| 彭靖,李坤成,梁志刚,于春水,李永忠,刘树良,卢洁,王志群,苏壮志,姚新宇.SARS患者糖皮质激素治疗后胸部X线影像变化[J].中国医学影像技术,2003,19(10):1276~1278 |
| SARS患者糖皮质激素治疗后胸部X线影像变化 |
| The Change of Chest Radiograph in SARS Patients Treated with Glucocorticoid |
| 投稿时间：2003-08-08 |
| DOI： |
| 中文关键词: 严重急性呼吸综合征 肺炎 糖皮质激素 放射摄影术,X线计算机 |
| 英文关键词:Severe acute respiratory syndrome Pneumonia Glucocorticoid Tomography,X-ray computed |
| 基金项目: |
| 作者 | 单位 | | 彭靖 | 首都医科大学宣武医院医学影像学部放射科, 北京 100053 | | 李坤成 | 首都医科大学宣武医院医学影像学部放射科, 北京 100053 | | 梁志刚 | 首都医科大学宣武医院医学影像学部放射科, 北京 100053 | | 于春水 | 首都医科大学宣武医院医学影像学部放射科, 北京 100053 | | 李永忠 | 首都医科大学宣武医院医学影像学部放射科, 北京 100053 | | 刘树良 | 首都医科大学宣武医院医学影像学部放射科, 北京 100053 | | 卢洁 | 首都医科大学宣武医院医学影像学部放射科, 北京 100053 | | 王志群 | 首都医科大学宣武医院医学影像学部放射科, 北京 100053 | | 苏壮志 | 首都医科大学宣武医院医学影像学部放射科, 北京 100053 | | 姚新宇 | 首都医科大学宣武医院医学影像学部放射科, 北京 100053 |
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| 中文摘要: |
| 目的 探讨SARS患者糖皮质激素治疗后胸部X线影像学变化。[HTH]方法[HTSS] 回顾性分析我院23例经糖皮质激素治疗的SARS患者胸部X线影像学资料,其中男10例,女13例,年龄21~68岁。比较激素治疗前后肺部阴影的变化情况。[HTH]结果[HTSS] 21例患者肺部阴影在25~60天内完全吸收或明显好转,平均为42.8±11.5天;2例患者肺部阴影逐渐扩大至两肺弥漫性渗出影死亡。激素治疗后肺部阴影变化可分为四种类型:①16例(69.5％)患者在应用激素后肺部阴影逐渐吸收;② 2例(8.7％)患者肺部阴影有所进展,3~4天后肺部阴影逐渐吸收;③ 3例(13.1％)患者在应用激素3~7天时肺部阴影较前无明显变化,之后肺部阴影逐渐吸收;④ 2例(8.7％)患者病变范围未见明显吸收,反而逐渐增大,最后呈两肺弥漫性渗出影。[HTH]结论[HTSS] 糖皮质激素治疗后胸部X线影像变化多样,对观察疗效和指导治疗有重要临床意义。 |
| 英文摘要: |
| Objective To study the change of chest radiography of patients with severe acute respiratory syndrome (SARS) after treated with glucocorticoid.Methods The imaging data of chest X-ray radiogram were analyzed in 23 patients with SARS treated with glucocoricoid in our hospital retrospectively. There were 10 men and 13 women in this group, and their aged were 21-68 years. The X-ray findings before and after glucocorticoid treatment were compared to observe the changes.Results The opacity were disappeared completely or improved obviously in 21 patients within 25-60 days(mean 42.8±11.5 days).The X-ray findings showed progressive deterioration until the lungs became completely consolidated and the patients were died in 2 cases. Four patterns of radiographic changes were recognized after treatment with glucocorticoid: type 1 (radiographic gradually improvement) in 16 of 23 patients (69.5%), type 2 (radiographic deterioration to peak lever in 3 to 4 days followed by radiographic improvement) in 2 patients (8.7%), type 3 (static radiographic appearance in 3 to 7 days followed by radiographic improvement) in 3 patients (13.1%), and type 4 (progressive radiographic deterioration) in 2 patients (8.7%).Conclusion The radiographic appearances changes differently after treatment with glucocorticoid. Recognizing these changes is helpful in estimating curative effect and directing treatment. |
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