严重急性呼吸综合征患者的胸部X线分析  

Chest X-ray findings of severe acute respiratory syndrome

作　　者：张明[1] 苏晋生[1] 熊蔚[1] 李玫[1] 代卫斌[1] 武瑞凤[1] 石琴[1] 欧阳容[1] 李明毅[1] 李萍[1] 

机构地区：[1]太原市中心医院,太原市030001

出　　处：《实用医学影像杂志》2003年第6期301-303,共3页Journal of Practical Medical Imaging

摘　　要：目的分析严重急性呼吸综合征(SARS)患者的胸部X线表现及其与临床经过的关系。方法分析了2003年4月17日至2003年5月20日经临床确诊的74例SARS患者的胸部X线表现并与其临床经过进行了对照。大部分病例是CR系列胸片资料。结果SARS患者的肺部影像表现有索条斑片影、磨玻璃样影、片状影、团块影及弥漫混合影。SARS患者肺部病变的分布以两肺中、下部为主(81%)。肺部病变的转归有4种模式:a)在发现病灶后3d～7d内基本吸收者占39%;b)病变进展扩大者占28%;c)2周以内在吸收过程中有复发者占22%;以及d)持续进展在2周以上者占11%。结论SARS患者肺部病变的发展有其自身的规律性,病变首次出现时间与病程密切相关,胸部X线表现是其诊断的重要依据。Objective To analyze the chest X- ray findings of severe acute respiratory syndrome (SARS) and to correlate these findings with clinical course.Methods Chest X- ray findings and their correlation with clinical course in 74 patients with clinically proved SARS were collected from April 17 2003 to May 20 2003 and analyzed.The most patients underwent CR serial chest film examinations.Results Pulmonary images of SARS were found to be stripe mottling,ground- glass form,patchy,mass,diffuse- mixed lesion.The most lesions located in mid- lower fields of bilateral lungs(81 % ).The conversion of SARS lesions were found to be following four patterns:(1)most absorption within 3～ 7 days after onset of the lesions(39 % );(2)progress and expansion(28 % );(3)recurrence within 2 weeks of absorptive course (22 % );and (4)continued progress over 2 weeks (11 % ).Conclusion The development and change of SARS lesions have self- existent regularity and are closely related to clinical course.Chest X- ray findings of SARS are its main evidence of definite diagnosis. [

关 键 词：严重急性呼吸综合征 肺部炎症 胸部X线表现 

分 类 号：R816.4[医药卫生—放射医学] R511.9[医药卫生—临床医学]