摘要
目的 观察严重急性呼吸综合征 (SevereAcuteRespiratorySyndrome ,SARS)患者胸部X线片特点、变化规律及其与临床症状及激素治疗的关系。方法 回顾性调查我院 5 4例SARS患者入院时、极期和恢复期的胸片病变情况 ,了解其变化规律及与临床、治疗的关系。结果 4 3例患者在就诊时即出现胸片异常 ,多在发病后 3～ 7d出现 (39例 )。病变多累及双肺 (4 8例 ) ,以中下野受累最多 (2 5例 )。病变特点以渗出为主 ,进展快 ,有游走性。有 17例胸片异常出现第 2峰 ,平均于 14 .7d出现。胸片表现与症状表现不一致。有 2 0例患者胸片好转与激素治疗有关 ,2 6例无明显相关性。结论 SARS患者胸片表现及变化有一定规律 ,其动态改变能够反映病情。
Objective To observe the radiological feature of chest X ray in SARS patients. Methods The chest films of 54 cases of SARS were reviewed in the study. The chest film features and site of lung involvement were studies in early stage, most severe stage and recovery stage. The correlation between the score of lung involvement and clinical course was also studied. Results 79.63% cases had abnormal chest films in early stage. Most of them (72.22%) were found in 3～7 days after onset. The lung involvement was most common in bilateral (88.89%) and most in middle and lower field (46.30%). Exudation and consolidation lesions showed to be dominant. The lesions progressed quickly and showed to be variable. There are 17 (31.48%) cases had second peak in X ray, the mean time of onset is 14.71 days. The chest X ray is not parallel with clinical syndrome. The absorption of lung infiltrates is correlation with glucocorticosteroids treatment in 20 patients, and the correlation is not found in 26 patients.Conclusions The chest X ray of SARS has some features and its changes can reflect the clinical situation.
出处
《中华传染病杂志》
CAS
CSCD
北大核心
2003年第6期413-415,共3页
Chinese Journal of Infectious Diseases
