胸部CT检查早期诊断疑似SARS疾病的价值  

Diagnostic Value of Chest CT in Early Detection of the Patients with Suspected SARS

作　　者：沈洪[1] 杜捷夫[1] 计达[1] 汪建新[2] 邢冲冲[3] 

机构地区：[1]解放军总医院急诊科,北京100853 [2]解放军总医院呼吸内科,北京100853 [3]解放军总医院放射科,北京100853

出　　处：《中国医学影像学杂志》2003年第4期241-243,共3页Chinese Journal of Medical Imaging

摘　　要：目的 :评估早期CT检查对确诊SARS患者的意义。材料和方法 :2 0 0 3 0 3～ 0 6在发热门诊就诊患者中选取 12例临床疑诊SARS患者 ,8例于发病后 1天就诊 ,4例于发病后 2天就诊。 12例患者均于就诊当日行胸X线检查及薄层CT检查。结果 :追踪调查 12例患者 ,均于发病 10天后 ,在“非典型肺炎”定点专科医院确诊为SARS。 8例 ( 8/12 )发病后 1天就诊胸部X线示正常 ;4例 ( 4 /12 )发病 2天后就诊 ,示有淡薄渗出病变 ;CT薄层检查示 9例 ( 9/12 )有单个或多个部位的模糊点片渗出影 ,呈现毛玻璃样改变 ,4例胸X片有渗出病变者 ,CT检查均异常 ;另有 3例胸X片检查正常者 ,CT检查亦未见异常。结论 :对于有SARS相关症状和体征的患者 ,即使早期胸部X线正常 ,如有条件也应尽早行胸部CT检查 ,这对于疑诊SARS患者早期诊断、治疗、隔离 ,防止疫情的扩散具有重要价值。Purpose: To evaluate the diagnostic value of CT scan in the early detection of patients suspected severe acute respiratory syndrome (SARS). Materials and Methods: 12 patients suspected as SARS in the fever clinic were investigated, 8 patients came to the hospital 1 day after they got the symptoms, 4 others 2 days after they got the symptoms. All underwent the chest X ray and the thin section CT scan. Results: The X ray showed normal in 8 patients(8/12), while there were thin exudation in 4 patients(4/12). The CT showed there were shadows like grand glass change in 9 patients(9/12). Normal in 3 patients(3/12). Conclusion: In the suspected patients with fever and other symptoms, when their X ray films show normal, the CT scan should be taken to make early diagnosis in order to prevent the plague from scattering.

关 键 词：胸部 CT检查 早期诊断 SARS 疑似病例 发热门诊 

分 类 号：R816.41[医药卫生—放射医学] R563.1[医药卫生—临床医学]