儿童 COVID-19 呼吸道感染的胸部计算机断层扫描。
Chest computed tomography in children with COVID-19 respiratory infection.
机构信息
Guangdong Provincial Key Laboratory of Biomedical Imaging, Department of Radiology, The Fifth Affiliated Hospital, Sun Yat-sen University, 52 East Meihua Road, New Xiangzhou, Zhuhai, Guangdong Province, China.
Department of Medical Affairs, The Fifth Affiliated Hospital, Sun Yat-sen University, 52 East Meihua Road, New Xiangzhou, Zhuhai, Guangdong Province, China.
出版信息
Pediatr Radiol. 2020 May;50(6):796-799. doi: 10.1007/s00247-020-04656-7. Epub 2020 Mar 11.
BACKGROUND
Infection with COVID-19 is currently rare in children.
OBJECTIVE
To describe chest CT findings in children with COVID-19.
MATERIALS AND METHODS
We studied children at a large tertiary-care hospital in China, during the period from 28 January 2019 to 8 February 2020, who had positive reverse transcriptase polymerase chain reaction (RT-PCR) for COVID-19. We recorded findings at any chest CT performed in the included children, along with core clinical observations.
RESULTS
We included five children from 10 months to 6 years of age (mean 3.4 years). All had had at least one CT scan after admission. Three of these five had CT abnormality on the first CT scan (at 2 days, 4 days and 9 days, respectively, after onset of symptoms) in the form of patchy ground-glass opacities; all normalised during treatment.
CONCLUSION
Compared to reports in adults, we found similar but more modest lung abnormalities at CT in our small paediatric cohort.
背景
目前儿童感染 COVID-19 的情况较为罕见。
目的
描述儿童感染 COVID-19 的胸部 CT 表现。
材料与方法
我们在中国一家大型三级医院研究了 2019 年 1 月 28 日至 2 月 8 日期间经逆转录聚合酶链反应（RT-PCR）检测 COVID-19 呈阳性的儿童。我们记录了纳入儿童中进行的任何胸部 CT 的发现，以及核心临床观察。
结果
我们纳入了 5 名年龄在 10 个月至 6 岁（平均 3.4 岁）的儿童。所有患儿在入院后均至少接受了一次 CT 扫描。这 5 名患儿中有 3 名在首次 CT 扫描时（分别在症状出现后第 2、4 和 9 天）存在斑片状磨玻璃影的 CT 异常；在治疗期间均恢复正常。
结论
与成人报告相比，我们在小儿队列中发现 CT 上的肺部异常相似，但程度较轻。
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