COVID-19的临床和影像学特征

Haixia Chen , Li Ai , Hong Lu , Hongjun Li
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引用次数: 76

摘要

自2019年12月以来,中国湖北省武汉市报告了多例2019冠状病毒病(COVID-19),该疾病随后在全国迅速蔓延。COVID-19具有高度传染性,传播渠道众多,人类极易感染。COVID-19的主要临床症状是发烧、疲劳和干咳。疾病早期的实验室检查显示白细胞计数正常或减少,淋巴细胞计数减少。虽然CT检查是COVID-19的筛查和诊断依据,但其准确性有限。核酸检测是新冠肺炎诊断的金标准,但灵敏度较低。这两种考试方式明显有区别。本文回顾已发表的文献、指南和共识,总结COVID-19的临床和影像学特点,为早期诊断和治疗提供可靠依据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Clinical and imaging features of COVID-19

Since December 2019, multiple cases of 2019 coronavirus disease (COVID-19) have been reported in Wuhan in China's Hubei Province, a disease which has subsequently spread rapidly across the entire country. Highly infectious, COVID-19 has numerous transmission channels and humans are highly susceptible to infection. The main clinical symptoms of COVID-19 are fever, fatigue, and a dry cough. Laboratory examination in the early stage of the disease shows a normal or decreased white blood cell count, and a decreased lymphocyte count. While CT examination serves as the screening and diagnostic basis for COVID-19, its accuracy is limited. The nucleic acid testing is the gold standard for the diagnosis of COVID-19, but has a low sensitivity is low. There is clearly a divide between the two means of examination. This paper reviews the published literature, guidelines and consensus, and summarizes the clinical and imaging characteristics of COVID-19, in order to provide a reliable basis for early diagnosis and treatment.

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