胸部影像学征象在预测新型冠状病毒肺炎转归中的作用  

Chest imaging findings in prediction of COVID-19

作　　者：唐大川 韩成钰 李海泉 潘军平 孟庆彬[5] 赵杰 Tang Dachuan;Han Chengyu;Li Haiquan;Pan Junping;Meng Qingbin;Zhao Jie(Graduate School,Xuzhou Medical University,Xuzhou 221004,China;College of Life Sciences,Northwest A&F University,Yangling 712100,China;Department of Critical Care Medicine,the Second Affiliated Hospital of Xuzhou Medical University,Xuzhou 221006,China;Department of Radiology,Qujiang People's Hospital,Shaoguan 512100,China;Department of Gastrointestinal Surgery,Wuhan No.1 Hospital,Wuhan 430022,China;Department of Respiratory and Critical Medicine,the Second Affiliated Hospital of Xuzhou Medical University,Xuzhou 221006,China)

机构地区：[1]徐州医科大学研究生院,221004 [2]西北农林科技大学生命科学学院,杨凌712100 [3]徐州医科大学附属第二医院重症医学科,221006 [4]韶关市曲江区人民医院影像科,512100 [5]武汉市第一医院胃肠外科,430022 [6]徐州医科大学附属第二医院呼吸与危重症医学科,221006

出　　处：《国际呼吸杂志》2020年第16期1201-1204,共4页International Journal of Respiration

摘　　要：目的探究CT征象在预测新型冠状病毒肺炎患者转归中的作用,以及新型冠状病毒肺炎患者的胸部影像学特点。方法选择武汉市第一医院收治的60例新型冠状病毒肺炎患者,分为临床好转组(52例)与临床恶化组(8例),所有患者均符合《新型冠状病毒肺炎诊疗方案(试行第七版)》诊断标准。采用χ^2检验比较分析2组患者的胸部影像学改变。结果2组的影像学特征(病灶趋于实变、病灶范围增大、病灶出现融合趋势、磨玻璃影由模糊变清楚、病灶向内发展、出现纤维条索、磨玻璃影范围增大、磨玻璃影范围减小和病灶此起彼伏)比较,差异均有统计学意义(P值均<005)。结论观察胸部影像学变化可早期预测新型冠状病毒肺炎患者的临床转归,且相对安全、无创,具有临床实用性。Objective To explore the role of C T signs in predicting the outcome of patients with novel coronavirus and the chest imaging characteristics of patients with COVID-19.Methods There were 60 cases of CO VID-19 patients admitted to Wuhan First Hospital divided into clinical improvement group(52 cases)and clinical deterioration group(8 cases).All patients met the diagnostic criteria of COVID-19 Diagnosis and Treatment Plan(Trial Seventh Edition)The chest imaging changes of the two groups were compared and analyzed by X2 test.Results There were obvious differences between the two groups in several imaging features(lesions tend to become solid,ground glass shadows become clear from blur,lesion range increases,lesions appear fusion trend,lesions develop inward,fiber cords appear,ground glass shadows range increases,ground glass shadows range decreases and lesions occur one after another)and the differences were statistically significant(all P<0.05).Conclusions Observation of chest imaging changes can predict the clinical outcome of novel coronavirus patients at an early stage and is relatively safe,noninvasive and clinically practical.

关 键 词：新型冠状病毒肺炎 计算机断层扫描 预测 转归 胸部影像学 

分 类 号：R563.1[医药卫生—呼吸系统]