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后COVID-19患者的放射和功能性肺部进化:一项观察性研究

Virgínia Maria Cavallari Strozze Catharin¹, Tereza Laís Menegucci Zutin^1,2, Elen Landgraf Guiguer^1,2,3

¹Department of Biochemistry and Pharmacology, School of Medicine, University of Marília (UNIMAR), Avenida Hygino Muzzy Filho, 1001, Marília 17525-902, São Paulo, Brazil.

Diseases (Basel, Switzerland)

|September 27, 2023

概括

大多数COVID-19后患者在一年内经历肺部改善,胸部成像和肺功能测试显示显著恢复. 然而,一些人可能会在COVID-19感染后出现持续的肺部连续病.

科学领域:

肺部病理学肺部病理学
传染性疾病传染性疾病
放射学放射学是一门学科.

背景情况:

COVID-19 (冠状病毒疾病2019) 在全球范围内导致广泛的系统性健康问题.
持续的症状和器官损伤是已知的COVID-19后并发症.

研究的目的:

评估COVID-19后患者的临床,放射和肺功能恢复.
为了确定COVID-19后肺部症状和并发症的流行率.

主要方法:

对302名患有COVID-19病史的患者进行了回顾性分析.
随着时间的推移,对临床数据,胸部断层扫描 (CT) 和螺旋计结果的评估.

主要成果:

常见的COVID-19后症状包括干咳,呼吸不全和胸痛;喘是常见的并发症 (23.5%).
CT初始平均肺部参与率为69.7%,在6个月内降至37.7%,在6-12个月之间降至20%,在12个月后降至9.9%.
在6个月内,CT正常化发生在50.3%,在6-12个月之间发生在23%,在12个月后发生在5.2%,其中17.3%显示残留后续.
螺旋测量显示,59.3%在六个月内正常化,12.3%在六到十二个月之间,6.3%在十二个月后,只有3.6%的持续变化.

结论:

大多数患者在COVID-19后的一年内表现出显著的放射性和功能性肺复苏.
显著的百分比的患者可能会出现残留的肺部继发症,需要持续监测和管理.

关键词:

在 COVID-19 疫情中,胸部断层扫描 - 胸部断层扫描在COVID-19后的时间里.肺部表现肺部表现螺旋测量是一种螺旋测量.

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