不同年龄段 COVID-19 感染患者的高分辨率计算机断层扫描表现。
High-resolution computed tomography manifestations of COVID-19 infections in patients of different ages.
机构信息
Department of Radiology, Hangzhou Xixi Hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou, 310023, Zhejiang, China.
Department of Radiology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, 310023, Zhejiang, China.
出版信息
Eur J Radiol. 2020 May;126:108972. doi: 10.1016/j.ejrad.2020.108972. Epub 2020 Mar 24.
PURPOSE
We aimed to compare chest HRCT lung signs identified in scans of differently aged patients with COVID-19 infections.
METHODS
Case data of patients diagnosed with COVID-19 infection in Hangzhou City, Zhejiang Province in China were collected, and chest HRCT signs of infected patients in four age groups (<18 years, 18-44 years, 45-59 years, ≥60 years) were compared.
RESULTS
Small patchy, ground-glass opacity (GGO), and consolidations were the main HRCT signs in 98 patients with confirmed COVID-19 infections. Patients aged 45-59 years and aged ≥60 years had more bilateral lung, lung lobe, and lung field involvement, and greater lesion numbers than patients <18 years. GGO accompanied with the interlobular septa thickening or a crazy-paving pattern, consolidation, and air bronchogram sign were more common in patients aged 45-59 years, and ≥60 years, than in those aged <18 years, and aged 18-44 years.
CONCLUSIONS
Chest HRCT manifestations in patients with COVID-19 are related to patient's age, and HRCT signs may be milder in younger patients.
目的
比较不同年龄段 COVID-19 感染患者的胸部 HRCT 肺部征象。
方法
收集中国浙江省杭州市确诊为 COVID-19 感染患者的病例资料，比较四个年龄组（<18 岁、18-44 岁、45-59 岁、≥60 岁）感染患者的胸部 HRCT 征象。
结果
98 例确诊 COVID-19 感染患者的主要 HRCT 征象为小斑片状、磨玻璃影（GGO）和实变。45-59 岁和≥60 岁年龄组患者双肺、肺叶和肺野受累程度及病变数量均大于<18 岁年龄组。45-59 岁和≥60 岁年龄组患者 GGO 伴间隔增厚或铺路石征、实变和气道征较<18 岁和 18-44 岁年龄组更为常见。
结论
COVID-19 患者的胸部 HRCT 表现与患者年龄有关，年轻患者的 HRCT 征象可能较轻。
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