[1]严申龙,马 宁,任 杰,等.新型冠状病毒肺炎的CT影像特点及应用价值[J].医学信息,2020,33(04):1-3.[doi:10.3969/j.issn.1006-1959.2020.04.001]
　YAN Shen-long,MA Ning,REN Jie,et al.CT Imaging Characteristics and Application Value of Novel Coronavirus Pneumonia[J].Medical Information,2020,33(04):1-3.[doi:10.3969/j.issn.1006-1959.2020.04.001]
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新型冠状病毒肺炎的CT影像特点及应用价值()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年04期
页码:
1-3
栏目:
出版日期:
2020-02-15

文章信息/Info

Title:
CT Imaging Characteristics and Application Value of Novel Coronavirus Pneumonia
文章编号:
1006-1959（2020）04-0001-03
作者:
严申龙; 马 宁; 任 杰; 等
（咸阳市中心医院CT诊断室，陕西 咸阳 712000）
Author(s):
YAN Shen-long; MA Ning; REN Jie; et al
(CT Diagnosis Room of Xianyang Central Hospital,Xianyang 712000,Shaanxi,China)
关键词:
新型冠状病毒肺炎; CT; 核酸检测; 武汉
Keywords:
Novel coronavirus pneumonia; CT; Nucleic acid detection; Wuhan
分类号:
R563.1
DOI:
10.3969/j.issn.1006-1959.2020.04.001
文献标志码:
A
摘要:
目的 探讨新型冠状病毒肺炎（NCP）的CT表现与核酸检测结果间的相互关系，为临床诊疗提供更多参考依据。方法 收集我院2020年1月21日~2月2日收治的10例NCP患者的CT影像资料、临床资料及核酸检测结果，分析CT图像中病变主要分布区域及范围、病灶形态特征、治疗后病灶发展及核酸检测结果变化情况。结果 CT结果示磨玻璃影8例、铺路石征2例、大片状实变影9例、碎石征2例、斑片状模糊影6例、胸膜下网状影5例、条索影4例、小结节影1例、伴随血管增粗6例、充气支气管征2例；1例患者核酸检测连续4次显示阴性，但末次CT图像显示肺内病灶仍未完全吸收；1例患者核酸检测阳性，但2次CT检查均未见明显异常征象。结论 NCP患者肺部早期呈现多发小斑片影及间质性改变，以肺外带明显，进而发展为双肺多发磨玻璃影、浸润影，严重者可出现肺实变；核酸测定结果与CT肺内病灶征象可出现不同步情况。临床治疗中应根据患者实际情况，同时结合核酸测定及CT表现综合评估以制定诊疗方案，提高NCP的诊治能力。
Abstract:
Objective To explore the correlation between CT findings and nucleic acid test results of novel coronavirus pneumonia (NCP), and to provide more reference for clinical diagnosis and treatment. Methods CT image data, clinical data and nucleic acid test results of 10 NCP patients admitted from January 21 to February 2, 2020 in our hospital were collected, the main distribution area and range of lesions in CT images, the morphological characteristics of lesions, the development of lesions after treatment and the changes of nucleic acid detection results were analyzed. Results CT results showed 8 cases of ground glass shadows, 2 cases of paving stone signs, 9 cases of large patchy solid signs, 2 cases of lithotripsy signs, 6 cases of patchy blurred shadows, 5 cases of subpleural reticulum shadows, and 4 cord shadows cases, 1 case of nodular nodules, 6 cases with thickening of blood vessels, 2 cases of inflatable bronchi sign; 1 patient showed negative nucleic acid test for 4 consecutive times, but the last CT image showed that lung lesions were not fully absorbed; 1 patient had nucleic acid The test was positive, but no obvious abnormal signs were found on two CT examinations.Conclusion In the early stage of NCP patients, multiple small patchy and interstitial changes appear in the lungs, which are obvious outside the lung, and then develop into multiple ground glass and infiltrates in both lungs. In severe cases, lung consolidation may occur; nucleic acid measurement results and CT lung Signs of internal lesions may appear out of sync. The clinical treatment should be based on the actual situation of the patient, combined with nucleic acid measurement and comprehensive evaluation of CT performance to develop a diagnosis and treatment plan, and improve the ability of NCP diagnosis and treatment.

参考文献/References:

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更新日期/Last Update: 2020-02-15