Imaging dynamic observation of COVID-19 patients cured by imported coronavirus pneumonia
10.3760/cma.j.issn.1005-1201.2020.0012
- VernacularTitle: 输入性新型冠状病毒肺炎治愈患者肺内病变的影像学动态观察
- Author:
Xiaohu LI
1
;
Haitao WANG
2
;
Juan ZHU
3
;
Xiaohui QIU
4
;
Jinping ZHANG
5
;
Guoquan HUANG
6
;
Xiaosong ZENG
7
;
Kewu HE
8
;
Zongyu XIE
9
;
Qizhong XU
10
;
Bin LIU
1
;
Yongqiang YU
1
Author Information
1. Department of Radiology, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China
2. Department of Radiology, No.2 People's Hospital of Fuyang City, Fuyang 236015, China
3. Department of Radiology, Anqing Municipal Hospital, Anqing 246003, China
4. Department of Radiology, The People's Hospital of Bozhou, Bozhou 236800, China
5. Department of Radiology, Tongling People's Hospital, Tongling 244000, China
6. Department of Radiology, The Second People's Hospital of Wuhu, Wuhu 241001, China
7. Department of Radiology, Suzhou Hospital Affiliated to Anhui Medical University, Suzhou 234000, China
8. Department of Radiology, The First People's Group Hospital of Hefei, Hefei 230001, China
9. Department of Radiology, Affiliated tumor hospital of bengbu medical college, Bengbu 233004, China
10. Department of Radiology, Chaohu Hospital of Anhui Medical University, Chaohu 238001, China
- Publication Type:Journal Article
- Keywords:
COVID-19;
Tomography, X-ray computed
- From:
Chinese Journal of Radiology
2020;54(0):E012-E012
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the imaging changes of lung lesions in patients with imported COVID-19 patients when reaching the discharge standard.
Method:The clinical and CT imaging data of 60 patients with imported COVID-19 cured and discharged from January to February 2020 in Anhui Province were retrospectively collected. The clinical characteristics of the patients and the characteristics of chest CT images at discharge were analyzed.
Results:Fever (57 cases) and cough (55 cases) were the main symptoms in 60 patients. At the initial diagnosis, 5 cases were mild, 53 were ordinary, and 2 were severe. In 5 light patients, 3 cases were negative in the whole course of CT examination, 2 cases were negative in the first time and abnormal in the second time. . The first CT imaging features of 55 patients (53 common type and 2 severe type)were mainly bilateral lung involvement (51 cases), multiple lesions (33 cases), more common under the pleura (40 cases), and ground glass opacities were the most common. (55 cases). The clinical features of chest CT in clinical outcomes are that the ground glass shadow in the lung gradually fades and was completely absorbed (19 cases); the scope of ground glass shadow in the lung expanded and progressed to crazy-paving, consolidation shadow, and the lesion gradually absorbs again followed by Fibrous cord shadows (27 cases); ground-glass opacities in the lungs quickly progressed to a consolidation and then slowly absorbed . Most of the lesions were accompanied by more residual fibrous cord shadows (4 cases). In 2 severe patients, the lesions in the lungs were larger ground glass, and a big amount of fibrous foci remained after slowly absorption.
Conclusion:Chest CT plays an important role in the diagnosis and treatment of imported COVID-19, and the degree of lung involvement seen on CT images is in good agreement with clinical outcome.
