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COVID-19 患者的放射学诊断。

Radiologic diagnosis of patients with COVID-19.

机构信息

Sección de Radiología de Urgencias, Servicio de Radiodiagnóstico, Hospital Universitario 12 de Octubre, Madrid, España.

Sección de Radiología de Urgencias, Servicio de Radiodiagnóstico, Hospital Universitario La Paz, Madrid, España.

出版信息

Radiologia (Engl Ed). 2021 Jan-Feb;63(1):56-73. doi: 10.1016/j.rx.2020.11.001. Epub 2020 Nov 24.

Abstract

The pandemia caused by the SARS-CoV-2 virus has triggered an unprecedented health and economic crisis. Although the diagnosis of infection with SARS-CoV-2 is microbiological, imaging techniques play an important role in supporting the diagnosis, grading the severity of disease, guiding treatment, detecting complications, and evaluating the response to treatment. The lungs are the main organ involved, and chest X-rays, whether obtained in conventional X-ray suites or with portable units, are the first-line imaging test because they are widely available and economical. Chest CT is more sensitive than plain chest X-rays, and CT studies make it possible to identify complications in addition to pulmonary involvement, as well as to suggestive alternative diagnoses. The most common radiologic findings in COVID-19 are airspace opacities (consolidations and/or ground-glass opacities), which are typically bilateral, peripheral, and located primarily in the lower fields.

摘要

由 SARS-CoV-2 病毒引起的大流行引发了一场前所未有的健康和经济危机。虽然 SARS-CoV-2 感染的诊断是微生物学的,但影像学技术在支持诊断、疾病严重程度分级、指导治疗、检测并发症以及评估治疗反应方面发挥着重要作用。肺部是主要受累器官,胸部 X 线摄影(无论是在常规 X 射线室还是在便携式设备中获得)是一线影像学检查,因为它广泛可用且经济实惠。与常规胸部 X 线摄影相比,胸部 CT 更敏感,并且 CT 研究可以除了肺部受累之外还可以识别并发症,以及提示替代诊断。COVID-19 最常见的放射学表现是气腔混浊(实变和/或磨玻璃影),这些混浊通常是双侧的、外周性的,主要位于下野。

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