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Dołączył: 13 Gru 2010
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Wysłany: Nie 7:41, 20 Mar 2011 Temat postu: 30 cases of severe SARS, imaging _7113 |
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30 patients with imaging findings of severe SARS
For the two cases, that is dissipated or delayed,[link widoczny dla zalogowanych], which is equivalent to fibrosis stage. Most young patients Military Medical University (ActaAcademiaeMedicinaeCPAPF) Vo1.12No. 6.443 * substantial exudate and lung disease to the main post in the 2 ~ 3w significant absorption lesions, we observed the restoration of basic normal chest X-ray minimum of 14d, and the review after discharge spiral CT lung 1m no exception. The older patients with diffuse lung substantive exudative interstitial lung lesions,[link widoczny dla zalogowanych], the disease easily repeated, delayed healing, in particular, concurrent infection, lung disease slowly absorbed, long-term stay in the lungs in some patients with interstitial changes in shadow. The longest duration in this group and diffuse interstitial disease combined with substantial leakage, currently still hospitalized. Although another patient was discharged, but the review after discharge 2m spiral CT has been part of the lung fibrosis. I believe that the degree of pulmonary fibrosis in SARS patients with the disease progress and prognosis of the extent of lung involvement, complications, age and treatment factors. 3.3 chest radiographs and CT in the diagnosis and treatment of severe SARS role of abnormal chest X-ray shadow is a necessary condition for the diagnosis of SARS, severe SARS is the focus of clinical treatment. Since SARS,[link widoczny dla zalogowanych], contagious,[link widoczny dla zalogowanych], condition of critically ill patients is relatively heavy,[link widoczny dla zalogowanych], and often need mechanical ventilation therapy, it is observed bedside x-ray imaging condition changes the main means of lung damage can progress in a timely manner to understand the situation , with or without mediastinal, subcutaneous emphysema, pneumothorax, or pulmonary complications such as secondary infection, so that clinicians can respond as soon as possible to adopt measures to control the disease treatment. Chest CT examination is more accurate than plain films to determine the extent of lung damage, scope and location of damage, especially when the delayed healing of the disease, the chest CT examination can provide more lesions than information, especially in the recovery period. The group of 30 cases in the 15 cases had CT examination in the recovery period, returned to normal in 5 cases and 8 patients showed normal chest plain film though, but CT examination can still see small pieces and small pieces of fuzzy shadow shadow, an inflammation absorption phase, 2 had fibrosis in the CT showed fibrosis, scope and other lesions of information more clearly than the plain film. 4
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