昆明医学院学报2011，Vol.32Issue(1)：102-107,6.
重症甲型H1N1流感患者的胸部X线和CT特征分析
Chest X-ray Radiographic and CT Findings in Severe A(H1N1) Virus Infection
陈伟 1何波 1袁峰 1孙学进 1赵卫1
作者信息
- 1. 昆明医学院第一附属医院医学影像中心,云南,昆明,650032
- 折叠
摘要
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 groundglass opacity with consolidation accounted for 37％ and 62％. Ground-glass is mainly located in the lower part of the pleura around the lung, and ground-glass with consolidation is mainly located in the lower lung and central lung. (3) Chest radiography and CT found 3 cases and 5 cases of pleural effusion, and 2 cases and 9 cases of pleural thickening, respectively. (4) No patients were found with evident hilar or mediastinal lymph node enlargement by radiography or CT scans. Conclusions The predominant radiographic and CT findings are ground-glass opacity, following by ground- glass opacity with consolidation, without mediastinal and hilar lymph node enlargement, and the pleura can be involved on both chest radiography and CT. The findings of chest radiography and CT are consistent, but CT can find the lung lesions earlier than chest radiograph. CT can show the morphology and distribution of the lesions more clearly, so can increase the positive rate of lung lesions in severe A (H1N1). Also the chest radiography and CT can provide more clinical information to help clinicians find lesions in the lung early, give treatment in time, observe disease development and clinical evaluation.关键词
甲型H1N1流感/X线摄影/胸部CTKey words
Influenza A H1N1: X-ray radiography Chest CT分类
医药卫生引用本文复制引用
陈伟,何波,袁峰,孙学进,赵卫..重症甲型H1N1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):102-107,6.
