[1]俞 静,赵 红,金 晶,等.社区获得性肺炎胸部CT中反晕征的初步研究[J].医学信息,2022,35(10):109-112,125.[doi:10.3969/j.issn.1006-1959.2022.10.026]
　YU Jing,ZHAO Hong,JIN Jing,et al.Preliminary Study of Reversed Halo Sign in Chest CT of Community-acquired Pneumonia[J].Medical Information,2022,35(10):109-112,125.[doi:10.3969/j.issn.1006-1959.2022.10.026]
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社区获得性肺炎胸部CT中反晕征的初步研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年10期
页码:
109-112,125
栏目:
论著
出版日期:
2022-05-15

文章信息/Info

Title:
Preliminary Study of Reversed Halo Sign in Chest CT of Community-acquired Pneumonia
文章编号:
1006-1959（2022）10-0109-05
作者:
俞 静; 赵 红; 金 晶; 等
（安徽医科大学第二附属医院放射科，安徽 合肥 230601）
Author(s):
YU Jing; ZHAO Hong; JIN Jing; et al.
(Department of Radiology,the Second Affiliated Hospital of Anhui Medical University,Hefei 230601,Anhui,China)
关键词:
社区获得性肺炎; 反晕征; C-反应蛋白
Keywords:
Community-acquired pneumonia; Reversed halo sign; C-reactive protein
分类号:
R814.42；R563.1
DOI:
10.3969/j.issn.1006-1959.2022.10.026
文献标志码:
A
摘要:
目的 分析社区获得性肺炎（CAP）出现反晕征（RHS）的临床及影像学预后，评价其临床指导意义。方法 回顾性分析2019年1月-2021年8月在我院呼吸科病区住院的CAP患者的临床及影像学资料，根据影像表现分为RHS组（70例）与实变组（87例），比较两组的一般资料、临床症状、实验室指标[C-反应蛋白（CRP）及白细胞（WBC）计数]以及影像学变化。结果 实变组较反晕征组多合并基础病（P＜0.05）；实变组发热、咳痰、胸痛胸闷、畏寒寒战、气喘症状发生多于RHS组（P＜0.05）；实变组CRP值及WBC计数均高于RHS组（P＜0.05）；1周内复查RHS组症状完全好转人数多于实变组（P＜0.05）；1周内CT复查影像RHS组较实变组更易吸收（P＜0.05）；在1周内CT复查影像未吸收的患者中，实变组复查当天的CRP值高于RHS组（P＜0.05）。结论 CAP患者影像学上出现RHS可能提示肺炎处于好转阶段，有助于指导临床评估肺内病灶的变化。
Abstract:
Objective To analyze the clinical and imaging prognosis of community-acquired pneumonia (CAP) with reversed halo sign (RHS), and evaluate its clinical guiding significance.Methods The clinical and imaging data of CAP patients hospitalized in the respiratory ward of our hospital from January 2019 to August 2021 was retrospectively analyzed. According to the images, they were divided into RHS group (70 cases) and consolidation group (87 cases). The general data, clinical symptoms, laboratory indexes [C-reactive protein (CRP) and white blood cell (WBC) count] and imaging changes were compared between the two groups.Results The consolidation group had more underlying diseases than the RHS group (P<0.05). The incidence of fever, expectoration, chest pain, chest tightness, chills and asthma in the consolidation group was higher than that in the RHS group (P<0.05). The CRP value and WBC count in the consolidation group were higher than those in the RHS group (P<0.05). The number of patients with complete improvement of symptoms in the RHS group was more than that in the consolidation group within one week (P<0.05). In one week, the CT reexamination images of RHS group were more easily absorbed than those of the consolidation group (P<0.05). In the patients with unabsorbed CT images within one week, the CRP value on the day of review in the consolidation group was higher than that in the RHS group (P<0.05).Conclusion The appearance of RHS on the imaging of CAP patients may indicate that pneumonia is in the improvement stage, which can guide the clinical assessment of the changes in the lung lesions.

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更新日期/Last Update: 1900-01-01