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后新冠时代急诊科遇到的肺部感染影像学表现-常见、罕见和外来的。细菌性和病毒性。

Imaging of pulmonary infections encountered in the emergency department in post-COVID 19 era- common, rare and exotic. Bacterial and viral.

机构信息

Department of Radiology, University of Arkansas for Medical Sciences, Little Rock, AR, USA.

Department of Radiology, Mayo Clinic, Rochester, MN, USA.

出版信息

Emerg Radiol. 2024 Aug;31(4):543-550. doi: 10.1007/s10140-024-02248-8. Epub 2024 Jun 5.

DOI:10.1007/s10140-024-02248-8
PMID:38834862
Abstract

Pulmonary infections contribute substantially to emergency department (ED) visits, posing a considerable health burden. Lower respiratory tract infections are prevalent, particularly among the elderly, constituting a significant percentage of infectious disease-related ED visits. Timely recognition and treatment are crucial to mitigate morbidity and mortality. Imaging studies, primarily chest radiographs and less frequently CT chests, play a pivotal role in diagnosis. This article aims to elucidate the imaging patterns of both common and rare pulmonary infections (bacterial and viral) in the post COVID-19 era, emphasizing the importance of recognizing distinct radiological manifestations. The integration of clinical and microbiological evidence aids in achieving accurate diagnoses, and guiding optimal therapeutic interventions. Despite potential overlapping manifestations, a nuanced understanding of radiological patterns, coupled with comprehensive clinical and microbiological information, enhances diagnostic precision in majority cases.

摘要

肺部感染在急诊科(ED)就诊中占很大比例,对健康造成了相当大的负担。下呼吸道感染很常见,特别是在老年人中,占传染病相关 ED 就诊的很大比例。及时识别和治疗对于降低发病率和死亡率至关重要。影像学检查,主要是胸部 X 线摄影,较少采用 CT 胸部扫描,在诊断中起着关键作用。本文旨在阐明在后 COVID-19 时代常见和罕见(细菌和病毒)肺部感染的影像学模式,强调识别不同放射学表现的重要性。临床和微生物学证据的综合应用有助于做出准确诊断,并指导最佳治疗干预。尽管可能存在重叠表现,但细致了解放射学模式,并结合全面的临床和微生物学信息,可提高大多数情况下的诊断准确性。

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本文引用的文献

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Radiological Society of North America Expert Consensus Document on Reporting Chest CT Findings Related to COVID-19: Endorsed by the Society of Thoracic Radiology, the American College of Radiology, and RSNA.北美放射学会关于报告与COVID-19相关的胸部CT检查结果的专家共识文件:得到了胸腔放射学会、美国放射学会和北美放射学会的认可。
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