甲型H1N1流感66例胸部影像学特征及动态观察  

The Chest-image Characteristic and Dynamic Changes of 66 AH1N1 Cases

作　　者：时靖峰[1] 韩明锋[1] 滕小宝[1] 冉献贵[1] 时建[1] 许靖[1] 程国玲[1] 

机构地区：[1]安徽省阜阳市第二人民医院呼吸科,安徽阜阳236015

出　　处：《中国医药指南》2011年第23期186-188,共3页Guide of China Medicine

摘　　要：目的了解甲型H1N1流感,尤其是重症患者胸部医学影像特征。方法采用回顾性的方法对入院的66例甲型H1N1流感患者临床及影像资料进行分析。结果临床分型:轻型15例、重型40例、危重型11例。影像学分型:无病变型15例,支气管肺炎型20例,肺泡水肿型22例,混合型9例。毛玻璃样变32例,支气管充气征25例,伴胸腔积液21例,心包积液2例。治愈64例(96.97%),死亡2例(3.03%)。对于重症AH1N1孕产妇患者采用X线及CT动态观察评估,进行主动性医疗干预,及时中止妊娠22例,有效地改善了患者预后。结论毛玻璃样变及支气管充气征(实变征)是重症、危重症甲型H1N1流感患者胸部医学影像变化重要特征。动态观察X线和胸部CT影像学变化,不仅对病情评估,而且对临床治疗都具有一定的指导性意义。Objective To understand the chest-image characteristic of AH1N1,especially critical cases.Method The clinical and image datas of 66 AH1N cases were analyzed retrospectively.Result Clinical types：mild type 15 cases,severe type 40 cases,specially severe type 11 cases.Image types：nonlesion type 15 cases,bronchopneumonia type 20 cases,alveolar edema type 22 cases,mixed type 9 cases.ground-glass opacification 32 cases,bronchus charging-gas sign 25 cases,pleural effusion 21 cases,pericardial effusion 2 cases.64（96.97%）cases were treated successfully,the rest died.The prognosis of the gravida with critical AH1N1 influenza were improved effectively because of observation and evaluation by chest-X-ray and CT and medicine treatment by stopping pregnancy.Conclusions Ground-glass opacification and bronchus charging-gas sign were the major chest image characteristic of severe and specially severe cases with AH1N1.The dymamic observation of chest-X-ray and CT not only evaluared patient,s condictons but also guided treatments.

关 键 词：甲型H1N1流感 传染性非典型肺炎(SARS) 人禽流感(A/H5N1) X线/CT检查 

分 类 号：R373.13[医药卫生—病原生物学]