| 甲型H1N1流感66例胸部影像学特征及动态观察 |
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| 引用本文： | 时靖峰,韩明锋,滕小宝,冉献贵,时建,许靖,程国玲.甲型H1N1流感66例胸部影像学特征及动态观察[J].中国医药指南,2011,9(23):186-188. |
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| 作者姓名： | 时靖峰 韩明锋 滕小宝 冉献贵 时建 许靖 程国玲 |
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| 作者单位： | 安徽省阜阳市第二人民医院呼吸科,安徽,阜阳,236015 |
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| 摘 要： | 目的了解甲型H1N1流感,尤其是重症患者胸部医学影像特征。方法采用回顾性的方法对入院的66例甲型H1N1流感患者临床及影像资料进行分析。结果临床分型:轻型15例、重型40例、危重型11例。影像学分型:无病变型15例,支气管肺炎型20例,肺泡水肿型22例,混合型9例。毛玻璃样变32例,支气管充气征25例,伴胸腔积液21例,心包积液2例。治愈64例(96.97%),死亡2例(3.03%)。对于重症AH1N1孕产妇患者采用X线及CT动态观察评估,进行主动性医疗干预,及时中止妊娠22例,有效地改善了患者预后。结论毛玻璃样变及支气管充气征(实变征)是重症、危重症甲型H1N1流感患者胸部医学影像变化重要特征。动态观察X线和胸部CT影像学变化,不仅对病情评估,而且对临床治疗都具有一定的指导性意义。
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| 关 键 词： | 甲型H1N1流感 传染性非典型肺炎(SARS) 人禽流感(A/H5N1) X线/CT检查 |
The Chest-image Characteristic and Dynamic Changes of 66 AH1N1 Cases |
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| SHI Jing-feng,HAN Ming-feng,TENG Xiao-bao,RAN Xian-gui,SHI Jian,XU Jing,CHENG Guo-ling.The Chest-image Characteristic and Dynamic Changes of 66 AH1N1 Cases[J].Guide of China Medicine,2011,9(23):186-188. |
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| Authors: | SHI Jing-feng HAN Ming-feng TENG Xiao-bao RAN Xian-gui SHI Jian XU Jing CHENG Guo-ling |
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| Institution: | SHI Jing-feng,HAN Ming-feng,TENG Xiao-bao,RAN Xian-gui,SHI Jian,XU Jing,CHENG Guo-ling(Department of Respiratory Medicine,Fuyang 2nd People's Hospital,Fuyang 236015,China) |
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| Abstract: | Objective To understand the chest-image characteristic of AH1N1,especially critical cases.Method The clinical and image datas of 66 AH1N cases were analyzed retrospectively.Result Clinical types:mild type 15 cases,severe type 40 cases,specially severe type 11 cases.Image types:nonlesion type 15 cases,bronchopneumonia type 20 cases,alveolar edema type 22 cases,mixed type 9 cases.ground-glass opacification 32 cases,bronchus charging-gas sign 25 cases,pleural effusion 21 cases,pericardial effusion 2 cases.64(9... |
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| Keywords: | AH1N1 SARS A/H5N1 Chest-X-ray/CT |
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