中华消化病与影像杂志（电子版）
中華消化病與影像雜誌（電子版）
중화소화병여영상잡지（전자판）
2012年
1期
45-47
,共3页
杨俊飞%庞永立%白沙如拉
楊俊飛%龐永立%白沙如拉
양준비%방영립%백사여랍
甲型H1N1流感%重症病例%肺炎%胸部CT
甲型H1N1流感%重癥病例%肺炎%胸部CT
갑형H1N1류감%중증병례%폐염%흉부CT
Influenza A (H1N1)%Severe cases%Pneumonia%Chest CT
目的 探讨甲型H1N1流感合并肺炎重症患者胸部CT表现及临床意义.方法 对2009年鄂尔多斯市第二人民医院收治的流感患者314例均行胸部CT常规检查,同时所有病例均进行咽拭子甲型H1N1流感病毒核酸检测,确诊为192人为H1N1流感患者,其余122人为普通流感患者,分析两组患者临床胸部CT特征.结果 经胸部CT检查,314例流感患者合并肺炎患者85人,占所扫病例的27.1％.确诊甲型H1N1流感患者192人,其中合并肺炎患者76人,占所有流感合并肺炎病例的89.4％,与普通流感合并肺炎患者比较差异有统计学意义(P＜0.05).其中76例甲型H1N1流感肺炎胸部X线表现为:弥漫性病变7例(9％),肺实性病变16例(21％),间质性病变38例(50％),磨玻璃样改变27例(26％),合并胸膜增厚12例(16％),合并肺栓塞2例(3％).结论 2009年鄂尔多斯地区甲型H1N1流感合并肺炎患者较普通流感多,且主要以两肺多发间质性改变、磨玻璃样、斑片样改变为主.
目的 探討甲型H1N1流感閤併肺炎重癥患者胸部CT錶現及臨床意義.方法 對2009年鄂爾多斯市第二人民醫院收治的流感患者314例均行胸部CT常規檢查,同時所有病例均進行嚥拭子甲型H1N1流感病毒覈痠檢測,確診為192人為H1N1流感患者,其餘122人為普通流感患者,分析兩組患者臨床胸部CT特徵.結果 經胸部CT檢查,314例流感患者閤併肺炎患者85人,佔所掃病例的27.1％.確診甲型H1N1流感患者192人,其中閤併肺炎患者76人,佔所有流感閤併肺炎病例的89.4％,與普通流感閤併肺炎患者比較差異有統計學意義(P＜0.05).其中76例甲型H1N1流感肺炎胸部X線錶現為:瀰漫性病變7例(9％),肺實性病變16例(21％),間質性病變38例(50％),磨玻璃樣改變27例(26％),閤併胸膜增厚12例(16％),閤併肺栓塞2例(3％).結論 2009年鄂爾多斯地區甲型H1N1流感閤併肺炎患者較普通流感多,且主要以兩肺多髮間質性改變、磨玻璃樣、斑片樣改變為主.
목적 탐토갑형H1N1류감합병폐염중증환자흉부CT표현급림상의의.방법 대2009년악이다사시제이인민의원수치적류감환자314례균행흉부CT상규검사,동시소유병례균진행인식자갑형H1N1류감병독핵산검측,학진위192인위H1N1류감환자,기여122인위보통류감환자,분석량조환자림상흉부CT특정.결과 경흉부CT검사,314례류감환자합병폐염환자85인,점소소병례적27.1％.학진갑형H1N1류감환자192인,기중합병폐염환자76인,점소유류감합병폐염병례적89.4％,여보통류감합병폐염환자비교차이유통계학의의(P＜0.05).기중76례갑형H1N1류감폐염흉부X선표현위:미만성병변7례(9％),폐실성병변16례(21％),간질성병변38례(50％),마파리양개변27례(26％),합병흉막증후12례(16％),합병폐전새2례(3％).결론 2009년악이다사지구갑형H1N1류감합병폐염환자교보통류감다,차주요이량폐다발간질성개변、마파리양、반편양개변위주.
Objective To investigate the Influenza A (H1N1)pneumonia in patients with severe chest CT findings and clinical significance.Methods The present study investigated 314influenza patients in the Ordos Second People's Hospital in 2009.The patients were instructed to accept conventional CT examination,as well as H1N1 influenza virus nucleic acid examination through throat swabbing,and finally 192 cases were confirmed H1N1 influenza patients,and the rest 122 cases were ordinary influcnza patients.Subsequently,the study analyzed the chest CT features of patients in both groups.Results By chest CT examination,all influenza patients with 85patients with pneumonia,accounting for 27.1％ of the cases the sweep.192 patients with confirmed Influenza A H1N1 influenza,including pneumonia patients with 76,accounting for 89.4％ of all cases of influenza pneumonia,of pneumonia in patients with the common flu difference was statistically significant (P＜0.05).76 cases of Influenza A (H1N1) pneumonia on chest X ray as follows:diffuse lesions in 7 cases (9.2％); pulmonary lesions in 16 cases (21％),interstitial lung disease in 38 cases (50％),ground-glass change 27 cases (35.5％) with pleural thickening in 12cases(15.8％).Conclusion Influenza A(H1N1) in the Ordos region in 2009 of pneumonia patients than the common flu,and mainly interstitial changes in the lungs more than fat,ground-glass opacities,patchy change the main.
