黄勇,王继琛,王仁贵,蒋学祥.康复期SARS患者HRCT复查的价值[J].中国医学影像技术,2003,19(12):1621~1623
康复期SARS患者HRCT复查的价值
Value of HRCT in Patients with SARS Following Hospital Discharge
投稿时间:2003-10-15  
DOI:
中文关键词:  重症急性呼吸道综合征  肺间质纤维化  计算机体层摄影术,高分辨率
英文关键词:Severe acute respiratory syndrome  Pulmonary fibrosis  High-resolution, computed tomography
基金项目:
作者单位
黄勇 北京大学第一医院医学影像科,北京 100034 
王继琛 北京大学第一医院医学影像科,北京 100034 
王仁贵 北京大学第一医院医学影像科,北京 100034 
蒋学祥 北京大学第一医院医学影像科,北京 100034 
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中文摘要:
      目的 了解经临床确诊为SARS的患者治疗痊愈后其肺内残留改变及HRCT的价值。方法 对22例临床确诊为SARS经治疗后痊愈出院的患者行HRCT扫描复查。结果 首次HRCT扫描显示22例患者中10例肺内有异常改变,包括磨玻璃影、小叶间隔增厚。12例未见异常改变。10例首次复查异常的患者中,有8例8周后进行了第二次复查,HRCT显示病灶较前缩小、数量减少。结论 SARS患者治愈后HRCT扫描可显示肺内残留肺间质异常改变,表现为磨玻璃影及小叶间隔增厚;短时间复查病变较前缩小。HRCT是发现该改变敏感的影像学方法。
英文摘要:
      Objective To report the findings and value of high resolution computed tomographic (HRCT) in patients with severe acute respiratory syndrome (SARS) who cured clinically after treatment. Methods Twenty-two patients with SARS who cured clinically after treatment following up with HRCT. Results First HRCT showed parenchymal abnormality in 10 of 22 patients, common findings including ground-glass opacity, interlobular septum and intralobular interstitial thickening. Eight of 10 patients with abnormal findings were performed following-up HRCT examination after 8 weeks, HRCT showed size and number of lesions were decreased. Conclusion HRCT features of SARS following hospital discharge are ground-glass opacity, interlobular septum and intralobular interstitial thickening. The lesions are lessening in short-time following up. HRCT is sensitive technique to find this alteration.
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