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| 儿童2019冠状病毒病患者的胸部CT 表现和临床特征 |
| 钟正，谢幸芷，黄巍，赵伟，喻奇志，刘军 |
| 1. 长沙市第一医院放射科，长沙410005；2. 长沙公共卫生救治中心，长沙410153；3. 中南大学湘雅二医院
放射科， 长沙410011；4. 湖南省放射诊断质量控制中心，长沙410011 |
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| Chest CT findings and clinical features of
coronavirus disease 2019 in children |
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| 1. Department of Radiology, First Hospital of Changsha, Changsha 410005; 2. Changsha Public Health Treatment
Center, Changsha 410153; 3. Department of Radiology, Second Xiangya Hospital, Central South University,
Changsha 410011; 4. Department of Radiology Quality Control Center, Hunan Province, Changsha 410011, China |
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| 文章导读 |
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摘要 目的： 探讨9 例儿童2019 冠状病毒病(coronavirus disease 2019，COVID-19)患者的临床及影像学特征。
方法： 入组9 例COVID-19 患儿。收集患儿的临床病史、症状及体征、实验室指标。患儿均行咽拭子实时反转录聚合
酶链反应(real-time reverse-transcription polymerase chain reaction，rRT-PCR)检查进行确诊，于同一天行首诊CT检查，
并于治疗后行随访CT检查。分析患儿的临床及影像学特征。结果： 9 例患儿均经咽拭子rRT-PCR 检查确诊COVID-
19，临床症状相对较轻。5 名患儿的首诊CT影像学表现即有阳性发现。3 名患儿首诊及随访CT影像学表现均为阴
性。1 名患儿首诊CT影像学表现为阴性，首次随访CT影像学表现显示出现新发病灶。CT影像有阳性发现的患儿复
查CT影像学表现均提示病灶较前有不同程度的吸收。结论： 儿童COVID-19 患者的临床及影像学表现具有一定特
点。COVID-19患儿的影像学表现正常或较轻，且预后相对良好。
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| 关键词 ：
,
2019冠状病毒病,
计算机体层摄影,
肺炎,
儿童
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| Abstract： Objective: To describe the CT features and clinical characteristics of pediatric patients
with coronavirus disease 2019 (COVID-19).
Method: A total of 9 COVID-19 infected pediatric patients were included in this study.
Clinical history, laboratory examination, and detailed CT imaging features were analyzed.
All patients underwent the first CT scanning on the same day of being diagnosed by realtime
reverse-transcription polymerase chain reaction (rRT-PCR). A low-dose CT scan was
performed during follow-up.
Results: All the child patients had positive results. Four patients had cough and one patient
had fever. One patient presented both cough and fever. Two children presented other
symptoms like sore throat and stuffy nose. One child showed no clinical symptom. Five
patients had positive initial CT findings with subtle lesions like ground-glass opacity
(GGO) or spot-like mixed consolidation. Three patients were reported with negative results
in the initial and follow-up CT examination. One patient was reported with initial negative
CT findings but turning positive during the first follow-up. All patients had absorbed
lesions on follow-up CT images after treatment.
Conclusion: Pediatric COVID-19 patients have certain imaging and clinical features as
well as disease prognosis. Children with COVID-19 tend to have normal or subtle CT
findings and relatively better outcome. |
| Key words：
coronavirus disease 2019
computerized tomography
pneumonia
children
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基金资助:
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通讯作者:
LIU Jun, Email: junliu123@csu.edu.cn, ORCID: 0000-0002-0344-4745
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| 作者简介: ZHONG Zheng, Email: 79268117@qq.com, ORCID: 0000-0002-3730-2120; XIE Xingzhi, Email: xingzhixie123@csu.edu.cn, ORCID: 0000-0003-1259-8356 |
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