[1]邓灵波,周 雯,曾巧玲,等.疑似及确诊新冠肺炎的临床及胸部CT影像特点[J].医学信息,2020,33(04):4-7.[doi:10.3969/j.issn.1006-1959.2020.04.002]
　Deng Lingbo,Zhou Wen,Zeng Qiaoling,et al.Clinical and chest CT image analysis of the suspected and confirmed COVID-19 infected pneumonia[J].Medical Information,2020,33(04):4-7.[doi:10.3969/j.issn.1006-1959.2020.04.002]
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疑似及确诊新冠肺炎的临床及胸部CT影像特点()
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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:
4-7
栏目:
出版日期:
2020-02-15

文章信息/Info

Title:
Clinical and chest CT image analysis of the suspected and confirmed COVID-19 infected pneumonia
文章编号:
1006-1959（2020）04-0004-04
作者:
邓灵波; 周 雯; 曾巧玲; 等
（北京大学深圳医院医学影像科，广东 深圳 518036）
Author(s):
Deng Lingbo;  Zhou Wen; Zeng Qiaoling; et al
(Department of Medical Imaging,Shenzhen Hospital,Peking University,Shenzhen 518036,Guangdong,China)
关键词:
新型冠状病毒肺炎; 流行病学; 实验室检查; CT表现
Keywords:
Novel coronavirus pneumonia; Epidemiology; Laboratory examination; CT manifestations
分类号:
R563.1；R455
DOI:
10.3969/j.issn.1006-1959.2020.04.002
文献标志码:
A
摘要:
目的 分析我院收治的疑似及确诊的新型冠状病毒肺炎患者的临床及胸部CT影像表现，以提高对本病的认识。方法 选择我院2020年1月15日~2月15日收治的26例疑似和确诊新型冠状病毒肺炎患者的作为研究对象，回顾性分析患者流行病学史、临床资料、实验室检查及胸部CT影像学表现。结果 26例患者中，16例为确诊病例，10例为疑似病例。15例患者疫情期间曾经到过武汉或生活在武汉，4例患者有家属来自武汉，1例患者来自湖北荆州，1例患者有新加坡旅游史，2例患者接触过确诊病例， 3例患者没有明确接触史。发热患者21例，无症状患者4例，1例仅有少许咳嗽。26例患者胸部CT主要表现为肺内散在分布的斑片状、结节状、大片状磨玻璃影、实变影，大部分位于胸膜下，其中18例患者胸部影像表现为病毒性肺炎可能性大。结论 结合流行病学史、临床症状、实验室检查及胸部CT影像学资料可以准确诊断及鉴别新型冠状病毒肺炎，达到早发现、早隔离、早治疗的目的。
Abstract:
Objective To analyze the clinical and chest CT imaging findings of patients with suspected and confirmed novel coronavirus pneumonia admitted in our hospital to improve the understanding of the disease.Methods 26 patients with suspected and confirmed novel coronavirus pneumonia treated in our hospital from January 15 to February 15, 2020 were selected as the research subjects, retrospective analysis of the patient’s epidemiological history, clinical data, laboratory tests and chest CT imaging findings.Results Of the 26 patients, 16 were confirmed and 10 were suspected. 15 patients had visited or lived in Wuhan during the epidemic, 4 patients had family members from Wuhan, 1 patient from Jingzhou, Hubei, 1 patient had a history of travel in Singapore, 2 patients had contact with a confirmed case, and 3 patients were unclear contact history. There were 21 cases of fever, 4 cases of asymptomatic patients, and 1 case had only a little cough. Chest CT in 26 patients mainly showed patchy, nodular, large ground glass, and consolidation in the lungs. Most of them were located under the pleura.18 of these patients were most likely to have viral pneumonia.Conclusion Combining epidemiological history, clinical symptoms, laboratory examination and chest CT imaging data can accurately diagnose and identify novel coronavirus pneumonia, and achieve the goals of early detection, early isolation and early treatment.

参考文献/References:

[1]中华人民共和国国家卫生健康委员会.新型冠状病毒感染的肺炎诊疗方案（试行第六版）[EB/OL].(2020-02-19) [2020-02-19].http://www.nhc.gov.cn/xcs/fkdt/202002/54e1ad5c2aac45c19eb541799bf637e9.shtml. [2]郑颖彦,马昕,王惠英,等.新型冠状病毒肺炎（2019-nCoV）的CT征象[J].上海医学杂志,2020,2. [3]管汉雄,熊颖,申楠茜,等.2019新型冠状病毒(2019-nCoV)肺炎的临床影像学特征初探[J/OL].放射学实践:1-6[2020-02-25].https://doi.org/10.13609/j.cnki.1000-0313.2020.02.001. [4]靳英辉,蔡林,程真顺,等.新型冠状病毒(2019-nCoV)感染的肺炎诊疗快速建议指南(标准版)[J/OL].解放军医学杂志:1-20[2020-02-25].http://kns.cnki.net/kcms/detail/11.1056.r.20200201.1338.003.html. [5]Chaolin Huang,Yeming Wang,Xingwang Li,et al.Clinical feattures of patients infected with 2019 novel coronavirus in Wuhan,China [J]. The Lancet,2020,395(10223). [6]Zhu N,Zhang D,Wang W,et al.A novel coronavirus from patients with pneumonia in china,2019[J].The New England Journal of Medicine,2020. [7]Li Q,Guan X,Wu P,et al.Early transmission dynamics in wuhan, china, of novel coronavirus-infected pneumonia[J].The New England Journal of Medicine,2020. [8]Munster VJ,Koopmans M,van Doremalen N,et al.A novel coronavirus emerging in china-key questions for impact assessment[J].The New England Journal of Medicine,2020. [9]WHO.Clinical management of severe acute respiratory infection when novel coronavirus (2019-nCoV) infection is suspected: interim guidance[EB/OL].(2020-01-28) [2020-02-19].https://apps.who.int/iris/handle/10665/330893. [10]李太生,曹玮,翁利,等.北京协和医院关于“新型冠状病毒感染的肺炎”诊疗建议方案（V2.0）[J].协和医学杂志,2020:1-5. [11]马慧静,邵剑波,王永姣,等.新型冠状病毒肺炎儿童高分辨率CT表现[J].中华放射学杂志,2020. [12]谢婷婷,王俊卿,王哲,等.新型冠状病毒(2019-nCoV)肺炎的临床及CT诊断[J].中国CT和MRI杂志,2020(3):146-152.

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更新日期/Last Update: 2020-02-15