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COVID-19 时代的胸部 X 线摄影和 CT:适应证、操作安全注意事项和替代影像学实践。

Chest Radiographs and CTs in the Era of COVID-19: Indications, Operational Safety Considerations and Alternative Imaging Practices.

机构信息

Division of Radiological Sciences, Singapore General Hospital, Outram Road, Singapore 169039, Singapore.

Department of Infectious Diseases, Singapore General Hospital, Singapore.

出版信息

Acad Radiol. 2020 Sep;27(9):1193-1203. doi: 10.1016/j.acra.2020.06.022. Epub 2020 Jul 7.

DOI:10.1016/j.acra.2020.06.022
PMID:32703648
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7341971/
Abstract

Coronavirus disease-19 (COVID-19) is a pathogen that has shown an ability for sustained community transmission. To ensure utmost safety, radiology services will need to adapt to this disease in the coming months and possibly years ahead. This will include learning how to perform radiographs and CT in a safe and sustainable manner. Due to the risk of nosocomial spread of disease, the judicious use and implementation of strict infection protocols is paramount to limit healthcare worker and patient transmission. Between 28 January 2020 and 8 June 2020, our institution performed 12,034 radiographs and 178 CT scans for suspected or confirmed COVID-19 patients. As of 8 June 2020, there have been no documented instances of healthcare staff acquiring COVID-19 during the course of work. In this article, we present the indications and operational considerations used by our institution to safely image patients with suspected or confirmed COVID-19. Alternative practices for imaging radiographs are also discussed.

摘要

新型冠状病毒病(COVID-19)是一种具有持续社区传播能力的病原体。为确保安全,放射科服务在未来几个月甚至几年内都需要适应这种疾病。这包括学习如何以安全和可持续的方式进行 X 光和 CT 检查。由于疾病在医院内传播的风险,明智地使用和实施严格的感染控制协议对于限制医护人员和患者的传播至关重要。2020 年 1 月 28 日至 6 月 8 日,我们机构对疑似或确诊 COVID-19 患者进行了 12034 次 X 光检查和 178 次 CT 扫描。截至 2020 年 6 月 8 日,在工作过程中,没有医护人员感染 COVID-19 的记录。在本文中,我们介绍了我们机构用于对疑似或确诊 COVID-19 患者进行安全成像的适应症和操作注意事项。还讨论了 X 光成像的替代方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e57/7341971/e0f1318d41c3/gr6_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e57/7341971/e42a576bbaa2/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e57/7341971/a9651a3bd11d/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e57/7341971/473153961508/gr3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e57/7341971/1af5f8f164af/gr4_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e57/7341971/1f2471028a7a/gr5_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e57/7341971/e0f1318d41c3/gr6_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e57/7341971/e42a576bbaa2/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e57/7341971/a9651a3bd11d/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e57/7341971/473153961508/gr3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e57/7341971/1af5f8f164af/gr4_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e57/7341971/1f2471028a7a/gr5_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e57/7341971/e0f1318d41c3/gr6_lrg.jpg

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Clinical and Chest Radiography Features Determine Patient Outcomes in Young and Middle-aged Adults with COVID-19.
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J Med Imaging Radiat Sci. 2021 Sep;52(3):332-339. doi: 10.1016/j.jmir.2021.05.003. Epub 2021 May 14.
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A survey of anxiety and burnout in the radiology workforce of a tertiary hospital during the COVID-19 pandemic.一项针对 COVID-19 大流行期间一家三甲医院放射科工作人员焦虑和倦怠情况的调查。
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