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新型冠状病毒肺炎:CT表现及演变模式

Novel COVID-19 Pneumonia: CT Manifestations and Pattern of Evolution.

作者信息

Mustafa Mohammad S, Patil Satish D, Muchchandi Rajashekhar, Patil Shivanand V

机构信息

Department of Radiodiagnosis, BLDEA's Shri B M Patil Medical College, Hospital and Research Centre, Vijayapura, Karnataka, IND.

出版信息

Cureus. 2023 Mar 18;15(3):e36322. doi: 10.7759/cureus.36322. eCollection 2023 Mar.

Abstract

Background This study aims to provide a better knowledge of COVID-19 that will aid in the formulation of future health policy by detailing the pathophysiology, case detection, and treatment, as well as management and prevention activities. Methodology A cross-sectional, prospective study was conducted at the Department of Radio-Diagnosis and Imaging, Shri B.M. Patil Medical College, Vijayapura. A total of 90 patients who presented with clinical features of COVID-19 and patients above the age of 18 years suspected of COVID-19 who were referred to the Department of Radio-Diagnosis and Imaging were included in the study. Results The classical findings which are observed on CT imaging in patients with COVID-19 include the presence of ground-glass opacities which are bilateral in distribution predominantly affecting the lower lobes with a posterior predilection. Overall, more than 33% of the patients who recovered from severe COVID-19 had lung abnormalities resembling fibrosis on follow-up imaging performed within two weeks of the commencement of the disease. These individuals were older and had more severe sicknesses during the acute period. Conclusions Chest CT can detect COVID-19 progression or secondary cardiopulmonary problems such as acute respiratory distress syndrome, pulmonary embolism, superimposed pneumonia, or heart failure. Future research into the prognostic value of chest CT in COVID-19 is required.

摘要

背景 本研究旨在通过详细阐述新冠病毒疾病的病理生理学、病例检测、治疗以及管理和预防活动,更好地了解新冠病毒疾病,以协助制定未来的卫生政策。方法 在维杰亚普拉市什里·B.M. 帕蒂尔医学院放射诊断与成像科进行了一项横断面前瞻性研究。本研究纳入了90例出现新冠病毒疾病临床特征的患者以及18岁以上疑似感染新冠病毒且被转诊至放射诊断与成像科的患者。结果 在新冠病毒疾病患者的CT成像上观察到的典型表现包括磨玻璃影,其分布双侧为主,主要累及下叶且以后部为主。总体而言,在疾病开始后两周内进行的随访成像中,超过33%从重症新冠病毒疾病康复的患者肺部出现类似纤维化的异常。这些个体年龄较大,急性期病情更严重。结论 胸部CT可以检测新冠病毒疾病的进展或继发性心肺问题,如急性呼吸窘迫综合征、肺栓塞、叠加性肺炎或心力衰竭。需要对胸部CT在新冠病毒疾病中的预后价值进行进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef4/10107144/ec2cc40ae6e4/cureus-0015-00000036322-i01.jpg

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