新型冠状病毒肺炎的临床表现及高分辨率ct初步诊断

Xuefang Lu, Wei Gong, Li Wang, Liang Li, Baojun Xie, Zhoufeng Peng, Y. Zha
{"title":"新型冠状病毒肺炎的临床表现及高分辨率ct初步诊断","authors":"Xuefang Lu, Wei Gong, Li Wang, Liang Li, Baojun Xie, Zhoufeng Peng, Y. Zha","doi":"10.3760/CMA.J.ISSN.1005-1201.2020.0006","DOIUrl":null,"url":null,"abstract":"Objective \nTo summarize the clinical characteristics of 141 patients with novel coronavirus pneumonia (NCP) and the imaging characteristics of High Resolution CT(HRCT) in the chest. \n \n \nMethods \nFrom January 20, 2020 to 28, 141 NCP patients, 77 males and 64 females, with a median age of 49 (9,87), were retrospectively analyzed. The clinical features, laboratory examination indexes and HRCT findings of 141 NCP patients were analyzed. \n \n \nResults \nIn 141 NCP patients, 38 (26.95%) had a decrease in leukocyte count and 71 (50.35%) had a decrease in lymphocyte ratio. Among 141 NCP patients, 139 (98.58%) had fever (over 37.5 ° C), 106 (75.18%) coughed, 11 (7.80%) had headache, 41 (29.08%) coughed up sputum, 93 (65.96%) had chest distress, and 4 (2.84%) had diarrhea. HRCT of 141 NCP patients were abnormal, 52 (36.88%) showed ground glass shadow (GGO) and patchy shadow, mainly subpleural distribution; 23 (16.31%) showed GGO with focal consolidation; 27 (19.15%) had small patchy blur; 20 (14.18%) had large patchy consolidation; 48 (34.04%) had bronchovascular bundle thickening and vascular perforator sign; 5 (3.55%) had Air bronchus sign; small nodule shadow in 7 cases (4.96%); fibrosis, grid shadow or strip shadow in 5 cases (3.55%); bilateral pleural effusion in 7 cases (4.96%); mediastinal or bilateral hilar lymphadenopathy in 4 cases (2.84%). \n \n \nConclusions \nThe clinical features and HRCT images of NCP are various. Under the specific epidemiological background of NCP, HRCT scan of chest should be carried out in time to make early warning of disease. \n \n \nKey words: \nNovel coronavirus pneumonia; Tomography, X-ray computed","PeriodicalId":39377,"journal":{"name":"Zhonghua fang she xue za zhi Chinese journal of radiology","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2020-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"2","resultStr":"{\"title\":\"Clinical features and high resolutionCT imaging findings of preliminary diagnosis novel coronavirus pneumonia/ 中华放射学杂志\",\"authors\":\"Xuefang Lu, Wei Gong, Li Wang, Liang Li, Baojun Xie, Zhoufeng Peng, Y. Zha\",\"doi\":\"10.3760/CMA.J.ISSN.1005-1201.2020.0006\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Objective \\nTo summarize the clinical characteristics of 141 patients with novel coronavirus pneumonia (NCP) and the imaging characteristics of High Resolution CT(HRCT) in the chest. \\n \\n \\nMethods \\nFrom January 20, 2020 to 28, 141 NCP patients, 77 males and 64 females, with a median age of 49 (9,87), were retrospectively analyzed. The clinical features, laboratory examination indexes and HRCT findings of 141 NCP patients were analyzed. \\n \\n \\nResults \\nIn 141 NCP patients, 38 (26.95%) had a decrease in leukocyte count and 71 (50.35%) had a decrease in lymphocyte ratio. Among 141 NCP patients, 139 (98.58%) had fever (over 37.5 ° C), 106 (75.18%) coughed, 11 (7.80%) had headache, 41 (29.08%) coughed up sputum, 93 (65.96%) had chest distress, and 4 (2.84%) had diarrhea. HRCT of 141 NCP patients were abnormal, 52 (36.88%) showed ground glass shadow (GGO) and patchy shadow, mainly subpleural distribution; 23 (16.31%) showed GGO with focal consolidation; 27 (19.15%) had small patchy blur; 20 (14.18%) had large patchy consolidation; 48 (34.04%) had bronchovascular bundle thickening and vascular perforator sign; 5 (3.55%) had Air bronchus sign; small nodule shadow in 7 cases (4.96%); fibrosis, grid shadow or strip shadow in 5 cases (3.55%); bilateral pleural effusion in 7 cases (4.96%); mediastinal or bilateral hilar lymphadenopathy in 4 cases (2.84%). \\n \\n \\nConclusions \\nThe clinical features and HRCT images of NCP are various. Under the specific epidemiological background of NCP, HRCT scan of chest should be carried out in time to make early warning of disease. \\n \\n \\nKey words: \\nNovel coronavirus pneumonia; Tomography, X-ray computed\",\"PeriodicalId\":39377,\"journal\":{\"name\":\"Zhonghua fang she xue za zhi Chinese journal of radiology\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2020-02-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"2\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Zhonghua fang she xue za zhi Chinese journal of radiology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3760/CMA.J.ISSN.1005-1201.2020.0006\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Zhonghua fang she xue za zhi Chinese journal of radiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3760/CMA.J.ISSN.1005-1201.2020.0006","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 2

