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徐胜生,简平,周旸,周捷,罗天友,欧阳羽.15例新型甲型H1N1流感肺炎患者胸部CT及X线表现[J].陆军军医大学学报(原第三军医大学学报),2010,32(20):2242-2245.
Xu Shengsheng,Jian Ping,Zhou Yang,Zhou Jie,Luo Tianyou,Ouyang Yu.Chest CT and radiographic manifestations of novel swine-origin influenza A virus pneumonia: report of 15 cases[J].J Amry Med Univ (J Third Mil Med Univ),2010,32(20):2242-2245.
徐胜生,简平,周旸,周捷,罗天友,欧阳羽.15例新型甲型H1N1流感肺炎患者胸部CT及X线表现[J].陆军军医大学学报(原第三军医大学学报),2010,32(20):2242-2245. DOI:
Xu Shengsheng,Jian Ping,Zhou Yang,Zhou Jie,Luo Tianyou,Ouyang Yu.Chest CT and radiographic manifestations of novel swine-origin influenza A virus pneumonia: report of 15 cases[J].J Amry Med Univ (J Third Mil Med Univ),2010,32(20):2242-2245. DOI:
目的 探讨新型甲型H1N1流感肺炎患者胸部CT及X线表现,以提高诊断准确性。 方法 回顾分析15例新型甲型H1N1流感肺炎患者胸部CT和X线资料,研究病变影像学特点、部位、数目及演变。 结果 肺实变13例,磨玻璃9例,支气管气像6例,胸腔积液4例,胸膜增厚3例,纵隔内见多发淋巴结5例,轻症组与重症及危重症组之间均无统计学差异(P0.05);肺实变及磨玻璃病变部位:双肺多叶10例,单肺单叶5例,轻症组与重症及危重症组之间有统计学差异(P0.05);肺实变及磨玻璃经治疗后吸收、减轻11例、未见变化2例、加重2例,轻症组和重症及危重症组之间均无统计学差异(P0.05)。 结论 新型甲型H1N1流感肺炎患者胸部CT和X线表现以肺实变和磨玻璃改变为主,伴胸膜及淋巴结异常等多种表现。
Objective To investigate the chest CT and radiographic manifestations of pneumonia due to novel swine-origin influenza A (H1N1) virus (S-OIV) infection. Methods Chest CT data and radiograms of 15 cases patients (including 5 cases of severe and 1 case of very severe) with novel S-OIV (H1N1) infection who admitted in our 2 hospitals during the November to December of 2009 were analyzed retrospectively. Imaging features
locations
numbers and evolutions of the lesions were studied. Results The chest findings showed that there were lung consolidation in 13 cases
ground-glass opacity (GGO) in 9 cases
air broncho grams in 6 cases
pleural effusions in 4 cases
pleural thickening in 3 cases
and multiple small lymphnodes in the mediastinum. There was no significant difference about these signs between less severe group and severe and very severe group (P0.05). There were 10 cases with lesions of lung consolidation and GGO in upper and lower lobes bilateral lungs and 5 cases with the lesions in one lobe of one lung. There was significant difference between two groups (P0.05). The lesions of lung consolidation and GGO in the chest were absorbed or reduced in 11 cases
no change was found in 2 cases
but the condition became more serious in 2 cases after therapy. There was no significant difference of these results between 2 groups (P0.05). Conclusion Chest CT and radiographic manifestations of novel S-OIV infection are mainly lung consolidation and GGO
with pleural
lymphnodes and other multiple abnormalities.
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