Universidade Federal do Espírito Santo, Hospital Universitário Cassiano Antônio Moraes, Division of Radiology - Vitória (ES), Brazil.
Hospital Estadual Jayme Santos Neves, Division of Radiology - Serra (ES), Brazil.
Rev Assoc Med Bras (1992). 2021 Oct;67(10):1409-1414. doi: 10.1590/1806-9282.20210414.
The aim of this study was to describe chest computed tomography image findings in patients with COVID-19.
The chest computed tomography scans of 453 hospitalized patients with confirmed COVID-19 were collected at two tertiary care Brazilian hospitals. Demographics and clinical data were extracted from the electronic record medical system.
The main chest computed tomography findings were ground-glass opacities (92.5%), consolidation (79.2%), crazy-paving pattern (23.9%), parenchymal bands (50%), septal thickening (43.5%), and inverted halo sign (3.5%). Of the 453 hospitalized patients, 136 (30%) died. In this group, ground-glass opacities (94.1%), consolidation (89.7%), septal thickening (58.1%), crazy-paving pattern (52.2%), and parenchymal bands (39.7%) were the most common imaging findings.
In a dynamic disease with a broad clinical spectrum such as COVID-19, radiologists can cooperate in a better patient management. On wisely indicated chest computed tomography scans, the fast identification of poor prognosis findings could advise patient management through hospital care facilities and clinical team decisions.
本研究旨在描述 COVID-19 患者的胸部计算机断层扫描图像表现。
在巴西的两家三级护理医院收集了 453 例确诊 COVID-19 的住院患者的胸部计算机断层扫描图像。从电子病历系统中提取人口统计学和临床数据。
主要的胸部计算机断层扫描表现为磨玻璃影（92.5%）、实变（79.2%）、铺路石征（23.9%）、实质带（50%）、间隔增厚（43.5%）和反晕征（3.5%）。453 例住院患者中，136 例（30%）死亡。在这一组中，磨玻璃影（94.1%）、实变（89.7%）、间隔增厚（58.1%）、铺路石征（52.2%）和实质带（39.7%）是最常见的影像学表现。
在 COVID-19 这样一种具有广泛临床谱的动态疾病中，放射科医生可以更好地合作进行患者管理。在明智指示的胸部计算机断层扫描中，快速识别预后不良的发现可以通过医院护理设施和临床团队的决策来指导患者管理。
