Hallazgos tomográficos en pacientes con neumonía por coronavirus (COVID-19) Estudio realizado en el Hospital General Monte Sinaí período abril-agosto 2020
Fecha
2020
Autores
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
Introducción: En este estudio se realizó un análisis de los hallazgos tomográficos en los pacientes con neumonía por Coronavirus, patología declarada como pandemia el 11 de marzo del 2020. Metodología: Investigación observacional, con enfoque cuantitativo, analítico, retrospectivo y de corte transversal que incluyo a 123 pacientes del Hospital General “Monte Sinaí” que fueron atendidos en el área de Contingencia en el periodo abril-agosto 2020. Resultados: Se determinó que los hallazgos tomográficos en pacientes con neumonía por COVID-19 son: vidrio deslustrado 29,27%, seguido de crazy paving con 21,95%, y un patrón consolidativo 16,26%, con una afectación multilobar 36,59%, bilateral 62,6% y periférica (51,22%). Conclusiones: Se estableció los hallazgos tomográficos más frecuentes en pacientes con RT-PCR positiva, la localización, distribución de las lesiones en el parénquima pulmonar. La TC es un método diagnóstico que ha demostrado ser útil para identificar la afectación del parénquima pulmonar por COVID-19 que asociado con las manifestaciones clínicas se podía categorizar el grado de severidad que presenta el paciente, y con ello dar un mejor pronóstico;
Palabras clave: Neumonía – Coronavirus – Vidrio deslustrado – Crazy paving - Consolidación
Introduction: In this study, an analysis of the tomographic findings was carried out in patients with Coronavirus pneumonia, a pathology declared as a pandemic on March 11, 2020. Methodology: Observational research, with a quantitative, analytical, retrospective and cross-sectional approach that included 123 patients from the “Monte Sinaí” General Hospital who were treated in the Contingency area in the period April-August 2020. Results: It was determined that the tomographic findings in patients with COVID-19 pneumonia are: ground glass 29.27%, followed by crazy paving with 21.95%, and a consolidative pattern of 16.26%, with multilobar involvement 36.59%, bilateral 62.6% and peripheral (51.22%). Conclusions: The most frequent tomographic findings in patients with positive RT-PCR, the location and distribution of the lesions in the lung parenchyma were established. CT is a diagnostic method that has proven to be useful to identify the affectation of the lung parenchyma by COVID-19 that, associated with the clinical manifestations, could categorize the degree of severity that the patient presents, and thus give a better prognosis;
Introduction: In this study, an analysis of the tomographic findings was carried out in patients with Coronavirus pneumonia, a pathology declared as a pandemic on March 11, 2020. Methodology: Observational research, with a quantitative, analytical, retrospective and cross-sectional approach that included 123 patients from the “Monte Sinaí” General Hospital who were treated in the Contingency area in the period April-August 2020. Results: It was determined that the tomographic findings in patients with COVID-19 pneumonia are: ground glass 29.27%, followed by crazy paving with 21.95%, and a consolidative pattern of 16.26%, with multilobar involvement 36.59%, bilateral 62.6% and peripheral (51.22%). Conclusions: The most frequent tomographic findings in patients with positive RT-PCR, the location and distribution of the lesions in the lung parenchyma were established. CT is a diagnostic method that has proven to be useful to identify the affectation of the lung parenchyma by COVID-19 that, associated with the clinical manifestations, could categorize the degree of severity that the patient presents, and thus give a better prognosis;
Descripción
Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Palabras clave
Neumonía, Coronavirus, COVID-19, Imagen por resonancia magnética, Hospital General Monte Sinaí, Cantón Guayaquil, Ecuador