摘要

目的总结141例新型冠状病毒肺炎(NCP)患者的临床特点及胸部高分辨率CT(HRCT)的影像学特征。方法回顾性分析2020年1月20日至28日收治的141例新型冠状病毒感染患者,其中男77例,女64例,中位年龄49岁(9.87)。分析141例新型冠状病毒感染患者的临床特点、实验室检查指标及HRCT表现。结果141例NCP患者白细胞计数下降38例(26.95%),淋巴细胞比值下降71例(50.35%)。141例新型冠状病毒感染患者中,发热(37.5℃以上)139例(98.58%),咳嗽106例(75.18%),头痛11例(7.80%),咳痰41例(29.08%),胸闷93例(65.96%),腹泻4例(2.84%)。141例NCP患者HRCT异常,52例(36.88%)表现为磨玻璃影(GGO)及斑片状影,以胸膜下分布为主;23例(16.31%)表现为GGO伴局灶实变;27例(19.15%)有小斑片模糊;大斑片状实变20例(14.18%);支气管维管束增厚伴血管穿支征48例(34.04%);气管支气管征5例(3.55%);小结节影7例(4.96%);纤维化、网格影、条形影5例(3.55%);双侧胸腔积液7例(4.96%);纵隔或双侧肺门淋巴结病变4例(2.84%)。结论新型冠状病毒肺炎的临床特征及HRCT表现多种多样。在新型冠状病毒感染的特定流行病学背景下,应及时开展胸部HRCT扫描,预警疾病。关键词:新型冠状病毒肺炎;x线计算机断层扫描
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Clinical features and high resolutionCT imaging findings of preliminary diagnosis novel coronavirus pneumonia/ 中华放射学杂志
Objective To summarize the clinical characteristics of 141 patients with novel coronavirus pneumonia (NCP) and the imaging characteristics of High Resolution CT(HRCT) in the chest. Methods From January 20, 2020 to 28, 141 NCP patients, 77 males and 64 females, with a median age of 49 (9,87), were retrospectively analyzed. The clinical features, laboratory examination indexes and HRCT findings of 141 NCP patients were analyzed. Results In 141 NCP patients, 38 (26.95%) had a decrease in leukocyte count and 71 (50.35%) had a decrease in lymphocyte ratio. Among 141 NCP patients, 139 (98.58%) had fever (over 37.5 ° C), 106 (75.18%) coughed, 11 (7.80%) had headache, 41 (29.08%) coughed up sputum, 93 (65.96%) had chest distress, and 4 (2.84%) had diarrhea. HRCT of 141 NCP patients were abnormal, 52 (36.88%) showed ground glass shadow (GGO) and patchy shadow, mainly subpleural distribution; 23 (16.31%) showed GGO with focal consolidation; 27 (19.15%) had small patchy blur; 20 (14.18%) had large patchy consolidation; 48 (34.04%) had bronchovascular bundle thickening and vascular perforator sign; 5 (3.55%) had Air bronchus sign; small nodule shadow in 7 cases (4.96%); fibrosis, grid shadow or strip shadow in 5 cases (3.55%); bilateral pleural effusion in 7 cases (4.96%); mediastinal or bilateral hilar lymphadenopathy in 4 cases (2.84%). Conclusions The clinical features and HRCT images of NCP are various. Under the specific epidemiological background of NCP, HRCT scan of chest should be carried out in time to make early warning of disease. Key words: Novel coronavirus pneumonia; Tomography, X-ray computed
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Zhonghua fang she xue za zhi Chinese journal of radiology
Zhonghua fang she xue za zhi Chinese journal of radiology Medicine-Radiology, Nuclear Medicine and Imaging
CiteScore
0.30
自引率
0.00%
发文量
10639
期刊最新文献
Study progress of cerebrovascular interventional surgery robot Value of chest CT screening in the early COVID-19 outbreak Imaging dynamic observation of cured COVID-19 patients with imported coronavirus pneumonia/ 输入性新型冠状病毒肺炎治愈患者肺内病变的影像学动态观察 The diagnostic value of chest CT imaging in differential diagnosis between common-type COVID-19 and mycoplasma pneumonia/ 胸部CT在普通型新型冠状病毒肺炎与支原体肺炎鉴别诊断中的价值 The role of medical imaging in the diagnosis and treatment of COVID-19
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1