ISSN 1004-4140
CN 11-3017/P
刘婧, 柴军, 梁丹艳, 等. 基于CT征象的新型冠状病毒感染临床分型与年龄相关性分析[J]. CT理论与应用研究, 2023, 32(3): 367-372. DOI: 10.15953/j.ctta.2023.050.
引用本文: 刘婧, 柴军, 梁丹艳, 等. 基于CT征象的新型冠状病毒感染临床分型与年龄相关性分析[J]. CT理论与应用研究, 2023, 32(3): 367-372. DOI: 10.15953/j.ctta.2023.050.
LIU J, CHAI J, LIANG D Y, et al. Clinical Classification and Age-related Analysis of Coronavirus Disease 2019 Based on Computed Tomography Findings[J]. CT Theory and Applications, 2023, 32(3): 367-372. DOI: 10.15953/j.ctta.2023.050. (in Chinese).
Citation: LIU J, CHAI J, LIANG D Y, et al. Clinical Classification and Age-related Analysis of Coronavirus Disease 2019 Based on Computed Tomography Findings[J]. CT Theory and Applications, 2023, 32(3): 367-372. DOI: 10.15953/j.ctta.2023.050. (in Chinese).

基于CT征象的新型冠状病毒感染临床分型与年龄相关性分析

Clinical Classification and Age-related Analysis of Coronavirus Disease 2019 Based on Computed Tomography Findings

  • 摘要: 目的:分析不同年龄奥密克戎(Omicron)变异株新型冠状病毒感染(COVID-19)胸部CT征象与临床分型关系,提高对COVID-19影像表现的认识。方法:回顾性分析75例COVID-19的胸部CT资料,男40例,女35例,平均年龄(46.2±17.2)岁,按照不同年龄段分为A、B和C组,比较3组病例胸部CT病灶分布、累及肺叶侧别、数目和密度等表现与临床分型的差异。结果:75例Omicron变异株感染COVID-19患者均有流行病学史;性别在各临床分型间差异无统计学意义;重型、危重型患者的平均年龄高于轻型及普通型患者;在左肺上叶、右肺上叶、右肺中叶分布均高于普通型,重型患者病灶在左肺下叶、双肺分布高于普通型。病灶均以磨玻璃密度影、实变为主;重型、危重型占比在A、B和C组中呈递增趋势,其病灶范围较普通型大。结论:奥密克戎(Omicron)变异株感染的COVID-19患者均有流行病学史,不同年龄组患者的临床分型、胸部CT征象具有一定特征,熟悉这些特征有助于重症COVID-19预测。

     

    Abstract: Objective: To analyze the relationship between chest computed tomography (CT) findings and clinical typing of omicron variant strains of coronavirus disease 2019 (COVID-19) at different ages, so as to improve the understanding of the imaging manifestations of COVID-19. Methods: Chest CT data of 75 patients with COVID-19 were retrospectively analyzed, including 40 males and 35 females, with an average age of (46.2±17.2) years. They were divided into groups A, B, and C based on different age groups. The differences in chest CT lesion distribution, lobular involvement, number and density, and clinical classification among the three groups were compared. Results: All 75 patients infected with the omicron variant had an epidemiological history, and no statistically significant difference was noted in gender among all clinical types. The mean age of patients with severe and critical symptoms was higher than that of patients with mild and common symptoms, and the distribution in the upper lobe of the left lung, upper lobe of the right lung, and middle lobe of the right lung was higher than that of the common type. In patients with severe symptoms, the distribution of lesions in the left lower lobe and both lungs was higher than that in the common type. The lesions were mainly ground glass opacity and consolidation. The proportion of severe and critical type increased in groups A, B and C, and the lesion range was larger than that of the common type. Conclusion: All patients with COVID-19 who were infected with the omicron variant have an epidemiological history. The clinical classifications and chest CT signs of patients in different age groups have certain characteristics, and familiarity with these characteristics can help predict severe COVID-19.

     

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