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本文引用的文献

1
Chest CT in patients suspected of COVID-19 infection: A reliable alternative for RT-PCR.疑似新型冠状病毒肺炎感染患者的胸部CT检查:逆转录聚合酶链反应的可靠替代方法
Am J Emerg Med. 2020 Dec;38(12):2730-2732. doi: 10.1016/j.ajem.2020.04.016. Epub 2020 Apr 8.
2
Effect of delay in diagnosis on transmission of COVID-19.诊断延迟对新型冠状病毒肺炎传播的影响。
Math Biosci Eng. 2020 Mar 11;17(3):2725-2740. doi: 10.3934/mbe.2020149.
3
Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study.中国武汉成人 COVID-19 住院患者的临床病程和死亡危险因素:一项回顾性队列研究。
Lancet. 2020 Mar 28;395(10229):1054-1062. doi: 10.1016/S0140-6736(20)30566-3. Epub 2020 Mar 11.
4
Risk Factors Associated With Acute Respiratory Distress Syndrome and Death in Patients With Coronavirus Disease 2019 Pneumonia in Wuhan, China.中国武汉 2019 年冠状病毒病肺炎患者急性呼吸窘迫综合征和死亡的相关危险因素。
JAMA Intern Med. 2020 Jul 1;180(7):934-943. doi: 10.1001/jamainternmed.2020.0994.
5
Preparing for COVID-19: early experience from an intensive care unit in Singapore.为应对新型冠状病毒肺炎做准备:新加坡一家重症监护病房的早期经验
Crit Care. 2020 Mar 9;24(1):83. doi: 10.1186/s13054-020-2814-x.
6
WITHDRAWN: Clinical and CT imaging features of 2019 novel coronavirus disease (COVID-19).撤回:2019新型冠状病毒病(COVID-19)的临床和CT影像学特征
J Infect. 2020 Mar 3. doi: 10.1016/j.jinf.2020.02.022.
7
Coronavirus Disease 2019 (COVID-19): Role of Chest CT in Diagnosis and Management.新型冠状病毒病 2019(COVID-19):胸部 CT 在诊断和管理中的作用。
AJR Am J Roentgenol. 2020 Jun;214(6):1280-1286. doi: 10.2214/AJR.20.22954. Epub 2020 Mar 4.
8
Relation Between Chest CT Findings and Clinical Conditions of Coronavirus Disease (COVID-19) Pneumonia: A Multicenter Study.新型冠状病毒肺炎的胸部 CT 表现与临床特征的关系:一项多中心研究。
AJR Am J Roentgenol. 2020 May;214(5):1072-1077. doi: 10.2214/AJR.20.22976. Epub 2020 Mar 3.
9
First case of Coronavirus Disease 2019 (COVID-19) pneumonia in Taiwan.台湾首例 2019 年冠状病毒病(COVID-19)肺炎病例。
J Formos Med Assoc. 2020 Mar;119(3):747-751. doi: 10.1016/j.jfma.2020.02.007. Epub 2020 Feb 26.
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2019-novel Coronavirus severe adult respiratory distress syndrome in two cases in Italy: An uncommon radiological presentation.2019 新型冠状病毒在意大利两例成人严重呼吸窘迫综合征中的表现:一种不常见的影像学表现。
Int J Infect Dis. 2020 Apr;93:192-197. doi: 10.1016/j.ijid.2020.02.043. Epub 2020 Feb 26.

胸部CT在2019冠状病毒病(COVID-19)诊断中的重要作用。

Vital role of chest CT in diagnosis of coronavirus disease 2019 (COVID-19).

作者信息

Mohseni Afshar Zeinab, Ebrahimpour Soheil, Javanian Mostafa, Vasigala VeneelaKrishna Rekha, Masrour-Roudsari Jila, Babazadeh Arefeh

机构信息

Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Infectious Diseases and Tropical Medicine Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.

出版信息

Caspian J Intern Med. 2020 May;11(3):244-249. doi: 10.22088/cjim.11.3.244.

DOI:10.22088/cjim.11.3.244
PMID:32874430
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7442454/
Abstract

In December 2019, a new virus called coronavirus disease 2019 (COVID-19) causing severe acute respiratory syndrome emerged in Wuhan, China, and rapidly spread to other areas of China and other regions of the world. Since it was a discovery, COVID-19 has spread to several countries and to this date, affecting about 2,329,651 people and caused about 160,721 deaths. Since most COVID-19 infected cases were diagnosed with pneumonia and characteristic chest computed tomography (CT) scan patterns, radiological examinations have become an important tool in early diagnosis. Nowadays, CT findings combined with normal blood cells (WBCs), lymphopenia and a history of epidemiological exposure have been used as criteria for clinical diagnosis of COVID-19. It is noteworthy that reverse transcription polymerase chain reaction (RT-PCR) test is still gold standard for the diagnosis. This review focuses on role of chest CT in the clinical evaluation of disease progression and more accurate diagnosis.

摘要

2019年12月,一种名为2019冠状病毒病(COVID-19)的新型病毒在中国武汉出现,引发严重急性呼吸综合征,并迅速传播至中国其他地区及世界其他地区。自发现以来,COVID-19已传播至多个国家,截至目前,已感染约2329651人,造成约160721人死亡。由于大多数COVID-19感染病例被诊断为肺炎且具有特征性的胸部计算机断层扫描(CT)模式,放射学检查已成为早期诊断的重要工具。如今,CT表现结合正常血细胞(白细胞)、淋巴细胞减少以及流行病学暴露史已被用作COVID-19临床诊断的标准。值得注意的是,逆转录聚合酶链反应(RT-PCR)检测仍是诊断的金标准。本综述重点关注胸部CT在疾病进展临床评估和更准确诊断中的作用。