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SARS的胸部影像学分析
引用本文:施锁娣,顾一峰,庄奇新,顾萍. SARS的胸部影像学分析[J]. 上海医学影像, 2003, 12(4): 249-251
作者姓名:施锁娣  顾一峰  庄奇新  顾萍
作者单位:200083,上海市传染病医院放射科;上海市第六人民医院放射科
摘    要:目的 探讨严重急性呼吸综合症(SARS)的胸部X线和CT表现。方法 回顾7例临床诊断SARS的患发病后一系列的胸片和CT影像进行分析。结果 7例SARS胸部X线片和CT检查均有异常发现。影像学表现可为两肺不同程度的片状或斑片状磨玻璃样密度阴影(7/7),其中小片状影1例(1/7),大片状影2例(2/7),兼有大片、小片状4例(4/7)。胸腔积液3例(3/7),继发空洞2例(2/7)。结论 SARS以肺实质和间质渗出性病变为主,常伴有胸腔积液,病变发展迅速,恢复期胸部的病灶吸收较慢。

关 键 词:严重急性呼吸综合征  放射摄影术  计算机X射线断层摄影术

Clinical and imaging analysis of SARS
SHI Suodi,GU Yifeng,ZHUANG Qixin,et al.. Clinical and imaging analysis of SARS[J]. Shanghai Medical Imaging, 2003, 12(4): 249-251
Authors:SHI Suodi  GU Yifeng  ZHUANG Qixin  et al.
Affiliation:SHI Suodi,GU Yifeng,ZHUANG Qixin,et al. Department of Radiology,ShanghaiContagious Hospital,Shanghai 200083,China
Abstract:Objective To study the chest X-ray and CT finding of the heavy severe acute respiratory syndrome (SARS). Methods Serial chest X-ray and CT in 7 confirmed SARS patients were retrospectively analyzed. Results Abnormal finding of CT and X-ray were detected in all patients. Multiple focal ground-glass opacities were found in 1 cases(1 / 7),extensive opacities in 2 cases (2/7) and mixed in 4 cases(4/7). Mild amount of pleural effusion in 3 cases(3 / 7) , and cavity of the lung in 2 cases(2 / 7). Conclusion The predominant abnormalities of SARS were parenchymal and interstitial exudation lesion with thorax effusion. The lesion progressed quickly. In convalescence the lesion would be resolved slowly.
Keywords:Severe acute respiratory syndrome (SARS) Radiography Computed tomograph(CT)
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