Yang Qi, Xu Haibo, Tang Xiaoying, Hu Chunhong, Wang Peijun, Wáng Yì Xiáng J, Wang Yaofa, Ma Guolin, Zhang Bing
Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
Zhongnan Hospital of Wuhan University, Wuhan, China.
Quant Imaging Med Surg. 2020 Nov;10(11):2191-2207. doi: 10.21037/qims-20-980.
Started during December 2019, following the emergence of several COVID-19 cases in Wuhan City, Hubei Province, there was a rapid surge and spread of new COVID-19 cases throughout China. The disease has since been included in the Class B infectious diseases category, as stipulated in the Law of the People's Republic of China on the Prevention and Treatment of Infectious Diseases and shall be managed according to Class A infectious diseases. During the early phases of COVID-19 infection, no specific pulmonary imaging features may be evident, or features overlapping with other pneumonia may be observed. Although CT is not the gold standard for the diagnosis of COVID-19, it nonetheless is a convenient and fast method, and its application can be deployed in community hospitals. Furthermore, CT can be used to render a suggestive diagnosis and evaluate the severity as well as the effects of therapeutic interventions for typical cases of COVID-19. The mobile emergency special CT device described in this document (also known as Emergency Mobile Cabin CT) has several unique characteristics, including its mobility, flexibility, and networking capabilities. Furthermore, it adopts a fully independent isolation design to avoid cross-infection between patients and medical staff. It can play an important role in screening suspected cases presenting with imaging features of COVID-19 in hospitals of various levels that provide care to suspected or confirmed COVID-19 patients as part of the first line procedures of epidemic prevention and control.
2019年12月,湖北省武汉市出现多例新型冠状病毒肺炎(COVID-19)病例后,中国各地新型冠状病毒肺炎病例迅速激增并蔓延。此后,根据《中华人民共和国传染病防治法》的规定,该疾病被纳入乙类传染病,并按照甲类传染病进行管理。在新型冠状病毒肺炎感染的早期阶段,可能没有明显的特异性肺部影像学特征,或者可能观察到与其他肺炎重叠的特征。虽然CT不是诊断新型冠状病毒肺炎的金标准,但它是一种方便快捷的方法,可在社区医院应用。此外,CT可用于对典型新型冠状病毒肺炎病例进行疑似诊断、评估病情严重程度以及治疗干预效果。本文所述的移动应急专用CT设备(又称应急移动方舱CT)具有几个独特特点,包括其移动性、灵活性和联网能力。此外,它采用完全独立的隔离设计,避免患者与医护人员之间的交叉感染。它可在各级医院对疑似或确诊新型冠状病毒肺炎患者进行救治时,作为疫情防控一线程序的一部分,在筛查具有新型冠状病毒肺炎影像学特征的疑似病例方面发挥重要作用。