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中国防痨杂志 ›› 2003, Vol. 25 ›› Issue (4): 235-237.

• 论著 • 上一篇    下一篇

SARS病程中胸部影像动态改变特征分析

程钢;   

  1. 北京胸科医院 北京 100095;
  • 出版日期:2003-04-10 发布日期:2003-11-03

Chest image feature and mobile changes of 86 SARS cases

CHENG Gang.   

  1. Beijing Chest Hospital,Beijing 100095
  • Online:2003-04-10 Published:2003-11-03

摘要: 目的 观察分析SARS病程中胸部影像动态改变特征。方法 收集自 2003年3月27日—5月27日确诊为SARS患者资料较完整的病例86例。回顾性分析这些影像资料,观察其在病程不同时期的影像动态改变特征。结果 86例临床确诊病例胸部X线异常出现的时间多在发病的4~7d(73.3%),初期最常见的胸部X线异常表现为斑片状模糊影,单侧53例(61.6%),双侧33例(38.4%)。病程极期的时间多在8~14d,病变的主要特点是以双或单侧的单发或多发大片状模糊影,部分病人病变呈游走性改变。病变大多分布于中、下肺野为73例 (84.9%)。多数病变吸收的时间为15~21d(51.4%)。CT对病变的观察更为敏感。结论 SARS患者胸部X线表现在疾病的不同阶段有一定的特点,影像的动态改变对指导治疗起着至关重要的作用。

关键词: SARS, 放射摄影术,胸部

Abstract: Objective To observe the chest image features and mobile changes of SARS cases.Methods To observe the chest image features in the different time of the disease course of 86 clinical diagnosed SARS cases hospitalized.Results In most cases (73.3%),the chest X-ray changes appeared in the 4~7 days.At the early stage,the most common X-ray appearance was mottling shadow in one side (53 cases,took 61.6%) or both sides (33 cases,took 38.4%) of the lung.The 8~14 days was the most severe stage of the disease in most cases.The X-ray appearance in this stage showed uni-or bilateral patchy shadows in most cases and in some cases the changes was migrating.The X-ray changes were usually seen in the middle or lower lung field in 73 cases (84.9%).In majority cases (51.4%), the X-ray changes disappeared in the 15~21 days.CT had been proved to be more sensitive in finding the changes.Conclusion The X-ray changes of SARS cases are different in the different stage of the disease.Notification of the changing X-ray appearances of the patients is very important in guiding the treatment of the disease.

Key words: SARS, Radiograph,Chest