Clinical characteristics and CT signs of coronavirus disease 2019 (COVID-19) in the elderly

Q4 Medicine 武汉大学学报(医学版) Pub Date : 2020-07-15 DOI:10.14188/J.1671-8852.2020.0087

Jia Cao, Jun Zhou, Xingnan Liao, Gonghao Ling, Xun Ding, Qing-yun Long

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引用次数: 7

Abstract

The CT findings of 36 elderly patients with novel coronavirus disease 2019 (COVID-19)were analyzed to provide imaging diagnostic basis for clin diagnosis Methods: The clin date and chest CT images of 36 elderly patients with pos new coronavirus nucleic acid admitted to Zhongnan Hospital of Wuhan University were retrospectively analyzed Results:: Elderly COVID-19 patients had more underlying diseases, with more complicated clin symptoms than young patients, including fever (77 8%), cough (55 6%), and dyspnea (52 8%);CT signs are characterized by diversity and multi-focus, mainly showing the coexistence of ground-glass shadow and consolidation shadow (72 2%), mostly located in the outer lung field of bilateral lung (69 4%), and the air bronchus sign (58 3%) in the lesions COVID-19 in the elderly progresses relatively fast, and severe patients were more common, and 55 6% patients were male Conclusion:: CT images of elderly COVID-19 patients have certain characteristics Chest thin-section CT is helpful for early diagnosis and provides an effective supplement to nucleic acid detection for SARS-CoV-2

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老年人2019冠状病毒病（新冠肺炎）的临床特征和CT征象

分析36例老年新型冠状病毒病2019 (COVID-19)的CT表现，为临床诊断提供影像学诊断依据方法:回顾性分析武汉大学中南医院收治的36例老年新型冠状病毒核酸阳性患者的临床资料及胸部CT影像。老年COVID-19患者基础疾病较多，临床症状较年轻患者更为复杂，包括发热(77.8%)、咳嗽(55.6%)、呼吸困难(52.8%);CT征象具有多样性和多灶性，主要表现为磨玻璃影和实变影并存(72%)，多位于双侧肺外场(69.4%)，病变中空气支气管征象(58.3%)老年人COVID-19进展较快;结论:老年COVID-19患者的CT图像具有一定的特点，胸部薄层CT有助于早期诊断，为SARS-CoV-2核酸检测提供了有效补充

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