变  

The CT dynamic change of Severe H1N1 influenza pandemic pneumonia

作　　者：钟贻洪[1] 雷剑[1] 王肇平[1] 田云生[1] 曾宇来[1] 廖忠剑[1] 刘昊[1] 曾斐[1] 

机构地区：[1]赣州市人民医院CT室,江西赣州341000

出　　处：《赣南医学院学报》2011年第1期11-12,共2页JOURNAL OF GANNAN MEDICAL UNIVERSITY

摘　　要：目的:研究重症甲型H1N1流感患者的肺部CT表现的动态改变。方法:回顾性分析经确诊的9例重症甲型H1N1流感患者的一系列胸部CT资料。结果:起病1周内,9例CT平扫均发现双肺斑片状、磨玻璃密度影,合并胸腔积液1例。发病后1～2周病变变化迅速,在磨玻璃密度影内出现结节2例;7例病变开始吸收;胸膜增厚2例。出院前CT检查,4例胸部CT示残留条索影,5例胸部阴影完全吸收。结论:重症甲型H1N1流感患者的肺部CT动态改变能反映其病理改变,并为临床诊疗提供重要和可靠的信息。Objective：To study CT dynamic change of patients with severe H1N1 flu in lung.Methods：The diagnosis were analyzed retrospectively in 9 patients with a series of H1N1 flu chest CT material.Results：Onset of 1 ~ 7 days,9 cases were found Saul CT flat double lung patchy,ground glass density,1 pleural effusion combined.Incidence after 1-2 weeks lesions in the ground glass,rapid changes occured within a shadow density nodules in 2 cases.7 cases of lesions began to absorb,Pleural thickening in 2 cases.CT examination before the patients were discharged,4 cases of chest CT showed residues,5 cases chest shadow completely absorbed.Conclusion：patients with severe influenza pandemic in lung CT H1N1 dynamic change can reflect the pathological changes,and provide reliable information for clinical diagnosis.

关 键 词：重症甲型H1N1流感 肺炎 CT 

分 类 号：R445.3[医药卫生—影像医学与核医学]