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严重呼吸综合征的胸部影像表现
引用本文:侯惠敏,杨志峰,刘晓燕,韩建勇,任辉,张志华,邹玉安.严重呼吸综合征的胸部影像表现[J].河北北方学院学报(医学版),2003,20(6):5-7.
作者姓名:侯惠敏  杨志峰  刘晓燕  韩建勇  任辉  张志华  邹玉安
作者单位:1. 张家口医学院第二附属医院内科,075100
2. 张家口医学院第一附属医院内科,075000
摘    要:目的 :总结严重急性呼吸综合征 (SARS)的胸部X线表现及变化规律。方法 :分析 5 1例经临床确诊的SARS患者一系列胸部X线进行统计分析。结果 :患者均以发热为最早发病症状 ,10 0 %患者在发病后 1周内X线胸片出现局灶性斑片状模糊阴影 ,2周内达到高峰 ,15 .6 %患者为双肺多肺炎性病变 ,5 2 .9%患者为左肺 ,右肺为 31.4 % ,大部分肺野受累 ,病情重 ,98%患者在 4周内肺部阴影逐渐消散。结论 :肺部病变越早 ,范围越广 ,发展越迅速 ,临床症状越重。

关 键 词:严重急性呼吸综合征  肺炎  胸部影像学表现  临床症状
文章编号:1005-8796(2003)06-05-03

X- ray Manifestations of Chests in 51 Patients with Severe Acute Respiratory Symptom
Hou Huimin,Yang Zhifeng,Liu Xiaoyan,et al..X- ray Manifestations of Chests in 51 Patients with Severe Acute Respiratory Symptom[J].Journal of Hebei North University:Medical Edition,2003,20(6):5-7.
Authors:Hou Huimin  Yang Zhifeng  Liu Xiaoyan  
Institution:Hou Huimin,Yang Zhifeng,Liu Xiaoyan,et al. The Second Affliated Hospital,Zhang Jiakou Medical College,Xuanhua075100,China.
Abstract:Objective: To study the chest features of x-rays and kinetic changes in patients with severe acute respiratory symptom. Methods: A series of imaging features in chest radiograms of 51clinically confirmed SARS patients were analyzed. Results: The first symptom was fever in all patients .Main abnormal appearance was single or bilateral-localized clouding opacity on roentgenography of all patients .The area of opality peaked at about 2weeks.Lesions in both lungs and multi-lobe with pathlolgical changes were noted in 15.5%,of which lesions in left -lung were noted in 52.9% and 31.4%in right-lung.The majority area of lung was correlated with the severity of clinical symptoms.The opacity disappeared gradually in 4 weeks in 98%of the patients. Conclusions: The serious clinical symptoms were found in patients with earlier appearance larger scope and faster progression of SARS lesions in the chest radiogram.
Keywords:severe acute respiratory syndrome  penumonia  chest radiogram  clinical symptom  
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