中华放射学杂志
中華放射學雜誌
중화방사학잡지
Chinese Journal of Radiology
2013年
9期
775-777
,共3页
胡粟%胡春洪%周小飞%姚飞荣%方向明%胡晓云%王建良%李国华%屠建春
鬍粟%鬍春洪%週小飛%姚飛榮%方嚮明%鬍曉雲%王建良%李國華%屠建春
호속%호춘홍%주소비%요비영%방향명%호효운%왕건량%리국화%도건춘
禽流感%肺炎%放射摄影术%体层摄影术,X线计算机
禽流感%肺炎%放射攝影術%體層攝影術,X線計算機
금류감%폐염%방사섭영술%체층섭영술,X선계산궤
Influenza in birds%Pneumonia%Radiography%Tomography,X-ray computed
目的 探讨人感染H7N9禽流感的胸部影像表现.方法 搜集7例经临床确诊为人感染H7N9禽流感患者的临床和影像学资料,分析其胸部影像表现.发病初期主要临床表现有发热(7例)和咳嗽(4例).结果 人感染H7 N9禽流感发病初期(＜3 d)5例表现为局限于肺段或肺叶分布的磨玻璃影或实变灶,其中3例不跨越叶间裂,4例内有明显的空气支气管征;进展期(3～6 d)病变迅速发展至两肺,呈多发或弥漫分布(7例),此期死亡4例;余3例患者中2例吸收期(7～ 15 d)病灶部分吸收后显示为条索状、网格状及蜂窝状影.结论 人感染H7N9禽流感主要影像表现为肺段或肺叶性渗出性病变,并迅速进展为两肺弥漫分布,影像学检查有助于掌握病情变化.
目的 探討人感染H7N9禽流感的胸部影像錶現.方法 搜集7例經臨床確診為人感染H7N9禽流感患者的臨床和影像學資料,分析其胸部影像錶現.髮病初期主要臨床錶現有髮熱(7例)和咳嗽(4例).結果 人感染H7 N9禽流感髮病初期(＜3 d)5例錶現為跼限于肺段或肺葉分佈的磨玻璃影或實變竈,其中3例不跨越葉間裂,4例內有明顯的空氣支氣管徵;進展期(3～6 d)病變迅速髮展至兩肺,呈多髮或瀰漫分佈(7例),此期死亡4例;餘3例患者中2例吸收期(7～ 15 d)病竈部分吸收後顯示為條索狀、網格狀及蜂窩狀影.結論 人感染H7N9禽流感主要影像錶現為肺段或肺葉性滲齣性病變,併迅速進展為兩肺瀰漫分佈,影像學檢查有助于掌握病情變化.
목적 탐토인감염H7N9금류감적흉부영상표현.방법 수집7례경림상학진위인감염H7N9금류감환자적림상화영상학자료,분석기흉부영상표현.발병초기주요림상표현유발열(7례)화해수(4례).결과 인감염H7 N9금류감발병초기(＜3 d)5례표현위국한우폐단혹폐협분포적마파리영혹실변조,기중3례불과월협간렬,4례내유명현적공기지기관정;진전기(3～6 d)병변신속발전지량폐,정다발혹미만분포(7례),차기사망4례;여3례환자중2례흡수기(7～ 15 d)병조부분흡수후현시위조색상、망격상급봉와상영.결론 인감염H7N9금류감주요영상표현위폐단혹폐협성삼출성병변,병신속진전위량폐미만분포,영상학검사유조우장악병정변화.
Objective To investigate the chest imaging features in H7N9 subtype human avian influenza.Methods The clinical and imaging data of 7 patients with H7N9 subtype avian influenza were collected and the chest imaging manifestations were analyzed.Results The main clinical symptoms of H7N9 patients were fever (n =7) and cough (n =4).The ground-glass opacities or consolidations in pulmonary segmental or lobar distribution were showed (n =5) at the initial stage (within 3 days).Air bronchogram could be found in 4 cases.The bilateral lungs were rapidly involved with multiple or diffuse distribution (n =7) at the progressive stage (3-6 days),and 4 patients were died at this stage.The linear,reticular and honeycomb shadows were seen with partial absorption of lesions (n =2).Conclusion The main imaging features of H7N9 subtype human avian influenza are the segmental or lobar consolidations on the initial stage and rapid involvement of bilateral lungs with disease progression.
