COVID-19感染的高分辨率ct表现及严重程度指数与年龄、性别的相关性

P. Sharma, Subash Kc, M. Gyawali, D. Karki, Ashish Shrestha, B. Pun, Amrit Pokhrel
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摘要

新型冠状病毒病-19 (COVID-19)是由冠状病毒SARS-CoV2株引起的。计算机断层扫描(CT)严重程度指数是一种基于肺部受累区域的近似估计来评估COVID-19肺部变化和受累程度的评分系统。本研究旨在确定COVID-19感染的CT胸部表现谱和CT严重程度指数及其与年龄和性别的相关性。方法:将PCR阳性、肺部CT阳性的COVID-19感染患者纳入研究。所有患者均行胸部高分辨率计算机断层扫描(HRCT)。计算所有患者的CT扫描严重程度评分,并使用SPSS version 21对结果进行分析。结果:共纳入104例确诊的COVID-19感染患者。男性59例(56.73%),女性45例(43.3%)。男性的胸部严重程度评分高于女性。然而,年龄与CT胸部严重程度评分无显著相关性。结论:胸部HRCT有助于早期识别需要重症监护的患者。CT严重程度评分高的患者尽早入院并进行重症监护可能有助于降低COVID-19患者的死亡率。
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High Resolution Computed Tomography findings and Computed Tomography severity index in COVID-19 Infection Correlated with Age and Gender
Introduction: The new coronavirus disease -19 (COVID-19) is caused by SARS-CoV2 strain of coronavirus. The Computed tomography (CT) severity index is a scoring system used to assess the lung changes and involvement by COVID-19 based on approximate estimation of pulmonary involved areas. This study was done to identify the spectrum of CT chest findings and CT severity index in COVID-19 infection and its correlation with age and gender. Methods: Patients with COVID-19 infection with positive PCR results and positive pulmonary CT findings were included in the study. All these patients underwent high-resolution computed tomography (HRCT) of the chest. The CT scan severity score in all of these patients was calculated and the results were analyzed by SPSS version 21. Results: A total of 104 patients with confirmed COVID-19 infection were included in this study. There were 59 males (56.73%) and 45 females (43.3%) in this study. There was a higher chest severity score in males compared to females. However, there was no significant correlation between the age and CT chest severity score. Conclusion: HRCT chest can help in the early identification of the patients who need intensive care. Early admission and intensive care of the patients with high CT severity scores may help to reduce the mortality of COVID-19 patients.
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