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新型冠状病毒病 2019 患者的临床特征与 CT 表现的相关性。

Association between clinical characteristics and CT findings in patients with coronavirus disease-2019.

机构信息

Department of Radiology, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China.

Department of Radiology, Xiangyang Central Hospital, The Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, Hubei, China.

出版信息

Medicine (Baltimore). 2021 Nov 5;100(44):e27435. doi: 10.1097/MD.0000000000027435.

DOI:10.1097/MD.0000000000027435
PMID:34871209
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8568448/
Abstract

This retrospective study was to investigate the association between clinical characteristics and computerized tomography (CT) findings in patients with coronavirus disease-2019 (COVID-19). The clinical data of COVID-19 patients were retrospectively analyzed. Spearman correlation analysis was used to identify the correlation. Totally 209 consecutive COVID-19 patients were eligible for the study, with the mean age of 47.53 ± 13.52 years. At onset of the disease, the most common symptoms were fever (85.65%) and cough (61.24%). The CT features of COVID-19 included pulmonary, bronchial, and pleural changes, with the significant pulmonary presentation of ground-glass opacification (93.30%), consolidation (48.80%), ground-glass opacification plus a reticular pattern (54.07%), telangiectasia (84.21%), and pulmonary fibrotic streaks (49.76%). Spearman analysis showed that the CT findings had significantly inverse associations with the platelets, lymphocyte counts, and sodium levels, but were positively related to the age, erythrocyte sedimentation rate, D-dimer, lactic dehydrogenase, α-hydroxybutyrate dehydrogenase, and C-reactive protein levels (P < .05). In conclusion, the severity of lung abnormalities on CT in COVID-19 patients is inversely associated with the platelets, lymphocyte count, and sodium levels, whereas positively with the age, erythrocyte sedimentation rate, D-dimer, lactic dehydrogenase, hydroxybutyrate dehydrogenase, and C-reactive protein levels.

摘要

本回顾性研究旨在探讨 2019 冠状病毒病(COVID-19)患者的临床特征与计算机断层扫描(CT)表现之间的关系。回顾性分析 COVID-19 患者的临床资料。采用 Spearman 相关分析来确定相关性。共有 209 例连续 COVID-19 患者符合研究条件,平均年龄为 47.53±13.52 岁。发病时,最常见的症状是发热(85.65%)和咳嗽(61.24%)。COVID-19 的 CT 特征包括肺部、支气管和胸膜改变,主要肺部表现为磨玻璃影(93.30%)、实变(48.80%)、磨玻璃影伴网状影(54.07%)、细支气管扩张(84.21%)和肺纤维化条纹(49.76%)。Spearman 分析显示,CT 表现与血小板、淋巴细胞计数和钠水平呈显著负相关,而与年龄、红细胞沉降率、D-二聚体、乳酸脱氢酶、α-羟丁酸脱氢酶和 C 反应蛋白水平呈正相关(P<0.05)。总之,COVID-19 患者 CT 上肺部异常的严重程度与血小板、淋巴细胞计数和钠水平呈负相关,而与年龄、红细胞沉降率、D-二聚体、乳酸脱氢酶、羟丁酸脱氢酶和 C 反应蛋白水平呈正相关。

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