CT features and clinical characteristics of 8 cluster cases of imported COVID-19/ 八例境外输入聚集性发病的新型冠状病毒肺炎的CT表现及临床特征

Q4 Medicine

Zhonghua fang she xue za zhi Chinese journal of radiology Pub Date : 2020-03-13 DOI:10.3760/CMA.J.CN112149-20200306-00333

Weibing Yang, Q. Weng, Yangrui Xiao, Jun Lin, Yiping Zhang, J. Ji

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引用次数: 2

Abstract

探讨境外输入聚集性发病的8例新型冠状病毒肺炎(COVID-19)的CT表现和临床特征。回顾性收集2020年3月1日和2日确诊的浙江省丽水市8例境外输入聚集性发病患者的临床及CT影像学资料。8例患者为意大利同一餐厅的从业者，均自意大利米兰出发回国，男6例，女2例，年龄30.0~40.0（33.5±3.3）岁，所有患者首次CT检查后3~5 d再次行CT复查。8例患者血常规均正常，且入院时均无发热，其中1例有干咳和腹泻，1例干咳，6例无明显症状。首次CT检查表现为两肺胸膜下多发斑片状、楔形磨玻璃或实性病灶3例，两肺弥漫分布磨玻璃及实性病灶1例，单一肺叶胸膜下斑片状磨玻璃病灶2例，右肺中叶及左肺下叶纤维灶1例，影像表现正常1例。间隔3~5 d后复查CT显示5例病灶明显吸收，1例稍有吸收，1例纤维灶无改变，考虑非COVID-19改变。本组境外输入聚集性发病的COVID-19患者均无发热，白细胞及淋巴细胞计数等无下降，CT影像表现形态多样，但吸收快速，提示境外输入性病例临床症状及CT表现更为隐蔽复杂，需提高警惕，避免误诊。

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CT features and clinical characteristics of 8 cluster cases of imported COVID-19/ 八例境外输入聚集性发病的新型冠状病毒肺炎的CT表现及临床特征

To investigate the CT manifestations and clinical features of 8 cases of COVID-19 imported from abroad with clustering disease. Retrospective collection of clinical and CT imaging data of 8 patients with imported cluster disease confirmed on March 1 and 2, 2020 in Lishui City, Zhejiang Province. Eight patients were practitioners from the same restaurant in Italy, all returning from Milan, Italy. There were six males and two females, aged 30.0-40.0 (33.5 ± 3.3) years old. All patients underwent CT re examination 3-5 days after their first CT examination. All 8 patients had normal blood routine and no fever upon admission. Among them, 1 had dry cough and diarrhea, 1 had dry cough, and 6 had no obvious symptoms. The first CT scan showed multiple patchy, wedge-shaped ground glass or solid lesions in the pleura of both lungs in 3 cases, diffuse ground glass and solid lesions in 1 case, single lobar subpleural patchy ground glass lesions in 2 cases, and fibrous lesions in the middle and lower left lobes of the right lung in 1 case. The imaging appearance was normal in 1 case. After an interval of 3-5 days, CT scans showed significant absorption in 5 lesions, slight absorption in 1 case, and no change in 1 fibrous lesion. Non COVID-19 changes were considered. The COVID-19 patients with aggregation disease imported from overseas in this group did not have fever, and there was no decrease in white blood cell and lymphocyte counts. The CT imaging manifestations were diverse, but absorption was rapid, indicating that the clinical symptoms and CT manifestations of imported cases were more subtle and complex. It is necessary to be vigilant to avoid misdiagnosis.

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来源期刊

Zhonghua fang she xue za zhi Chinese journal of radiology Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

0.30

自引率

0.00%

发文量

10639