新型冠状病毒肺炎普通型胸部影像动态变化表现分析  

The CT findings of common COVID-19

作　　者：黄德扬[1] 张烈光[1] 甘清鑫[1] 凌洲焜[1] 瞿静 刘晋新[1] HUANG De-yang;ZHANG Lie-guang;GAN Qing-xin;LING Zhou-kun;QU Jing;LIU Jin-xin(Guangzhou Eighth People's Hospital,Guangzhou 510440,Guangdong,China)

机构地区：[1]广州市第八人民医院放射科,广东广州510440

出　　处：《广东医学》2020年第12期1211-1214,共4页Guangdong Medical Journal

摘　　要：目的探讨广州地区普通型新型冠状病毒肺炎(COVID-19)患者胸部高分辨率CT(HRCT)影像动态变化特点。方法回顾性分析31例普通型COVID-19患者胸部HRCT的影像动态变化表现。结果31例普通型COVID-19患者首次CT影像表现主要为磨玻璃影(100%)、间质间隔增厚(48.4%)、条索影(48.4%)、局部实变影(45.2%);病变进展时肺内索条影(77.4%)、局部实变影(73.3%)较首次CT明显增多;病灶吸收时实变影(32.3%)明显减少,相应条索影(80.6%)增加。结论普通型COVID-19患者CT显示磨玻璃影逐渐出现实变改变,实变和条索影增加,可提示COVID-19普通型患者病变进展,临床上需警惕患者症状突然加重。Objective To study the CT features of common COVID-19.Methods The CT images and clinical features of 31 patients with common COVID-19 were retrospectively analyzed.Results In the early stage of common COVID-19,the findings in CT were ground-glass opacities(100%),thickening of interstitial septum(48.4%),linear opacities(48.4%),and local consolidation(45.2%).During the progression,linear opacities(77.4%)and local consolidation(73.3%)were more prominent than early stage.During absorption stage,local consolidation(32.3%)was significantly reduced,while linear opacities was more prominent(80.6%).Conclusion In patients with common COVID-19,the increases of local consolidation and linear opacities in CT scan could indicate the progression of the disease.

关 键 词：新型冠状病毒肺炎 X线计算机 影像表现 

分 类 号：R563.1[医药卫生—呼吸系统] R445.4[医药卫生—内科学]