COVID-19肺部后遗症的影像学评价

C. Muñoz-Núñez, P. Calvillo-Batllés, Enrique Zaldívar Olmeda, V. Ripollés, L. Martí-Bonmatí
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引用次数: 0

摘要

2019冠状病毒病(新冠肺炎)是一种由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的高传播性和致病性病毒感染。目标器官是肺。这种感染于2019年12月在中国武汉出现,世界卫生组织于2020年3月将其视为一种流行病。在第一例已知病例发生一年后,尽管已经获得了大量关于该疾病的科学知识,但仍有一些问题没有得到解答。事实上,对于哪些患者会出现后遗症,预计会发生什么样的形态学变化和后遗症类型,以及功能严重程度,我们都缺乏了解。已知其他肺炎冠状病毒会导致肺部后遗症,因此预计它们会在新冠肺炎中出现。在这项工作中,我们回顾了与中长期肺部后遗症的发展和分级相关的几个新冠肺炎方面,包括纤维化和血管变化,并加强了医学成像在这项评估中的作用。
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Radiological evaluation of pulmonary sequelae in COVID-19
Coronavirus Disease 2019 (COVID-19) is a highly transmissible and pathogenic viral infection caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The target organ is the lung. This infection appeared in Wuhan (China) in December 2019 and the WHO considered it a pandemic in March 2020. One year after the first known cases, and although there is a great amount of scientific knowledge acquired of the disease, there are still some unanswered questions. As a matter of fact, there is a lack of knowledge about which patients will suffer sequels, what kind of morphological changes and sequel types will be expected, nor the grade of functional severity. It is known that other coronavirus pneumoniae caused pulmonary sequels and therefore they are expected in COVID-19. In this work we review several COVID-19 aspects related with the development and grading of mid- and long-term pulmonary sequels, including fibrosis and vascular changes, and strengthen the role of medical imaging in this evaluation.
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