Kaw G J L, Tan D Y L, Leo Y S, Tsou I Y Y, Wansaicheong G, Chee T S G
Department of Diagnostic Radiology, Tan Tock Seng Hospital, 11 Jalan Tan, Tock Seng, Singapore 308433.
Singapore Med J. 2003 Apr;44(4):201-4.
A new form of atypical pneumonia was reported in the East Asian region beginning from early 2003. This was later termed by the World Health Organisation as Severe Acute Respiratory Syndrome (SARS). The diagnosis of SARS relies on a combination of clinical features and chest radiographic findings. A preliminary review of SARS in Singapore shows chest radiographic findings of patchy airspace shadowing with severe cases progressing to diffuse air-space shadowing. We illustrate these findings with temporal correlation in our case report. As SARS is a contagious, rapidly progressive and potentially fatal condition, early diagnosis is crucial for prompt management and isolation of patients. Recognition of chest radiographic findings aids in the early diagnosis and containment of SARS.
2003年初起,东亚地区报告了一种新型非典型肺炎。后来世界卫生组织将其命名为严重急性呼吸综合征(SARS)。SARS的诊断依赖于临床特征和胸部X光检查结果的综合判断。对新加坡SARS病例的初步回顾显示,胸部X光检查结果为斑片状气腔阴影,严重病例会发展为弥漫性气腔阴影。我们在病例报告中展示了这些与时间相关的检查结果。由于SARS具有传染性、进展迅速且可能致命,早期诊断对于及时治疗和隔离患者至关重要。识别胸部X光检查结果有助于SARS的早期诊断和控制。