论文部分内容阅读
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 characteristics and changes of chest radiographs in patients with severe acute respiratory syndrome (SARS) and its relationship with clinical symptoms and hormone therapy. Methods A retrospective investigation of 54 cases of SARS in our hospital admitted to the hospital, the extreme stage and recovery of chest lesions, understand the changes and clinical and treatment of the relationship. Results Thirty-three patients had abnormal thoracic radiographs at the time of their visit, most of whom were seen at 3-7 days after onset (39 cases). More lesions involving the lungs (48 cases), to the most affected middle and lower field (25 cases). The main features of exudative lesions, rapid progress, there are migratory. There were 17 cases of abnormal second peak chest, with an average of 14 .7 d appear. Chest radiograph performance and symptoms are inconsistent. There are 20 cases of chest X-ray and hormone therapy is improved, 26 cases no significant correlation. Conclusion The manifestations and changes of chest X-ray in SARS patients have certain rules, and their dynamic changes can reflect the condition.