| 曹丽君,李伟,余海龙,安维民,李惠贞,董景辉.家庭聚集性新型冠状病毒肺炎临床与影像学表现[J].中国医学影像技术,2020,36(3):415~419 |
| 家庭聚集性新型冠状病毒肺炎临床与影像学表现 |
| Clinical and imaging manifestations of familial clustering corona virus disease 2019 |
| 投稿时间：2020-02-15 修订日期：2020-03-05 |
| DOI：10.13929/j.issn.1003-3289.2020.03.024 |
| 中文关键词: 新型冠状病毒 肺炎,病毒性 体层摄影术,X线计算机 |
| 英文关键词:novel coronavirus pneumonia,viral tomography,X-ray computed |
| 基金项目: |
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| 摘要点击次数: 1963 |
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| 中文摘要: |
| 目的 观察家庭聚集性新型冠状病毒肺炎（COVID-19）的临床及影像学表现。方法 回顾性分析7组临床确诊COVID-19家庭共16例患者的家庭流行病学病史、发病时间、临床症状及影像学表现。结果 初次X线检查9例阳性，5例阴性，2例疑诊肺炎。CT显示12例双肺病变，3例单肺病变，1例未见异常；包括单纯磨玻璃病灶（GGO）4例，单纯结节影1例，GGO、实变影及结节影混合存在11例，1例伴心包积液，4例胸膜及叶间胸膜增厚，1例少量胸腔积液。治疗后80.00%（12/15）患者病变吸收≥50%，14例仍见残留灶。结论 家庭聚集性COVID-19临床表现具有一定特点；CT检查在病例筛查、早期诊断、病情评估及随访中具有重要作用。 |
| 英文摘要: |
| Objective To observe clinical and imaging manifestations of family clustering corona virus disease 2019 (COVID-19). Methods Data of 16 COVID-19 patients from 7 groups of families were enrolled, and the family epidemiological history, onset time, clinical symptoms and imaging manifestations were retrospectively analyzed. Results Positive findings of the first X-ray films existed in 9 cases, negative in 5 cases, while 2 cases were found with suspicious pneumonia. Positive CT findings were observed in 15 cases, including 12 with bilateral lung lesions and 3 with lesions in unilateral lung, while 1 case was found without abnormality. Pure ground glass opacities (GGO) were detected in 4 cases, pure small nodule in 1 case, coexisting of GGO, consolidation and nodule in 11 cases. Pericardial effusion was noticed in 1 case, pleural and interlobar pleural thickening in 4 cases, and small amount of pleural effusion in 1 case. After effective treatment, lesions were absorbed more than 50% in 12 (12/15,80.00%) patients, whereas residual lesions were still observed in 14 patients. Conclusion Family clustering corona virus disease 2019 (COVID-19) has certain clinical characteristics. Combined with epidemiology and clinical symptoms, CT has important role in screening, early diagnosis, evaluation and follow-up of COVID-19. |
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