新型冠状病毒肺炎的影像学特征及与常见病毒性肺炎鉴别诊断的研究进展  

COVID-19 and other viral pneumonia radiological patterns and differential diagnosis

作　　者：刘建[1] 袁怀平 焦以庆[1] 郭丽娅[1] 韩雪[1] 霍建伟 王玉光[1] LIU Jian;YUAN Huaiping;JIAO Yiqing;GUO Liya;HAN Xue;HUO Jianwei;WANG Yuguang(Department of Respiratory,Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China)

机构地区：[1]首都医科大学附属北京中医医院呼吸科,100010 [2]安徽医科大学附属阜阳医院

出　　处：《心肺血管病杂志》2020年第6期629-634,共6页Journal of Cardiovascular and Pulmonary Diseases

摘　　要：2019-nCoV导致新型冠状病毒肺炎(COVID-19)的影像学特征多种多样,COVID-19影像学早期主要表现为磨玻璃影及网格影,病情进展时以弥漫实变为主;与腺病毒感染以叶段分布的实变及呼吸道合胞病毒感染的气道壁增厚、树芽征有明显区别。不同的病毒性肺炎影像学特征具有相似性及一定的差异性,需结合易感人群、临床特征和病原学检查等能够更为精准地诊断COVID-19及其他常见的病毒性肺炎。为此,本研究对COVID-19及常见病毒性肺炎的影像学特征进行综述,以期对病毒性肺炎有更为全面的认识,为临床实践提供诊断思路。The imaging findings of coronavirus disease(COVID-19) are diverse and different from the pneumonia of adenovirus or respiratory syncytial virus. Ground-glass opacities with reticulation on chest CT are demonstrate by the early stage of COVID-19, consolidation are the main findings as the disease progresses. Nevertheless, adenovirus pneumonia appears as multifocal consolidation with segmental distribution. RSV shows an airway-centric pattern of disease with "tree-in-bud" opacity and bronchial wall thickening. Viral Pneumonia can have similar imaging characteristics are shown, and simultaneously certain different characters. The diagnosis of COVID-19 and other viral pneumonia needs to be combined with susceptible hosts, clinical characteristics and pathogenic detection and so on. This review focuses on the imaging patterns of COVID-19 and other viral pneumonia, in order to have a more comprehensive understanding of the diagnosis of viral pneumonia and provide differential diagnosis for clinicians and radiologists.

关 键 词：2019新型冠状病毒 高分辨率计算机断层扫描 胸部影像特征 病毒性肺炎 鉴别诊断 

分 类 号：R56[医药卫生—呼吸系统]