计算机断层肺血管造影在COVID-19疑似肺栓塞患者中的作用。

IF 1.5 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Bratislava Medical Journal-Bratislavske Lekarske Listy Pub Date : 2023-01-01 DOI:10.4149/BLL_2023_102

Martin Stevik, Kamil Zelenak, Anton Dzian, Jan Jakus, Zuzana Trabalkova, Daniel Lozan, Marian Grendar, Ján Sykora, Martin Vorcak, Marek Malik, Lukas Meyer, Martin Kopani, Jens Fiehler

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引用次数: 0

摘要

目的:本研究旨在确定COVID-19和非COVID-19患者肺栓塞(PE)的位置和分布，以及在ct肺血管造影(CTPA)上是否存在可能指示右心超载的迹象。我们还评估了与PE相关的covid -19相关肺部变化的程度和严重程度。方法:本研究共纳入1698例CTPA患者，根据其COVID-19状态分为2组，根据其PE状态分为2个亚组。比较各组和亚组PE的位置、肺动脉直径、右心劳损、磨玻璃影(GGO)、实变等影像学特征。结果:在COVID-19患者中，PE以肺动脉外周支为主(p < 0.001)。PE患者右心室直径与左心室直径之比增加(COVID-19患者p = 0.032，非COVID-19患者p < 0.001)。疾病的程度和严重程度与PE的分布没有关联。结论:COVID-19与PE外周位置和GGO存在的高发生率相关。与COVID-19无关，PE患者均有右心负荷征象(表3，图1，文献29)。关键词:COVID-19，计算机断层扫描，CTPA，肺炎，肺栓塞。

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The role of computed tomography pulmonary angiography in COVID-19 patients with suspected pulmonary embolism.

Objectives: This study is aimed to determine the location and distribution of pulmonary embolism (PE) and presence of signs potentially indicative of right heart overload on computed tomography pulmonary angiography (CTPA) in COVID-19 and non-COVID-19 patients. We also evaluated the extent and severity of COVID-19-associated lung changes in relation to PE.

Methods: The total number of 1,698 patients with CTPA included in the study were divided into 2 groups according to their COVID-19 status and each group was divided into 2 subgroups based on their PE status. These groups and subgroups were compared in terms of location of PE, diameter of pulmonary artery, right heart strain, ground-glass opacities (GGO), consolidations and other imaging features.

Results: In COVID-19 patients, there was a significant predominance of PE in peripheral branches of pulmonary artery (p < 0.001). There was an increased right-to-left ratio of ventricular diameters in cases with PE (p = 0.032 in patients with COVID-19 and p < 0.001 in non-COVID-19 patients). There was no association between the extent and severity of the disease and distribution of PE.

Conclusion: COVID-19 is associated with a higher incidence of peripheral location of PE and presence of GGO. There were signs indicative of right heart overload in cases with PE regardless of COVID-19 (Tab. 3, Fig. 1, Ref. 29) Keywords: COVID-19, computed tomography, CTPA, pneumonia, pulmonary embolism.

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来源期刊

Bratislava Medical Journal-Bratislavske Lekarske Listy 医学-医学：内科

CiteScore

2.60

自引率

0.00%

发文量

185

审稿时长

3-8 weeks

期刊介绍： The international biomedical journal - Bratislava Medical Journal – Bratislavske lekarske listy (Bratisl Lek Listy/Bratisl Med J) publishes peer-reviewed articles on all aspects of biomedical sciences, including experimental investigations with clear clinical relevance, original clinical studies and review articles.