Clinical Manifestations and CT Imaging Analysis of Corona Virus Disease 2019
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摘要: 新型冠状病毒肺炎（COVID-19）在全世界多个国家短时间内流行传播，计算机断层扫描（CT）在新型冠状病毒肺炎中作为重要的辅助检查手段，可以对疾病的防控及诊疗发挥重要作用。本文通过临床诊断确诊的新冠肺炎患者的相关分析，研究其临床表现与CT表现，探讨CT在新冠肺炎中的应用价值，为将来疫情防控发挥更大作用。Abstract: The new type of Corona Virus Disease 2019 has spread in a short period of time in many countries around the world. Computed tomography (CT) is used as an important auxiliary examination method in the new type of Corona Virus Disease, which can prevent, control, diagnose and treat the disease play this article analyzes its clinical manifestations this article analyzes the clinical manifestations and CT manifestations of patients with COVID-19 confirmed by clinical diagnosis. Explore the application value of CT in Corona Virus Disease, and play a greater role in future epidemic prevention and control.
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[1] 国家卫生健康委员会. 新型冠状病毒感染的肺炎诊疗方案(试行第六版)[EB/OL].[2020-03-16]. http://www.nhc.gov.cn/yzygj/s7653p/202002/8334a8326dd94d329df351d7da8aefc2/files/b218cfeb1bc54639af227f922bf6b817.pdf. [2] ZHU N, ZHANG D, WANG W, et al. A novel coronavirus from patients with pneumonia in China, 2019[J]. The New England Journal of Medicine, 2020, 382(8):727-733.
[3] OOI G C, KHONG P L, MÜLLER N L, et al. Severe acute respiratory syndrome:Temporal lung changes at thin-section CT in 30 patients[J]. Radiology, 2004, 230(3):836-844.
[4] 贾晓茜, 李新雨, 同维, 等. 影像技术应对新型冠状病毒肺炎的管理策略[J]. 西安交通大学学报(医学版), 2020, 41(3):439-446. JIA X Q, LI X Y, TONG W, et al. Management strategies for imaging technique in response to corona virus disease 2019[J]. Journal of Xi'an Jiaotong University (Medical Sciences), 2020, 41(3):439-446. (in Chinese). [5] PHAN L T, NGUYEN T V, LUONG Q C, et al. Importation and human-to-human transmission of a novel coronavirus in Vietnam[J]. New England Journal of Medicine, 2020, 382(9):872-874.
[6] GUAN W, NI Z, HU Y, et al. Clinical characteristics of 2019 novel coronavirus infection in China[J]. MedRxiv, 2020, 382(4):1708-1720.
[7] HUANG C, WANG Y, LI X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China[J]. The Lancet, 2020, 395(10223):497-506.
[8] 庄英杰, 陈竹, 李进, 等. 26例新型冠状病毒肺炎确诊病例临床和流行病学特征[J]. 中华医院感染学杂志, 2020, 30(6):826-829. ZHUANG Y J, CHEN Z, LI J, et al. Clinical and epidemiological character of 26 patients diagnosed with COVID-19[J]. Chinese Journal of Infectious Diseases, 2020, 30(6):826-829. (in Chinese).
[9] 陈钊, 王荣福. CT在新型冠状病毒肺炎诊断与鉴别诊断中的应用价值[J]. CT理论与应用研究, 2020, 29(3):273-279. DOI:10.15953/j.1004-4140.2020.29.03.02. CHEN Z, WANG R F. Application of CT in the diagnosis and differential diagnosis of novel coronavirus pneumonia[J]. CT Theory and Applications, 2020, 29(3):273-279. DOI:10.15953/j.1004-4140.2020.29.03.02. (in Chinese).
[10] 新型冠状病毒肺炎的放射学诊断:中华医学会放射学分会专家推荐意见(第一版)[J]. 中华放射学杂志, 2020, (4):279-285. [11] 纪建松等主编. 新冠肺炎CT早期征象与鉴别诊断[M]. 北京:科学出版社, 2020. [12] YANG S, LEE G W M, CHEN C M, et al. The size and concentration of droplets generated by coughing in human subjects[J]. Journal of Aerosol Medicine, 2007, 20(4):484-494.
[13] 吴艳, 张树桐, 王曦, 等. 首诊CT阴性的新型冠状病毒肺炎患者早期CT特征及影像变化特点[J]. 中国中西医结合影像学杂志, 2020, (5):449-452. WU Y, ZHANG S T, WANG X, et al. CT features in early stage and dynamic imaging changes in COVID-19 patients with negative CT at first diagnosis[J]. Chinese Imaging Journal of integrated Traditional and Western Medicine, 2020, (5):449-452. (in Chinese).
[14] 郭佑民, 陈欣, 牛刚主编. 新型冠状病毒肺炎影像学诊断[M]. 西安:西安交通大学出版社, 2020. [15] SHI H, HAN X, ZHENG C. Evolution of CT manifestations in a patient recovered from 2019 Novel Coronavirus (2019-nCoV) pneumonia in Wuhan, China[J]. Radiology, 2020, 295(1):200269.
[16] PAN F, YE T, SUN P, et al. Time course of lung changes on chest CT during recovery from 2019 Novel Coronavirus (COVID-19) pneumonia[J]. Radiology, 2020, 295(3):200370.
[17] 史河水, 韩小雨, 樊艳青, 等. 新型冠状病毒(2019-nCoV)感染的肺炎临床特征及影像学表现[J]. 临床放射学杂志, 2020, 39(1):8-11. SHI H S, HAN X Y, FAN Y Q, et al. Clinical features and imaging manifestations of pneumonia caused by new coronavirus (2019-nCoV) infection[J]. Journal of Clinical Radiology, 2020, 39(1):8-11. (in Chinese).
[18] 尹柯, 邱太春, 汪琼, 等. 2019新型冠状病毒肺炎的临床与CT表现[J]. CT理论与应用研究, 2020, 29(3):281-287. DOI:10.15953/j.1004-4140.2020.29.03.03. YIN K, QIU T C, WANG Q, et al. Clinical and CT manifestations of corona virus disease 2019[J]. CT Theory and Applications, 2020, 29(3):281-287. DOI:10.15953/j.1004-4140.2020.29.03.03. (in Chinese).
[19] 邓靓娜, 薛彩强, 林晓强, 等. 新型冠状病毒肺炎的影像学应用及进展[J]. 中国医学物理学杂志, 2020, 37(6):726-729. DOI:10.3969/j.issn.1005-202X.2020.06.013. DENG L N, XUE C Q, LIN X Q, et al. Application progress of imaging in COVID-19[J]. Chinese Journal of Medical Physics, 2020, 37(6):726-729. DOI:10.3969/j.issn.1005-202X.2020.06.013. (in Chinese).
[20] 朱文科, 陆普选, 周伯平, 等. 成人H5N1亚型禽流感重症肺炎影像评价及远期随访[J]. 中国医学影像学杂志, 2014, 22(8):598-601. ZHU W K, LU P X, ZHOU B P, et al. Image features of severe pneumonia caused by avian influenza subtype a H5N1 virus in adults and long-term follow-up[J]. Chinese Journal of Medical Imaging. 2014, 22(8):598-601. (in Chinese).
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