雅加达无症状传播的新冠病毒肺炎患者临床状况与胸部X光检查结果的不一致性
Discordance Between Clinical Status and Chest X-Ray (CXR) in COVID-19 Patient with Asymptomatic Transmission in Jakarta.
作者信息
Burhan Erlina, Agustin Heidy, Susanto Agus Dwi, Dharmawan Ibrahim Nur Insan Putra, Meyer Markus, Rogayah Rita
机构信息
Department of Pulmonology, Faculty of Medicine Universitas Indonesia - Persahabatan Hospital, Jakarta, Indonesia.
出版信息
Acta Med Indones. 2020 Jul;52(3):297-298.
Coronavirus Disease 2019 (COVID-19) symptoms are highly various in each patient. CXR are routinely used to monitor the disease progression. However, it is not known whether chest X-Ray (CXR) is a good modality to assess COVID-19 pneumonia.Male, 55 years-old, with pneumonia caused by COVID-19. Discordance was found between patient's clinical status and CXR lesion. On the 7th day of symptoms, patient was clinically well despite severe lesion shown on CXR. On the following day, patient clinically deteriorated despite the improvement on CXR lesion.Improvement of CXR does not always correlate well with patient's clinical status. Clinician have to be careful when using CXR to monitor patient with COVID-19 pneumonia.
2019冠状病毒病（COVID-19）在每位患者身上的症状差异很大。胸部X光检查（CXR）通常用于监测疾病进展。然而，目前尚不清楚胸部X光检查（CXR）是否是评估COVID-19肺炎的良好方式。一名55岁男性，患有由COVID-19引起的肺炎。发现患者的临床状况与胸部X光检查病变之间存在不一致。在出现症状的第7天，尽管胸部X光检查显示有严重病变，但患者临床状况良好。在接下来的一天，尽管胸部X光检查病变有所改善，但患者临床状况恶化。胸部X光检查的改善并不总是与患者的临床状况密切相关。临床医生在使用胸部X光检查监测COVID-19肺炎患者时必须谨慎。
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