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新型冠状病毒肺炎感染典型与非典型肺部CT影像表现谱:一项回顾性研究

Spectrum of Typical and Atypical Pulmonary CT Imaging Findings of COVID-19 Infection: A Retrospective Study.

作者信息

Sharma Monika, Sharma Anchal, Lochav Sidhant, Gangta Varsha, Gulati Y S, Kaur Harharpreet, Kaul Aditya

机构信息

Department of Radiodiagnosis, Maharishi Markandeshwar Medical College and Hospital, Solan, IND.

Department of Medicine, Maharishi Markandeshwar Medical College and Hospital, Solan, IND.

出版信息

Cureus. 2022 Mar 27;14(3):e23550. doi: 10.7759/cureus.23550. eCollection 2022 Mar.

DOI:10.7759/cureus.23550
PMID:35495009
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9042612/
Abstract

Coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The first known case was identified in Wuhan, China, in December 2019. It was declared a public health emergency by WHO in January 2020. The definitive diagnostic test for COVID-19 is a real time polymerase chain reaction test (RT-PCR) which is highly specific, but sensitivity is variable. COVID-19 typically presents clinically with respiratory and systemic symptoms. The majority of the infected patients are asymptomatic during the course of the disease, which we have not included in our study. Imaging findings on high-resolution computed tomography (HRCT) chest are important to diagnose the disease in early stage, for treatment planning and to predict the patient prognosis. The purpose of our study was to characterize typical and atypical pulmonary and extra-pulmonary HRCT findings in patients with COVID-19 infection and to help in the management of patients.  In this retrospective study, we have included 70 patients who had undergone HRCT examination of the chest in the Radiodiagnosis Department, Maharishi Markandeshwar Medical College, Kumarhatti, Solan, Himachal Pradesh, India. The HRCT findings of the chest of these patients in the study will be evaluated and data will be statistically analyzed.

摘要

2019冠状病毒病(COVID-19)由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起。首例已知病例于2019年12月在中国武汉被发现。2020年1月,世界卫生组织宣布其为突发公共卫生事件。COVID-19的确诊诊断检测是实时聚合酶链反应检测(RT-PCR),该检测具有高度特异性,但敏感性存在差异。COVID-19通常在临床上表现为呼吸道和全身症状。在疾病过程中,大多数感染患者无症状,我们的研究未纳入此类患者。胸部高分辨率计算机断层扫描(HRCT)的影像学表现对于疾病的早期诊断、治疗方案制定以及预测患者预后都很重要。我们研究的目的是描述COVID-19感染患者典型和非典型的肺部及肺外HRCT表现,并为患者管理提供帮助。在这项回顾性研究中,我们纳入了印度喜马偕尔邦索兰县库马哈特蒂市玛哈瑞希·马尔坎德什瓦尔医学院放射诊断科70例接受过胸部HRCT检查的患者。将对这些患者胸部的HRCT表现进行评估,并对数据进行统计分析。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c67e/9042612/c3060d6f3209/cureus-0014-00000023550-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c67e/9042612/8ada31f646d8/cureus-0014-00000023550-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c67e/9042612/c902df000f4c/cureus-0014-00000023550-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c67e/9042612/b990a49b9cb6/cureus-0014-00000023550-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c67e/9042612/64f131418399/cureus-0014-00000023550-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c67e/9042612/c9d7f0748164/cureus-0014-00000023550-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c67e/9042612/a7f13c4b2a5c/cureus-0014-00000023550-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c67e/9042612/c699ad9dd4e0/cureus-0014-00000023550-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c67e/9042612/6032034b394d/cureus-0014-00000023550-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c67e/9042612/c3060d6f3209/cureus-0014-00000023550-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c67e/9042612/8ada31f646d8/cureus-0014-00000023550-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c67e/9042612/c902df000f4c/cureus-0014-00000023550-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c67e/9042612/b990a49b9cb6/cureus-0014-00000023550-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c67e/9042612/64f131418399/cureus-0014-00000023550-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c67e/9042612/c9d7f0748164/cureus-0014-00000023550-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c67e/9042612/a7f13c4b2a5c/cureus-0014-00000023550-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c67e/9042612/c699ad9dd4e0/cureus-0014-00000023550-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c67e/9042612/6032034b394d/cureus-0014-00000023550-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c67e/9042612/c3060d6f3209/cureus-0014-00000023550-i09.jpg

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