滨州医学院学报2026，Vol.49Issue(3)：257-261,267,6.DOI:10.19739/j.cnki.issn1001-9510.2026.03.006
新型冠状病毒、流感病毒和腺病毒肺炎的临床特征的比较
Comparison of clinical features of novel coronavirus,influenza virus(A and B types),and adenovirus-induced pneumonia
摘要
Abstract
Objective To explore the unique clinical characteristics of several common types of viral pneumonia and clarify that these characteristics are of great significance for early diagnosis and treatment.Methods A retrospective analysis was con-ducted on the clinical data of 224 patients with pneumonia clinically diagnosed as caused by COVID-19,influenza viruses(Type A and Type B),and adenovirus infections.Data statistics and comparative analyses were performed with Excel and SPSS soft-wares.Results The inpatients with COVID-19 were mainly elderly people.Adenovirus infection was more common among young and middle-aged people.Among patients with influenza A and adenovirus infection,the proportion of those with a body tempera-ture exceeding 39 ℃ was relatively high.Patients with influenza B and adenovirus infection often had symptoms of the central nervous system,such as dizziness and headache.The lymphocyte count of patients with COVID-19 was significantly decreased,and the level of alkaline phosphatase was relatively low,but still within the normal range.However,alanine aminotransferase was elevated when patients with adenovirus pneumonia were admitted to the hospital.Radiologically,COVID-19 was characterized by thickening of small blood vessels and subpleural distribution.Most patients with influenza had exudative inflammation,and wedge-shaped fillings often occurred under the pleura.Adenovirus pneumonia was manifested as thickening of the bronchial wall,ground-glass opacity accompanied by consolidation.In addition,there were certain differences in the composition of pathogens that caused co-infection with different viruses.Conclusion Different types of viral pneumonia have certain specificity in clinical manifestations.关键词
病毒性肺炎/新型冠状病毒感染/流感病毒/腺病毒/临床特征/影像学特征Key words
viral pneumonia/novel coronavirus/influenza virus/adenovirus/clinical feature/imaging feature分类
医药卫生引用本文复制引用
王凯乐,王明泽,吕长俊,李蓉蓉..新型冠状病毒、流感病毒和腺病毒肺炎的临床特征的比较[J].滨州医学院学报,2026,49(3):257-261,267,6.基金项目
国家自然科学基金(82370079) （82370079）
