人民卫生出版社系列期刊
ISSN 2096-2738 CN 11-9370/R

中国科技核心期刊(中国科技论文统计源期刊)
2020《中国学术期刊影响因子年报》统计源期刊

新发传染病电子杂志 ›› 2020, Vol. 5 ›› Issue (2): 79-82.

• 论著 • 上一篇    下一篇

31例新型冠状病毒肺炎临床及CT影像表现初步观察

卢亦波1, 周静如1, 莫移美1, 宋树林1, 刘铁军2   

  1. 1.南宁市第四人民医院放射科,南宁 530023;
    2.柳州市人民医院放射科 广西 柳州 545006
  • 收稿日期:2020-04-06 出版日期:2020-02-20 发布日期:2020-06-19

Clinical and CT findings of 31 cases of coronavirus disease 2019

Lu Yibo1, Zhou Jingru1, Mo Yimei1, Song Shulin1, Liu Tiejun2   

  1. 1. Department of Radiology, the Fourth People's Hospital of Nanning, Nanning 530023, China;
    2. Department of Radiology, the People's Hospital of Liuzhou City, Guangxi Liuzhou 545006, China
  • Received:2020-04-06 Online:2020-02-20 Published:2020-06-19

摘要: 目的 探讨新型冠状病毒肺炎的临床特征及CT表现。方法 回顾性分析2020年1月24日至2020年2月2日南宁市第四人民医院及柳州市人民医院收治的31例经临床确诊的新型冠状病毒肺炎临床及影像学资料,所有患者均行胸部CT平扫检查,用肺窗和纵隔窗观察图像,对比分析其临床资料及胸部CT影像学表现。结果 新型冠状病毒肺炎患者大多数以发热为主要症状,可伴有肌肉酸痛、咳嗽、乏力、头晕、头痛、咽痒的症状。实验室检查白细胞计数不高或降低,嗜酸性粒细胞、淋巴细胞计数和比率正常或稍降低,C反应蛋白升高。胸部CT表现为两肺多发的斑片状磨玻璃密度影,分布在胸膜下,可伴有或不伴实变,病灶内可见增粗血管束,实变区内可见含气支气管征,一般无纵隔淋巴结肿大、胸膜较少受累,无胸腔积液及肺外病变。病灶短时间变化较快。结论 影像学表现对于确定新型冠状病毒肺炎病变范围以及病程发展变化具有重要价值,对新型冠状病毒肺炎的早发现、早治疗具有重要的指导意义。

关键词: 新型冠状病毒肺炎, 体层摄影术, X线计算机, 影像诊断

Abstract: Objective To investigate the clinical features and CT manifestations of pneumonia caused by novel coronavirus infection. Methods Retrospectively, clinical and imaging data of patients with pneumonia with 2019 new novel coronavirus infection confirmed in the Fourth People's Hospital and Liuzhou People's Hospital from January 24, 2020 to February 2, 2020 was analyzed. Chest CT scans were made in all the cases, the lung and mediastinum window were observed, the clinical data and chest CT imaging findings were analyzed.Results Most of the pneumonia patients infected by the new coronavirus had a fever as the primary symptom, which could be accompanied by muscle pain, cough, fatigue, dizziness, headache and pharyngeal itching. Laboratory tests showed normal or low white blood cell counts, normal or slightly lower eosinophil and lymphocyte counts and ratios, and elevated reactive proteins. Chest CT showed multiple patchy ground glass density shadows in the two lungs, distributed under the pleura, with or without consolidation. Thickened blood vessels and air bronchi could be seen in the lesions, and pleural involvement was less. Generally, however, there was no mediastinal lymph node enlargement, pleural effusion or extrapulmonary lesions. The lesion changes quickly in a short time. Conclusion There are of great significance in determining the lesion range and course of pneumonia infected by novel coronavirus through imaging findings, and important guiding significance for the early detection and treatment of pneumonia infected by novel coronavirus.

Key words: Coronavirus disease 2019, Tomography, X-ray computed, Imaging diagnosis