孟加拉国三级医院新冠肺炎患者胸部CT检查及临床表现

IF 0.6 Q3 MULTIDISCIPLINARY SCIENCES
T. Shams, Jamil Haider Chowdhury, H. Chowdhury, Q. Ahsan, Hrionmoy Dutta, M. Tareq, L. Shirin, S. Akhter, Tania Islam
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引用次数: 0

摘要

在第三波COVID-19大流行期间,孟加拉国的病例急剧上升。本研究调查了孟加拉国COVID-19患者的胸部计算机断层扫描(CT)和临床表现。这是一项在吉大港麻澳石树医院进行的单中心横断面研究。在2020年6月至2021年7月期间,从孟加拉国吉大港的一家三级医院共招募了242名COVID-19患者,大多数患者有发烧(90%)和咳嗽(74.7%)。仅有少数患者出现呼吸困难(13.3%)、身体疼痛(3.6%)、喉咙痛(0.4%)、疲劳(0.8%)、腹泻(1.2%)、头痛(2%)和嗅觉缺失(2%)。绝大多数(91.3%)患者CT表现异常。结果:双侧肺斑片状影89.6%,磨玻璃影及疯狂铺路样84.3%,实变29.3%,牵引性支气管扩张16.9%。临床表现为发热(93.7%)、咳嗽(78.3%)明显高于阴性者(P<0.05)。然而,研究发现放射学阴性的患者比放射学阳性的患者更容易出现身体疼痛(4.8%)(P=0.012)。大多数患者肺部受累。这两个放射学组在人口统计学和患者合并症方面没有统计学上的显著差异。在大流行期间,胸部CT扫描是检测高风险和低风险人群COVID-19进展的最佳放射学选择,可以启动早期临床管理并预防并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Chest Computed Tomography (CT) and Clinical Findings Among COVID-19 Patients of Tertiary Hospital in Bangladesh
Bangladesh has experienced a sharp rise in cases during the third wave of the COVID-19 pandemic. This study investigates chest computed tomography (CT) and clinical findings of COVID-19 patients in Bangladesh. It is a single-centred cross-sectional study conducted at Chittagong Ma O Shishu Hospital. In total, 242 COVID-19 patients were recruited between June 2020 and July 2021 from a tertiary hospital in Chittagong, Bangladesh—most patients had a fever (90%) and cough (74.7%). Only a few patients had dyspnoea (13.3%), body aches (3.6%), sore throat (0.4%), fatigue (0.8%), diarrhoea (1.2%), headache (2%), and anosmia (2%). Most (91.3%) patients had abnormal CT image findings. Findings revealed that 89.6% had bilateral lung patchy opacities, 84.3% had ground glass opacities and crazy paving appearance, 29.3% had consolidation, and 16.9% had traction bronchiectasis. Clinical features, i.e., fever (93.7%) and cough (78.3%), were significantly more common (P<0.05) among those with positive radiological findings compared to those with negative radiological findings. However, this found that patients with negative radiological findings were more likely to have body aches (4.8%) than those with positive radiological findings (P=0.012). Most patients had lung involvement. There was no statistically significant difference in the demographic and patient comorbidities between these two radiological groups. A Chest CT scan was the best radiological option for detecting the progression of COVID-19 in high-risk and low-risk groups to initiate early clinical management and prevent complications during the pandemic.
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来源期刊
Pertanika Journal of Science and Technology
Pertanika Journal of Science and Technology MULTIDISCIPLINARY SCIENCES-
CiteScore
1.50
自引率
16.70%
发文量
178
期刊介绍: Pertanika Journal of Science and Technology aims to provide a forum for high quality research related to science and engineering research. Areas relevant to the scope of the journal include: bioinformatics, bioscience, biotechnology and bio-molecular sciences, chemistry, computer science, ecology, engineering, engineering design, environmental control and management, mathematics and statistics, medicine and health sciences, nanotechnology, physics, safety and emergency management, and related fields of study.
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