摘要
目的分析、总结中山市2019新型冠状病毒肺炎(COVID-19)的特征性CT征象。方法收集整理2020年1月24日~2月22日中山市确诊为COVID-19的66例患者的首诊CT图像,并与同时间段的27例本院诊治的其他性质肺炎(非COVID-19)的首诊CT图像进行研究,比较两者的影像表现差异。结果66例COVID-19患者中2例首诊CT无异常征象,其余64例病灶多累及两肺多肺叶、多位于两肺中外肺野及胸膜下区,其CT表现包括“铺路石征”、磨玻璃影、混合磨玻璃影、实变影、病灶伴有血管增粗及空气支气管征等。结论COVID-19的CT表现有其特征性,螺旋CT检查可发现病灶并为明确诊断提供重要依据。
Objective To analyze and summarize the characteristic CT signs of 66 cases of COVID-19.Methods The first CT images of 66 patients diagnosed with COVID-19 from January 24 to February 22,2020 were collected and compared with those of 27 patients diagnosed with other pneumonia(non-COVID-19)in the same period of time.Results In 66 patients with COVID-19,there were no abnormal signs on the first CT scan,and the rest 64 patients had lesions involving two lungs and many lobes,mostly in the subpleural area of the two lungs.Their CT manifestations included"pave stone"sign,ground glass shadow,mixed ground glass shadow,consolidation shadow,lesions with vascular thickening,air bronchogram sign,etc.Conclusions The CT manifestations of COVID-19 have their own characteristics.Spiral CT can find the lesions and provide an important basis for clear diagnosis.
作者
黄慧仪
张晓萍
林子乔
许靖
李朝隆
HUANG Huiyi;ZHANG Xiaoping;LIN Ziqiao;XU Jing;LI Chaolong(Radiology Department,Zhongshan Second People's Hospital,Zhongshan 528478,China)
出处
《功能与分子医学影像学(电子版)》
2020年第1期1775-1778,共4页
Functional and Molecular Medical Imaging(Electronic Edition)