| 杨灵杰,陈海峰,沈波.新型冠状病毒（COVID-19）感染的肺炎患者进行 超声影像学检查的应用[J].中国医学影像技术,2020,36(3): |
| 新型冠状病毒（COVID-19）感染的肺炎患者进行 超声影像学检查的应用 |
| Application of ultrasound imaging in patients with pneumonia infected with COVID-19 |
| 投稿时间：2020-02-10 修订日期：2020-03-22 |
| DOI： |
| 中文关键词: 新型冠状病毒、肺炎、超声、并发症 |
| 英文关键词:New coronavirus, pneumonia, ultrasound and complications |
| 基金项目:无 |
|
| 摘要点击次数: 2058 |
| 全文下载次数: 503 |
| 中文摘要: |
| 新型冠状病毒( 2019-nCoV) 感染的肺炎是由新型冠状病毒引起的以肺部炎性病变为主的疾病,还可引起肠道、肝脏和神经系统的损害和相应症状,严重者可出现多器官功能衰竭、脓毒症、肾功能衰竭、感染性心内炎等危急并发症。2019-nCov肺炎自2019年12起自武汉爆发流行,其病毒传染力强,潜伏期长,至今蔓延到全国,确诊病例已有4万余人。目前检测和排查疑似病例,进行早期治疗和隔离,是眼下的当务之急。而检查手段有患者分泌物的核酸检测,一是对呼吸道标本或血标本实时荧光RT-PCR检测新型冠状病毒核酸阳性,二是呼吸道标本或血液标本病毒基因测序与已知的新型冠状病毒高度同源。而核酸检测假阴性的患者也较多。超声对于2019-nCov重症肺炎患者多出现双侧或单侧胸腔积液、胸膜下出现病灶、肺组织实变等,相对比与CT检查更加便捷快速,也有便于临床上胸腔积液的引流进行实时定位,在检测和排查2019-nCov肺炎患者和处理2019-nCov肺炎患者临床并发症的过程中起到很好的辅助作用。 |
| 英文摘要: |
| : Pneumonia infected by the new coronavirus (2019-nCoV) is a disease caused by the new coronavirus, which is mainly characterized by pulmonary inflammatory lesions. It can also cause damage to intestinal tract, liver and nervous system and corresponding symptoms. Severe cases may include multiple organ failure, sepsis, renal failure, infectious endocarditis and other critical complications. 2019-nCov pneumonia broke out in Wuhan from December 2019. The virus has strong infectivity and long incubation period. It has spread to the whole country so far, with more than 40,000 confirmed cases. At present, it is a top priority to detect and investigate suspected cases, and to carry out early treatment and isolation. The detection means include nucleic acid detection of patient secretions. First, real-time fluorescent RT-PCR is used to detect the nucleic acid of new coronavirus in respiratory tract specimens or blood specimens. Second, the viral gene sequencing of respiratory tract specimens or blood specimens is highly homologous with known new coronavirus. The number of patients with false negative nucleic acid detection is also higher. Ultrasound is relatively more convenient and faster than CT examination for patients with severe 2019-nCov pneumonia, such as bilateral or unilateral pleural effusion, subpleural lesions, consolidation of lung tissue, etc. It is also convenient for real-time localization of pleural effusion drainage in clinical practice, and plays a very good auxiliary role in the detection and screening of 2019-nCov pneumonia patients and the treatment of clinical complications of 2019-nCov pneumonia patients. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
|
|
|
