SARS患者胸部CT远期随访观察.PDFVIP

18·98 · 中国医学影像技术2004 年第 20 卷第 12 期　Chin J Med Imaging Technol ,2004 ,Vol 20 ,No 12 The chest CT followup observation of severe acute respiratory syndrome patients in recovery phase L IU Changz hu , WA N G Rengui , CHEN G Guoyin g , FEN G Y uanbo , L IU Y ue ( ) Depart ment of Radiology , Beijin g Sixth Hospital , Beijin g 100007, China [ Abstract] 　Objective 　To study the dynamic CT feature of severe acute respiratory syndrome ( SARS) in recovery phase. Meth ods 　Total 50 patients with SARS were followedup with chest CT in 3 ,6 ,9 ,14 months after onset. Results 　The lesions of lung were absorbed completely in 24 cases in 3 months , 30 cases in 6 months and 35 cases in 14 months. Abnormal CT findings were showed in 15 patients 14 months later , which appeared groundglass opacit y ( n = 11) , irregular lines ( n = 8) , thickening of in terlobular and intralobular septa ( n = 4) , subpleural lines ( n = 4) and bronchiolectasis ( n = 1) . Conclusion 　Residual lesions were found in 30 % patients with SARS in 14 months after onset , which appeared mainly as the groundglass lesions (73. 3 %) with in trapulmonary interstitial hyperplasia and fibrosis. [ Key words] 　Severe acute respiratory syndrome ; Follow up ; Tomography ,Xray computed SARS 患者胸部 CT 远期随访观察 刘长柱 ,王仁贵 ,程国英 ,冯元博 ,刘 　月 (北京市第六医院放射科 ,北京 　100007) [摘 　要] 　目的 　探讨 SARS 患者远期胸部 CT 动态变化的特点。方法 　对 50 例 SARS 患者于发病 3 个月、6 个月、9 个月 和 14 个月进行胸部 CT 随访。结果 　CT 扫描显示 3 个月内病变基本吸收者 24 例 ,6 个月内 30 例 ,14 个月内 35 例。15 例 于 14 个月后仍见肺内异常病灶 ,其中磨玻璃样密度病灶 11 例 ,不规则索条影 8 例 ,细网状影 4 例 ,胸膜下弧形线影 4 例 ,合 并牵拉性细支气