儿童新型冠状病毒肺炎（COVID-19）肺炎的影像学和临床特征。
Radiographic and Clinical Features of Children With Coronavirus Disease (COVID-19) Pneumonia.
机构信息
Department of Radiology, The First College of Clinical Medical Science of China, Three Gorges University and Yichang Central People's Hospital, Yichang, China.
Department of Radiology, The Affiliated Jiujiang Hospital of Nanchang University and Jiu Jiang No.1 People's and Water of Life Hospital, Jiangxi, China.
出版信息
Indian Pediatr. 2020 May 15;57(5):423-426. doi: 10.1007/s13312-020-1816-8. Epub 2020 Apr 7.
OBJECTIVE
The purpose of this study was to investigate chest computed tomography (CT) findings in children with coronavirus disease-19 (COVID-19) pneumonia in our hospital.
METHODS
This study included 22 pediatric patients with confirmed COVID-19 from January to March, 2020. The chest CT images and clinical data were reviewed.
RESULTS
The most prevalent presenting symptoms were fever (64%) and cough (59%), and a mildly elevated mean (SD) C-reactive protein (CRP) level of 11.22(11.06) and erythrocyte sedimentation rateof 18.8(15.17) were detected. The major CT abnormalities observed were mixed ground-glass opacity and consolidation lesions (36%), consolidations (32%), and ground-glass opacities (14%). Peripheral distribution (45%) of lung lesions was predominant. Most of the lesions were multilobar(68%), with an average of three lung segments involved.
CONCLUSIONS
Children with COVID-19 had relatively milder symptoms and less severe lung inflammation than adults. Chest CT plays an important role in the management of children with COVID-19 pneumonia.
目的
本研究旨在探讨我院儿童新型冠状病毒肺炎（COVID-19）肺炎的胸部计算机断层扫描（CT）表现。
方法
本研究纳入 2020 年 1 月至 3 月期间确诊的 22 例儿童 COVID-19 患者。回顾性分析其胸部 CT 图像和临床资料。
结果
最常见的首发症状为发热（64%）和咳嗽（59%），C 反应蛋白（CRP）和红细胞沉降率（ESR）平均值轻度升高，分别为 11.22（11.06）和 18.8（15.17）。主要 CT 异常表现为混合磨玻璃影和实变病灶（36%）、实变（32%）和磨玻璃影（14%）。肺部病变以周边分布（45%）为主。病变多为多肺叶受累（68%），平均累及 3 个肺段。
结论
儿童 COVID-19 患者的症状较成人相对较轻，肺部炎症较轻。胸部 CT 对儿童 COVID-19 肺炎的管理具有重要作用。
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