Differential diagnosis of coronavirus disease 2019 from community-acquired-pneumonia by computed tomography scan and follow-up
作者机构：Infection HospitalAnhui Provincial Hospitalthe First Affiliated Hospital of USTCDivision of Life Sciences and MedicineUniversity of Science and Technology of ChinaHefei230022Anhui ProvinceChina Department of RespiratoryHefei Second People’s HospitalHefei Hospital Affiliated to Anhui Medical University1 Guangde RoadHefei230011Anhui ProvinceChina Department of RadiologyAnhui Provincial Hospitalthe First Affiliated Hospital of USTCDivision of Life Sciences and MedicineUniversity of Science and Technology of China4 Lujiang RoadHefei230001Anhui ProvinceChina Department of RadiologyFuyang Second People’s Hospital450 Linquan RoadYingzhou DistrictFuyang236015Anhui ProvinceChina Department of RadiologyBo Zhou People’s Hospital3 Xiyi AvenueQiaocheng DistrictBozhou236800Anhui ProvinceChina Department of RadiologyTongling People’s Hospital468 Bijiashan RoadTongling244000Anhui ProvinceChina Department of RadiologyFuyang sixth People’s Hospital2019 Huai He RoadFuyang236015Anhui ProvinceChina
出 版 物：《Infectious Diseases of Poverty》 (贫困所致传染病（英文）)
年 卷 期：2020年第9卷第4期
页 面：164-164页
核心收录：
学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
基 金：Natural Science Project of Anhui Province of China [1808085MH254]
主 题：Coronavirus disease 2019 Pneumonia Computed tomography X-ray Differential diagnosis
摘 要：Objective Coronavirus disease 2019(COVID-19)is currently the most serious infectious disease in the *** accurate diagnosis of this disease in the clinic is very *** study aims to improve the differential ability of computed tomography(CT)to diagnose COVID-19 and other community-acquired pneumonias(CAPs)and evaluate the short-term prognosis of these *** The clinical and imaging data of 165 COVID-19 and 118 CAP patients diagnosed in seven hospitals in Anhui Province,China from January 21 to February 28,2020 were retrospectively *** CT manifestations of the two groups were recorded and compared.A correlation analysis was used to examine the relationship between COVID-19 and age,size of lung lesions,number of involved lobes,and CT findings of *** factors that were helpful in diagnosing the two groups of patients were identified based on specificity and *** The typical CT findings of COVID-19 are simple ground-glass opacities(GGO),GGO with consolidation or grid-like *** sensitivity and specificity of the combination of age,white blood cell count,and ground-glass opacity in the diagnosis of COVID-19 were 92.7 and 66.1%,*** consolidation,fibrous cords,and bronchial wall thickening were used as indicators to exclude *** sensitivity and specificity of the combination of these findings were 78.0 and 63.6%,*** follow-up results showed that 67.8%(112/165)of COVID-19 patients had abnormal changes in their lung parameters,and the severity of the pulmonary sequelae of patients over 60 years of age worsened with *** Age,white blood cell count and ground-glass opacity have high accuracy in the early diagnosis of COVID-19 and the differential diagnosis from *** aged over 60 years with COVID-19 have a poor *** result provides certain significant guidance for the diagnosis and treatment of new coronavirus pneumonia.
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