温州地区新型冠状病毒肺炎26例的早期CT影像学特征  

Early CT imaging features of 26 patients with corana virus disease 2019 in Wenzhou

作　　者：陈龙 严志汉[2] 都继成 黄崇权 陈雀芦 廖节烂 陈宇 CHEN Long;YAN Zhihan;DU Jicheng(Dingli Clinical College of Wenzhou Medical University,Wenzhou 325000,CHINA)

机构地区：[1]温州医科大学定理临床学院,浙江325000 [2]温州医科大学附属第二医院放射科

出　　处：《江苏医药》2020年第3期284-287,共4页Jiangsu Medical Journal

摘　　要：目的分析新型冠状病毒肺炎(COVID-19)患者早期CT影像学特征。方法分析温州地区26例COVID-19患者发病1~3 d内胸部CT影像表现。结果COVID-19患者早期胸部CT影像表现为单发或双肺多发类圆形、斑片状、大片状较均匀磨玻璃密度影。其变化多于两肺下叶胸膜下区,可伴有血管增粗,在病灶内穿行,也可呈多发磨玻璃影伴实变影、小叶内间隔增厚,伴"铺路石征"和"空气支气管征"等,少数可见类胸腔积液样肺实变影。结论COVID-19患者早期胸部CT图具有较典型的影像学表现,CT扫描有助于COVID-19患者早期诊断。Objective To analyze the early CT imaging features of the patients with corana virus disease 2019(COVID-19).Methods Chest CT data of 26 patients with COVID-19 in Wenzhou,China,during one to three days after onset were analyzed.Results The early chest CT imaging features of COVID-19 patients showed single or double lung multiple round,patchy,and large pieces of uniform ground glass opacity,which were seen more commonly in the lower pleural area of the lower lobe of both lungs with the thickened blood vessels through the lesions.The lesions could be multiple ground glass opacity with consolidation,thickening of the interlobular space,with"crazy paving sign","air bronchography sign"and etc.Some of the lesions were visible pleural effusion-like pulmonary consolidation.Conclusion The patients with COVID-19 have typical early chest CT imaging features.CT scan is helpful in the early diagnosis of COVID-19.

关 键 词：新型冠状病毒肺炎 计算机断层成像 早期诊断 

分 类 号：R563[医药卫生—呼吸系统]