| 谭大林,王飞,刘振刚,陶芳旭.胸部影像检查在甲型H1N1流感诊治中的应用及规范建议[J].中国医学影像技术,2015,31(4):563~565 |
| 胸部影像检查在甲型H1N1流感诊治中的应用及规范建议 |
| Application and suggestion of standard chest imaging examination in diagnosis and treatment of swine influenza H1N1 |
| 投稿时间：2014-07-15 修订日期：2014-09-05 |
| DOI：10.13929/j.1003-3289.2015.04.021 |
| 中文关键词: 甲型流感病毒,H1N1亚型 肺炎 诊断显像 |
| 英文关键词:Influenza A virus, H1N1 subtype Pneumonia Diagnostic imaging |
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| 中文摘要: |
| 目的 探讨规范的胸部影像检查在甲型H1N1流感患者诊治中的应用价值。方法 回顾性分析773例甲型H1N1流感患者的胸部X线、CT及高分辨率CT(HRCT)资料。结果 773例患者均接受胸部X线检查,78例接受CT检查,2例接受HRCT检查。胸部X线表现未见明显异常685例,占88.62%(685/773);双肺纹理增多、增粗、模糊等肺间质改变45例,占5.82%(45/773);肺间质改变伴肺门结构模糊28例,占3.62%(28/773);双肺间质改变合并多发斑片状渗出灶15例,占1.94%(15/773)。5例合并胸膜炎(5/773,0.65%)。结论 甲型H1N1流感患者胸部影像学表现具有一定特征性,轻症患者X线检查多无明显异常,胸部X线及CT动态复查是了解病情进展的有效方法。 |
| 英文摘要: |
| Objective To explore the application value of standard chest imaging examination in diagnosis and treatment of patients with swine influenza H1N1. Methods Imaging data including X-ray examination, CT and high resolution CT (HRCT) of 773 swine influenza H1N1 patients were retrospectively analyzed. Results Chest X-ray examination was performed in all 773 cases, as well as CT in 78 cases and HRCT in 2 cases. There were 685 cases (685/773, 88.62%) without obvious abnormal manifestations by X-ray examination. Pulmonary interstitial changes of increased and blurred lung-markings were found in 45 cases (45/773, 5.82%). Pulmonary interstitial changes combined with blurred lung hilum structures in 28 cases (28/773, 3.62%). Pulmonary interstitial changes combined with multiple patchy exudation in 15 cases (15/773, 1.94%). There were 5 cases (5/773, 0.65%) of pleurisy. Conclusion Thoracic imaging findings of swine influenza H1N1 are characteristic, but the majority of mild cases showed no obvious abnormal manifestations. X-ray examination and CT are effective methods to monitor the state of illness. |
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