《INFECTION,3月21日,Clinical and CT imaging features of the COVID-19 pneumonia: Focus on pregnant women and children》

  • 来源专题:COVID-19科研动态监测
  • 编译者: zhangmin
  • 发布时间:2020-03-22
  • Clinical and CT imaging features of the COVID-19 pneumonia: Focus on pregnant women and children

    HuanhuanLiu, FangLiu, JinningLi, TingtingZhang, DengbinWang, WeishunLan

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    https://doi.org/10.1016/j.jinf.2020.03.007

    Abstract

    Background

    The ongoing outbreak of COVID-19 pneumonia is globally concerning. We aimed to investigate the clinical and CT features in the pregnant women and children with this disease, which have not been well reported.

  • 原文来源:https://www.sciencedirect.com/science/article/pii/S0163445320301183
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  • 《SSRN,2月28日,Coronavirus Disease 2019 (COVID-19) Pneumonia: Early Stage Chest CT Imaging Features and Clinical Relevance》

    • 来源专题:COVID-19科研动态监测
    • 编译者:zhangmin
    • 发布时间:2020-02-29
    • Coronavirus Disease 2019 (COVID-19) Pneumonia: Early Stage Chest CT Imaging Features and Clinical Relevance 25 Pages Posted: 28 Feb 2020 Chenying Lu Zhejiang University - Key Laboratory of Imaging Diagnosis and Minimally Invasive Intervention Research Weibin Yang Zhejiang University - Key Laboratory of Imaging Diagnosis and Minimally Invasive Intervention Research Abstract Background: Early diagnostic of COVID-19 pneumonia remains a dilemma. We aimed to investigate the importance of early stage chest CT imaging features in the early diagnosis of COVID-19 pneumonia. Methods: This retrospective investigation included 91 patients (49 males and 42 females, aged 18-87 years) confirmed with COVID-19 infection and presented as early stage CT images between January 21, 2020 to February 10, 2020. The early stage CT imaging features were evaluated.
  • 《3月21日_孕妇和儿童COVID-19肺炎的临床和CT影像特征》

    • 来源专题:COVID-19科研动态监测
    • 编译者:xuwenwhlib
    • 发布时间:2020-03-22
    • 信息名称:孕妇和儿童COVID-19肺炎的临床和CT影像特征 1.时间:2020年3月21日 2.机构或团队:上海交通大学医学院附属新华医院、湖北省妇幼保健院 3.事件概要: 上海交通大学医学院附属新华医院和湖北省妇幼保健院的科研人员在Journal of Infection发表论文“Clinical and CT imaging features of the COVID-19 pneumonia: Focus on pregnant women and children”,调查报道了孕妇和儿童COVID-19肺炎患者的临床和CT特征。 文章回顾性分析了2020年1月27日至2月14日的59例COVID-19患者的临床和CT数据,包括14例实验室确诊的未怀孕成年人、16例实验室确诊的孕妇和25例临床确诊的孕妇,以及4实验室确诊的儿童,分析和比较了其临床和CT特征。研究发现,与未怀孕的成年人组(n = 14)相比,初始正常体温(9 [56%]和16 [64%])、白细胞增多(8[50%]和9 [36%])、嗜中性白细胞比率升高(14[88%]和20[80%])和淋巴细胞减少症(9[56%]和16[64%])在实验室确诊(n=16)和临床诊断(n=25)的孕妇中更常见;在54例(98%)和37例(67%)的患者中,共检测到614个病变,主要分布在周围和双侧。对于未怀孕的成年人,纯玻璃杯混浊(GGO)是94/131(72%)病变的主要部分。在实验室确认的妊娠组(70/161 [43%])和临床诊断的妊娠组(153/322 [48%])中,混合固结和完全固结比非妊娠组更常见(37/131(28%))(P=0.007,P<0.001)。在两个妊娠组中,具有网状结构的GGO在9/161(6%)和16/322(5%)病变中的发生率比非妊娠成人的24/131(18%)少(P =0.001,P <0.001)。COVID-19患儿的肺部受累较轻,伴有局灶性GGO或实变。23例患者接受了后续CT检查,在初次CT扫描后第3天显示进展为9/13(69%),而在第6-9天显示进展为8/10(80%)。文章得出结论:非典型临床表现的COVID-19孕妇可能增加了最初识别的困难,经临床诊断的病例易受更多肺部侵害。对于COVID-19的流行和临床特征,无论是否得到实验室确认,CT是早期发现、严重程度评估和及时疗效评价的首选方式。与胸部CT相比,暴露史和临床症状对儿童筛查更有帮助。 4.附件: 原文链接: https://www.sciencedirect.com/science/article/pii/S0163445320301183