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重症甲型H_1N_1流感患者的胸部X线和CT特征分析
引用本文:陈伟,何波,袁峰,孙学进,赵卫.重症甲型H_1N_1流感患者的胸部X线和CT特征分析[J].昆明医学院学报,2011,32(1):102-107.
作者姓名:陈伟  何波  袁峰  孙学进  赵卫
作者单位:昆明医学院第一附属医院医学影像中心,云南,昆明,650032
摘    要:目的探讨重症甲型H1N1流感患者的胸部X线及CT表现.方法回顾性分析经确诊的24例重症甲型H1N1流感患者的胸部X线及CT表现.结果 (1)24例中4例患者入院时胸部X线检察无异常发现;(2)X线及CT发现肺部磨玻璃影分别占53%、67%,磨玻璃影伴实变分别占37%、62%,磨玻璃影主要位于肺周边胸膜下,磨玻璃影伴实变主要位于下肺、中部;(3)24例中X线及CT发现胸膜腔积液分别为3例、5例,发现胸膜肥厚分别为2例、9例;(4)X线及CT均未发现纵膈及肺门淋巴结肿大.结论甲型H1N1病例主要影像学表现为磨玻璃影及磨玻璃影伴实变,无纵膈及肺门淋巴结肿大,胸膜可受累,胸部CT与X线平片表现基本一致,但CT可早于胸片发现肺部病灶,对病变的形态、分布情况显示更加清楚,并可提高H1N1肺部病变的检出率,胸部X线及CT可以为临床提供更多的信息,有助于临床医师早期发现病变,及时给予治疗,观察病情发展及疗效评价.

关 键 词:甲型H1N1流感  X线摄影  胸部CT

Chest X-ray Radiographic and CT Findings in Severe A (H1N1)Virus Infection
CHEN Wei,HE Bo,YUAN Feng,SUN Xue-jin,ZHAO Wei.Chest X-ray Radiographic and CT Findings in Severe A (H1N1)Virus Infection[J].Journal of Kunming Medical College,2011,32(1):102-107.
Authors:CHEN Wei  HE Bo  YUAN Feng  SUN Xue-jin  ZHAO Wei
Institution:CHEN Wei,HE Bo,YUAN Feng,SUN Xue-jin,ZHAO Wei(Imaging Centre,The 1st Affiliated of Hospital of Kunming Medical University,Kunming Yunnan 650032,China)
Abstract:Objective To study X-ray radiographic and CT findings in patients with severe A(H1N1) virus infection.Method We reviewed the chest X-ray radiographic and CT findings of 24 patients with confrmed severe A(H1N1)virus infection in our hospital from November 2009 to December 2009.Results(1)The initial radiograph was normal in 4 patients among 24 patients with severe A(H1N1)virus infection.(2)Chest radiography and CT found ground-glass opacity in the lungs accounted for 53% and 67%,and mixed ground-glass opacity...
Keywords:Influenza A H1N1  X-ray radiography  Chest CT  
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