江油地区6例新型冠状病毒肺炎CT表现及临床分析  

CT Findings and Clinical Analysis of 6 Cases of Novel Coronavirus Pneumonia in Jiangyou Area

作　　者：张来安[1] 鲁洪[1] 王磊 刘春岭[1] 郭毅 ZHANG Lai’an;LU Hong;WANG Lei;LIU Chunling;GUO Yi(Jiangyou People’s Hospital,Jiangyou 621700,China;不详)

机构地区：[1]江油市人民医院,四川江油621700 [2]江油市九〇三医院 [3]江油市传染病医院,江油市老年病医院

出　　处：《中外医学研究》2021年第32期72-75,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析江油地区6例新型冠状病毒疾病(COVID-19)CT表现及临床特征,以提高对该病的诊治与预防。方法:回顾性分析四川省江油地区2019年12月-2020年2月经病毒核酸检测确诊的6例新型冠状病毒肺炎患者的临床资料。观察病变分布、形态、密度、范围、大小等特征,并观察肺门、纵隔淋巴结及胸膜、胸腔异常改变。结果:6例中1例为儿童患者CT表现正常,5例肺部表现为病毒性肺炎,2例分布双肺各叶,3例仅累及双肺下叶,以胸膜下为主。双肺病变表现为淡、浓磨玻璃密度影、斑片状影、铺路石征、血管增粗征、小叶间隔增厚,周围可见长、短毛刺,病变与叶间裂及胸壁粘连并呈宽基底。6例患者显示无气胸,无胸腔积液,未见纵隔及肺门淋巴结肿大。结论:COVID-19易聚集发病,肺部感染具有一定特征性,分析其CT表现,可为临床早诊断、早隔离及早治疗提供影像学依据,以进一步提高治愈率及降低死亡率。Objective:To analyze the manifestations and clinical features of COVID-19 CT in 6 patients in Jiangyou area in order to improve the diagnosis,treatment and prevention of the disease.Method:The clinical data of 6 cases of novel coronavirus pneumonia confirmed by viral nucleic acid testing from December 2019 to February 2020 in Jiangyou,Sichuan province were retrospectively analyzed.The distribution,morphology,density,scope,size and other characteristics of the lesions were observed,and abnormal changes of hilar,mediastinal lymph nodes,pleura and thorax were observed.Result:Among the 6 cases,1 case was normal in CT,5 cases were viral pneumonia,2 cases were distributed in each lobe of both lungs,and 3 cases were only involved in the lower lobe of both lungs,mainly subpleural.The manifestations of double lung disease were light and thick ground glass density shadow,patchy shadow,pavement stone sign,vascular thickening sign,interlobular septum thickening,long and short burrs were observed around,and the lesions were adherent to interlobular fissure and chest wall and presented broad basement.6 patients showed no pneumothorax,no pleural effusion,no mediastinal and hilar lymph node enlargement.Conclusion:COVID-19 is prone to aggregation and has certain characteristics of pulmonary infection.Analysis of its CT manifestations can provide imaging basis for early clinical diagnosis,early isolation and early treatment,so as to further improve the cure rate and reduce the mortality.

关 键 词：新型冠状病毒肺炎 体层摄影术 X线计算机 磨玻璃影 

分 类 号：R563.1[医药卫生—呼吸系统] R816.41[医药卫生—内科学]