新型冠状病毒肺炎康复患者胸部CT动态变化研究

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摘要

目的:研究COVID-19(冠状病毒病-19)康复患者CT表现的动态变化。方法:收集37例新冠肺炎患者148张胸部CT图像。在病程的前21天,每3天进行7期手术,21天后进行第8期手术。结果:首次胸部CT检查19例为磨玻璃影,18例为高密度影伴实变。病变形态呈片状、斑片状33例。实变、支气管空气征、纤维束、小叶间隔增厚、胸膜下线和胸膜增厚的比例分别在第4 ~ 6天、第7 ~ 9天、第7 ~ 9天、第10 ~ 12天、第19 ~ 21天和第19 ~ 21天最高。第4 ~ 6天疾病进展率最高,为80.00%,随着发病时间的延长,疾病进展率逐渐降低。从第4-6天开始,患者改善的比例逐渐增加,第16-18天达到83.33%,第21天达到100.00%。病变范围扩大和密度增加的比例在第4 ~ 6天最高,均为60.00%,之后两者的比例逐渐下降。病变范围缩小、密度吸收稀释的患者比例随发病时间的延长而逐渐增加。病变数量无明显规律。结论:新冠肺炎患者肺部状况有规律性变化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Study on the Dynamic Changes in Chest CT Findings of COVID-19 Rehabilitated Patients
Objective: To study the dynamic changes in CT findings in COVID-19 (coronavirus disease-19, COVID-19) rehabilitated patients. Methods: A total of 148 chest CT images of 37 patients with COVID-19 were collected. In the first 21 days of the course of disease, 7 stages were performed every 3 days, and the eighth stage was performed after 21 days. Results: In the first chest CT examination, 19 cases were ground glass opacity, and 18 cases were high-density shadows with consolidation. The lesion shape was flaky and patchy in 33 cases. The percentage of consolidation, air bronchogram, fiber cord, interlobular septal thickening, subpleural line and pleural thickening were the highest on days 4-6, 7-9, 7-9, 10-12, 19-21 and 19-21, respectively. The highest percentage of disease progression was 80.00% on days 4-6, and then the percentage of disease progression gradually decreased with the extension of the onset time. The percentage of patients with improvement gradually increased from days 4-6, reaching 83.33% on days 16-18 and 100.00% on day 21. The percentage of lesion range enlargement and density increase was the highest on days 4-6, both of which were 60.00%,Then the percentage of both decreased gradually. The percentage of patients with lesion range reduction and density absorption dilution increased gradually with the onset time. There was no obvious regularity in the number of lesions. Conclusion: Patients with COVID-19 have regular changes in their lung conditions.
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