严重呼吸综合征的胸部影像表现  

X-ray Manifestations of Chests in 51 Patients with Severe Acute Respiratory Symptom

作　　者：侯惠敏[1] 杨志峰[1] 刘晓燕[1] 韩建勇[1] 任辉[1] 张志华[2] 邹玉安[2] 

机构地区：[1]张家口医学院第二附属医院内科,075100 [2]张家口医学院第一附属医院内科,075000

出　　处：《张家口医学院学报》2003年第6期5-7,共3页

摘　　要：目的 :总结严重急性呼吸综合征 (SARS)的胸部X线表现及变化规律。方法 :分析 5 1例经临床确诊的SARS患者一系列胸部X线进行统计分析。结果 :患者均以发热为最早发病症状 ,10 0 %患者在发病后 1周内X线胸片出现局灶性斑片状模糊阴影 ,2周内达到高峰 ,15 .6 %患者为双肺多肺炎性病变 ,5 2 .9%患者为左肺 ,右肺为 31.4 % ,大部分肺野受累 ,病情重 ,98%患者在 4周内肺部阴影逐渐消散。结论 :肺部病变越早 ,范围越广 ,发展越迅速 ,临床症状越重。Objective: To study the chest features of x-rays and kinetic changes in patients with severe acute respiratory symptom. Methods: A series of imaging features in chest radiograms of 51clinically confirmed SARS patients were analyzed. Results: The first symptom was fever in all patients .Main abnormal appearance was single or bilateral-localized clouding opacity on roentgenography of all patients .The area of opality peaked at about 2weeks.Lesions in both lungs and multi-lobe with pathlolgical changes were noted in 15.5%,of which lesions in left -lung were noted in 52.9% and 31.4%in right-lung.The majority area of lung was correlated with the severity of clinical symptoms.The opacity disappeared gradually in 4 weeks in 98%of the patients. Conclusions: The serious clinical symptoms were found in patients with earlier appearance larger scope and faster progression of SARS lesions in the chest radiogram. [

关 键 词：严重呼吸综合征 胸部影像 肺炎 临床症状 

分 类 号：R816.41[医药卫生—放射医学]