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[新型冠状病毒肺炎疫情期间发热性肺部浸润的诊断方案]

[Diagnostic protocol for febrile lung infiltrates during the COVID-19 pandemic].

作者信息

Sánchez R Henche, Sánchez M García, Sánchez F García, López J Navarro

机构信息

Servicio de Medicina Interna. Hospital Universitario Príncipe de Asturias. Universidad de Alcalá. Alcalá de Henares. Madrid. España.

出版信息

Medicine (Madr). 2022 May;13(55):3261-3265. doi: 10.1016/j.med.2022.05.009. Epub 2022 May 12.

DOI:10.1016/j.med.2022.05.009
PMID:35582697
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9098090/
Abstract

Chest x-ray and computed tomography (CT) scans are important pillars for the diagnosis of lung involvement in COVID-19. The radiological image is typically characterized by peripheral, bilateral ground glass opacities (GGO), mainly located in the lower lobes. The limited sensitivity and specificity of these imaging techniques and possible atypical morphological or topographical presentations make it necessary to always rule out other infectious and non-infectious diseases. Therefore, it is fundamental to consider the patient's clinical and analytical data and the epidemiological circumstances.

摘要

胸部X光和计算机断层扫描（CT）是诊断COVID-19肺部受累情况的重要支柱。放射影像的典型特征是外周双侧磨玻璃影（GGO），主要位于下叶。这些成像技术的敏感性和特异性有限，以及可能出现的非典型形态或部位表现，使得始终有必要排除其他感染性和非感染性疾病。因此，综合考虑患者的临床和分析数据以及流行病学情况至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5d3/9098090/35b3ff181e42/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5d3/9098090/ffce2dbc0da3/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5d3/9098090/35b3ff181e42/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5d3/9098090/ffce2dbc0da3/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5d3/9098090/35b3ff181e42/gr2_lrg.jpg

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本文引用的文献

1
Ground-glass opacity (GGO): a review of the differential diagnosis in the era of COVID-19.磨玻璃密度影（GGO）：COVID-19 时代的鉴别诊断综述。
Jpn J Radiol. 2021 Aug;39(8):721-732. doi: 10.1007/s11604-021-01120-w. Epub 2021 Apr 26.
2
Radiologic diagnosis of patients with COVID-19.COVID-19 患者的放射学诊断。
Radiologia (Engl Ed). 2021 Jan-Feb;63(1):56-73. doi: 10.1016/j.rx.2020.11.001. Epub 2020 Nov 24.
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Thoracic tomographic manifestations in symptomatic respiratory patients with COVID-19.有症状的COVID-19呼吸道患者的胸部断层扫描表现。
Radiol Bras. 2020 Jul-Aug;53(4):255-261. doi: 10.1590/0100-3984.2020.0030.
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Radiological Society of North America Expert Consensus Statement on Reporting Chest CT Findings Related to COVID-19. Endorsed by the Society of Thoracic Radiology, the American College of Radiology, and RSNA - Secondary Publication.北美放射学会关于报告与 COVID-19 相关的胸部 CT 结果的专家共识声明。得到胸放射学会、美国放射学会和 RSNA 的认可 - 二次出版物。
J Thorac Imaging. 2020 Jul;35(4):219-227. doi: 10.1097/RTI.0000000000000524.
5
The Role of Chest Imaging in Patient Management during the COVID-19 Pandemic: A Multinational Consensus Statement from the Fleischner Society.《COVID-19 大流行期间患者管理中的胸部影像学作用：Fleischner 学会的一项多国共识声明》。
Radiology. 2020 Jul;296(1):172-180. doi: 10.1148/radiol.2020201365. Epub 2020 Apr 7.
6
Frequency and Distribution of Chest Radiographic Findings in Patients Positive for COVID-19.COVID-19 阳性患者的胸部 X 线表现的频率和分布。
Radiology. 2020 Aug;296(2):E72-E78. doi: 10.1148/radiol.2020201160. Epub 2020 Mar 27.
7
Performance of Radiologists in Differentiating COVID-19 from Non-COVID-19 Viral Pneumonia at Chest CT.放射科医生在胸部 CT 鉴别 COVID-19 与非 COVID-19 病毒性肺炎中的表现。
Radiology. 2020 Aug;296(2):E46-E54. doi: 10.1148/radiol.2020200823. Epub 2020 Mar 10.
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An official American Thoracic Society/European Respiratory Society statement: Update of the international multidisciplinary classification of the idiopathic interstitial pneumonias.美国胸科学会/欧洲呼吸学会官方声明：特发性间质性肺炎的国际多学科分类的更新。
Am J Respir Crit Care Med. 2013 Sep 15;188(6):733-48. doi: 10.1164/rccm.201308-1483ST.
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Acute pulmonary injury: high-resolution CT and histopathological spectrum.急性肺损伤：高分辨率 CT 与组织病理学表现。
Br J Radiol. 2013 Jul;86(1027):20120614. doi: 10.1259/bjr.20120614. Epub 2013 May 9.
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