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胸部X线片特征性表现对严重急性呼吸综合征诊断和鉴别诊断价值的探讨
引用本文:王建国,王海枝,张彦宗,刘金城,凌惠珠,李乐天,谷晓枫,高玉,宋福林,杨继清,冯雅琳,白广清. 胸部X线片特征性表现对严重急性呼吸综合征诊断和鉴别诊断价值的探讨[J]. 河北医药, 2004, 26(9): 724-725
作者姓名:王建国  王海枝  张彦宗  刘金城  凌惠珠  李乐天  谷晓枫  高玉  宋福林  杨继清  冯雅琳  白广清
作者单位:065000,河北省廊坊市中医医院;廊坊市人民医院;中国石油天然气总公司医院;廊坊市卫生局;廊坊市中心血站
摘    要:目的 探讨及时、准确地临床诊断严重急性呼吸综合征(SARS)的可靠依据。方法 对同时具备发热、血象不高、胸部X线有异常改变的179例患者按照我们总结的SAPS胸部X线特征性表现进行了临床分析。结果 符合文中4项胸部X线特征性表现中的3项(含)以上者,均临床诊断为SARS,非SAPS患者只符合4项中的两项(含)以下。结论 胸部X线片的特征性表现对SAPS诊断和鉴别诊断具有重要价值。

关 键 词:严重急性呼吸综合征  胸部X线  特征  诊断

The value of diagnosis and differentiation diagnosis of X-ray characteristics for SARS
WANG Jianguo,WANG Haizhi,ZHANG Yanzong,et al.. The value of diagnosis and differentiation diagnosis of X-ray characteristics for SARS[J]. Hebei Medical Journal, 2004, 26(9): 724-725
Authors:WANG Jianguo  WANG Haizhi  ZHANG Yanzong  et al.
Affiliation:WANG Jianguo,WANG Haizhi,ZHANG Yanzong,et al.Langfang TCM Hospital,Hebei,Langfang 065000
Abstract:Objective To investigate the reliable diagnostic evidence for SARS patients in order to be diagnosed as accurately and early as possible.Methods 179 patients with high fever, normal white blood cell count,whose chest X ray showed shadow, were analyzed according to the characters of SARS patients'chest X ray manifestation that we had summarized.Results The patients whose chest X ray had three (or more than) items of the four characters (the shadow along the edge of the lungs,multifocal,progressing with time,the shadow in the chest X ray disappearing here and emerging there) were diagnosed as SARS and those had two (or less than) items of the four were exempted from SARS diagnosis.Conclusion The characteristics of chest X ray have high value in the diagnosis of SARS.
Keywords:SARS  chest X ray  characteristics
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