| 人感染H7N9禽流感性肺炎的影像学表现 |
| 投稿时间：2014-08-18 修订日期：2014-09-17 点此下载全文 |
| 引用本文：钱海峰,李盛利,王青乐.人感染H7N9禽流感性肺炎的影像学表现[J].医学研究杂志,2015,44(3):134-136 |
| DOI：
10.3969/j.issn.1673-548X.2015.03.038 |
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| 中文摘要:目的 探讨人感染H7N9禽流感病毒性肺炎的影像学表现。方法 回顾性分析笔者医院收治的10例确诊为人感染H7N9禽流感病毒性肺炎患者的临床及影像学资料。结果 10例患者均行X线和CT检查。9例患者呈多灶多肺叶分布, 以两肺下叶最多;7例病灶呈磨玻璃密度影(ground glass density, GGO)或GGO合并大片状实变;5例小叶间隔增厚、3例支气管血管束增粗;5例实变肺组织内见充气支气管征。其他征象:少量胸腔积液4例, 纵隔淋巴结肿大伴钙化1例。结论 人感染H7N9禽流感肺炎具有一定的影像学特征, 影像学检查有助于监测病情变化。 |
| 中文关键词:禽流感 肺炎 放射摄影术 X线 计算机体层摄影术 |
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| Imaging Findings of Novel Avian-origin Influenza A (H7N9) Pneumonia |
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| Abstract:Objective To study the imaging findings of novel avian-origin influenza A (H7N9) pneumonia. Methods The clinical and imaging data of 10 patients confirmed with human infection H7N9 avian influenza viral pneumonia were retrospectively analysis. Results All patients underwent chest X-ray and spiral CT examinations. Multiple lesions were showed in the multiple lung lobes in 9 cases of patients, and the lesions were most located in the left and right lower lobes. Seven cases of lesions showed ground glass density (GGO), or GGO merger a large patch of consolidation. Five cases of the interlobular septal thickening, 3 cases of the bronchovascular bundles enlargement, 5 cases of air bronchogram were showed in the CT imagings. The others concluded with 4 cases of a small amount of pleural effusion and 1 case of lymph node enlargement. Conclusion Novel avian-origin influenza A (H7N9) pneumonia has certain imaging features in the CT and chest X-ray, and imaging examinations can help to monitor the disease progression. |
| keywords:Influenza in bird Pneumonia Radiography X-ray Computed tomography |
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