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康复期SARS患者HRCT复查的价值
Value of HRCT in Patients with SARS Following Hospital Discharge
【摘要】 目的 了解经临床确诊为SARS的患者治疗痊愈后其肺内残留改变及HRCT的价值。方法 对 2 2例临床确诊为SARS经治疗后痊愈出院的患者行HRCT扫描复查。结果 首次HRCT扫描显示 2 2例患者中 10例肺内有异常改变 ,包括磨玻璃影、小叶间隔增厚。 12例未见异常改变。 10例首次复查异常的患者中 ,有 8例 8周后进行了第二次复查 ,HRCT显示病灶较前缩小、数量减少。结论 SARS患者治愈后HRCT扫描可显示肺内残留肺间质异常改变 ,表现为磨玻璃影及小叶间隔增厚 ;短时间复查病变较前缩小。HRCT是发现该改变敏感的影像学方法。
【Abstract】 Objective To report the findings and value of high resolution computed tomographic (HRCT) in patients with severe acute respiratory syndrome (SARS) who cured clinically after treatment. Methods Twenty-two patients with SARS who cured clinically after treatment following up with HRCT. Results First HRCT showed parenchymal abnormality in 10 of 22 patients, common findings including ground-glass opacity, interlobular septum and intralobular interstitial thickening. Eight of 10 patients with abnormal findings were performed following-up HRCT examination after 8 weeks, HRCT showed size and number of lesions were decreased. Conclusion HRCT features of SARS following hospital discharge are ground-glass opacity, interlobular septum and intralobular interstitial thickening. The lesions are lessening in short-time following up. HRCT is sensitive technique to find this alteration.
【Key words】 Severe acute respiratory syndrome; Pulmonary fibrosis; High-resolution, computed tomography;
- 【文献出处】 中国医学影像技术 ,Chinese Journal of Medical Imaging Technology , 编辑部邮箱 ,2003年12期
- 【分类号】R816.4
- 【下载频次】32