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[100例SARS康复期患者的胸部高分辨率CT表现]

[Thoracic high resolution CT findings of 100 SARS patients in convalescent period].

作者信息

Jin Zheng-yu, You Hui, Zhang Wei-hong, Wang Yun, Liang Ji-xiang, Mu Wen-bin, Peng Min, Ma Yi, Cai Bai-qiang, Wang Zhong, Xu Wen-bing, Li Tai-sheng, Cui Wei

机构信息

Department of Radiology, PUMC Hospital, CAMS and PUMC, Beijing 100730, China.

出版信息

Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2003 Oct;25(5):512-5.

Abstract

OBJECTIVE

To study thoracic high resolution CT findings of severe acute respiratory syndrome (SARS) patients in convalescent period and the relationship between the features with laboratory and pulmonary function results.

METHODS

All the 100 SARS patients who had been discharged from hospital for about 2 months underwent thoracic high resolution CT examinations. Among them, 65 also had laboratory results and 91 underwent examinations of pulmonary function.

RESULTS

Forty-nine SARS patients (49.0%, 49/100) in convalescent period still had abnormal findings in CT examination. And ground-glass opacification (95.9%, 47/49) and reticular opacification (59.2%, 29/49) were common. There was no significant difference in the level of lymphocytes and CD4 cells among groups divided according to severity of CT findings (P > 0.01). Diffusing capacity for carbon monoxide (DLco%) of level 2 and 3 were statistically lower than that of level 0 (P < 0.01).

CONCLUSIONS

The features of CT findings of SARS patients in convalescent period are not the same as those of patients in period of apparent manifestation. The high resolution CT can reflect pulmonary diffusing function to some degree.

摘要

目的

研究重症急性呼吸综合征(SARS)患者恢复期胸部高分辨率CT表现及其特征与实验室检查和肺功能结果之间的关系。

方法

对100例出院约2个月的SARS患者进行胸部高分辨率CT检查。其中65例有实验室检查结果,91例进行了肺功能检查。

结果

49例(49.0%,49/100)恢复期SARS患者CT检查仍有异常表现。磨玻璃影(95.9%,47/49)和网状影(59.2%,29/49)较为常见。根据CT表现严重程度分组的各亚组间淋巴细胞及CD4细胞水平差异无统计学意义(P>0.01)。2级和3级一氧化碳弥散量(DLco%)显著低于0级(P<0.01)。

结论

SARS患者恢复期CT表现特点与急性期不同。高分辨率CT在一定程度上能够反映肺弥散功能。

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