COVID-19 脏替代疗法患者的计算机断层扫描模式
Gabriel Assis Lopes do Carmo1,2, Mariana Paiva Oliveira3, Anna Luiza Lino Campos3
1Hospital Evangélico de Belo Horizonte, Belo Horizonte, MG, Brazil.
Jornal brasileiro de nefrologia
|March 19, 2024
概括
分析了怀疑COVID-19的末期病 (ESKD) 患者的肺部CT发现. 这些患者的非典型胸部CT模式不能排除COVID-19,突出诊断挑战.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 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:
- 末期病 (ESKD) 患者经常经历肺部疾病,使COVID-19诊断复杂化.
- 肺胸部断层扫描 (CT) 对于评估ESKD患者接受置换疗法 (RRT) 的肺部状况至关重要.
研究的目的:
- 描述和分析住院ESKD患者怀疑COVID-19的肺CT发现.
- 评估CT模式在区分COVID-19中的诊断实用性,在RRT的ESKD患者中.
主要方法:
- 对109名住院ESKD患者 (年龄大于18岁) 怀疑COVID-19的回顾性分析.
- 肺部CT检测结果的分类为典型,不确定的,非典型或负面模式.
- 在COVID-19阳性和COVID-19阴性组之间CT模式的比较.
主要成果:
- 该研究包括109名患者,其中62.3%的COVID-19检测结果呈阳性;最常见的CT发现是磨砂玻璃不透明.
- 典型的CT模式在COVID-19阳性患者 (61%) 与阴性患者 (0%,p < 0.001) 相比,明显更普遍.
- 非典型CT模式在COVID-19阴性患者中更频繁 (56%),而典型模式具有60.61%的灵敏度和100%的特异性.
结论:
- 在RRT的住院ESKD患者中,非典型的胸部CT模式不排除COVID-19诊断.
- 这项研究强调了在ESKD患者中诊断COVID-19的复杂性,需要与成像发现进行仔细的临床相关性.
相关概念视频
Computed Tomography
4.5K
Tomography refers to imaging by sections. Computed tomography (CT) is a non-invasive imaging technique that uses computers to analyze several cross-sectional X-rays to reveal minute details about structures in the body.
The technique was invented in the 1970s and is based on the principle that as X-rays pass through the body, they are absorbed or reflected at different levels. In the technique, a patient lies on a motorized platform while a computerized axial tomography (CAT) scanner rotates...
The technique was invented in the 1970s and is based on the principle that as X-rays pass through the body, they are absorbed or reflected at different levels. In the technique, a patient lies on a motorized platform while a computerized axial tomography (CAT) scanner rotates...
4.5K
Radiological Investigation I: X-ray and CT
237
Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
237
Imaging Studies I: CT and MRI
239
Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
239
Imaging Studies for Cardiovascular System III: X-Ray
180
The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
180
Factors Affecting Renal Clearance: Renal Impairment
91
Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
91


