| 不同年龄段新型冠状病毒肺炎的临床和CT影像特征分析 |
| |
| 引用本文： | 刘传苗,徐鹤,李淑华,赵灿灿,李小虎,王健,赵伟,施彪,谢宗玉.不同年龄段新型冠状病毒肺炎的临床和CT影像特征分析[J].蚌埠医学院学报,2020,45(9):1173-1177. |
| |
| 作者姓名： | 刘传苗 徐鹤 李淑华 赵灿灿 李小虎 王健 赵伟 施彪 谢宗玉 |
| |
| 作者单位： | 1.蚌埠医学院第一附属医院 感染病科(国家感染病临床研究中心核心合作单位, 慢性病免疫与临床安徽省重点实验室), 安徽 蚌埠 2330042.蚌埠医学院第一附属医院 放射科, 安徽 蚌埠 2330043.安徽医科大学第一附属医院 放射科, 安徽 合肥 2300004.浙江省同德医院 放射科, 浙江 杭州 3100125.安徽省淮北市人民医院 影像科, 2350006.安徽省蚌埠市第一人民医院 影像科, 233000 |
| |
| 基金项目： | 安徽省新型冠状病毒感染的肺炎疫情应急科研攻关项目202004a0702003 |
| |
| 摘 要： | 目的分析不同年龄组间新型冠状病毒肺炎（coronavirus disease 2019，COVID-19）临床和CT影像特征的差异性。方法回顾性分析107例经临床证实COVID-19病人的临床和CT资料，依据不同年龄段分为3组（< 30岁组，30~60岁组，>60岁组），对每组病人CT特点及临床资料进行分析。结果107例COVID-19的典型临床表现为发热（98.1%，105/107）和咳嗽（77.6%，83/107），实验室检查C反应蛋白升高（63.6%，68/107），白细胞和淋巴细胞减低（42.1%，45/107；43.9%，47/107）；典型CT表现为两肺多叶散在的胸膜下磨玻璃影（94.4%，101/107），最常伴有血管扩张（89.7%，96/107）和晕征（78.5，84/107）。呼吸困难和临床分型在 < 30岁组、>60岁组和30~60岁组、>60岁组之间差异有统计学意义（P < 0.05）。3组间的肺叶分布差异最为明显（P < 0.05）。铺路石征和实性成分在>60岁组和 < 30岁组、30~60岁组之间差异有统计学意义（P < 0.05）。结论COVID-19的临床表现、实验室检查和CT表现具有一定特征性，但不同年龄组间又各具特点，掌握这些临床和CT影像特征、特点有助于早期明确诊断。
|
| 关 键 词： | 新型冠状病毒肺炎 临床特征 体层摄影术，X线计算机 |
| 收稿时间： | 2020-04-25 |
Clinical and CT findings of coronavirus disease 2019 in the different age groups |
| |
| Abstract: | ObjectiveTo analyze the differences of the clinical and CT imaging features of coronavirus disease 2019 (COVID-19) in the different age groups.MethodsThe clinical and CT data of 107 patients with clinically confirmed covid-19 were retrospectively analyzed and divided into three groups (< 30 years old group, 30-60 years old group, and >60 years old group) according to their ages.The CT findings and clinical data were analyzed in three groups.ResultsThe typical clinical symptoms of COVID-19 in 107 patients showed fever (98.1%, 105/107) and cough (77.6%, 83/107).Laboratory examination showed increased C-reactive protein (63.6%, 68/107), and decreased white blood cells and lymphocytes (42.1%, 45/107;43.9%, 47/107).The typical CT findings displayed scattered subpleural ground-glass opacity in two lungs (94.4%, 101/107), most commonly accompanied with vasodilation (89.7%, 96/107) and halo sign (78.5%, 84/107).Dyspnea and clinical type were statistically significant between < 30 years old group, >60 years old group and 30-60 years old group, >60 years old group (P < 0.05).The difference of distribution of lung lobes in three groups was significant (P < 0.05).There were significant differences in paving stone sign and solid components between >60 years old group, < 30 years old group and 30-60 years old group (P < 0.05).ConclusionsThe clinical manifestations, laboratory examination and CT findings of COVID-19 have some characteristics, but different age groups possess their own characteristics.Grasping characteristics of these clinical and CT imaging features is helpful for early definite diagnosis. |
| |
| Keywords: | |
|
| 点击此处可从《蚌埠医学院学报》浏览原始摘要信息 |
|
点击此处可从《蚌埠医学院学报》下载全文 |
|
