肺部参与模式在COVID-19:CT扫描见解和预后影响从印度南部的三级护理中心
Suhasini Balasubramaniam1, Bharathi Priya Raju1, Sowmya Perumpallipatty Kumarasamy2
1Radiodiagnosis, Government Stanley Medical College and Hospital, Chennai, IND.
Cureus
|March 4, 2024
概括
胸部CT扫描上的地面玻璃不透明度是RT-PCR阳性患者COVID-19的关键指标. 肺部参与的模式和程度与患者的预后有显著的相关性,有助于早期治疗.
科学领域:
- 放射学 放射学是指放射学
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
背景情况:
- COVID-19 (SARS-CoV-2) 提出了一个全球健康挑战.
- 胸部CT扫描对于评估COVID-19病变的肺部参与至关重要.
- 了解CT模式有助于疾病评估和管理.
研究的目的:
- 评估印度COVID-19患者CT胸部扫描中的肺部参与的分布和模式.
- 为了将CT发现与患者的预后和死亡率相关联.
主要方法:
- 分析横截面研究设计.
- 包括有症状的RT-PCR确诊的COVID-19患者.
- 分析CT胸部图像的肺部参与模式.
主要成果:
- 在1066名患者中,地面玻璃不透明 (GGO) 是最常见的发现.
- 带有肺中介素的GGOs显示死亡率最高.
- 肺部感染程度与预后直接相关.
- 特定的肺部部分 (顶部,后部,基底部,舌部) 经常出现干扰.
结论:
- 胸部CT GGOs是RT-PCR阳性个体中COVID-19的可靠指标.
- CT发现与患者的预后有很强的相关性,为分拣和管理提供了信息.
- 对肺部参与变化的进一步研究可以推进治疗策略.
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