Clinical and CT imaging features of severe pneumonia in human influenza H7N9 and influenza A (H1N1)
Objective To analyze and discuss the clinical and CT imaging features of severe pneumonia in human infection with avian influenza A (H7N9) and influenza A (H1N1), so as to provide some valuable references for future clinical work. Methods For clinical diagnosis of avian influenza H7N9 infection patients and 15 cases of influenza a H1N1 patients with severe pneumonia in 25 cases as the research object, the clinical manifestations of patients, complications and treatment outcomes were retrospectively analyzed, 2 groups of patients were CT imaging examination, and the inspection results of comparative analysis. Results The results revealed that H7N9 patients with shortness of breath, dyspnea, acute respiratory distress syndrome incidence in ICU patients were significantly higher than the proportion of patients with H1N1(P<0.05);H7N9 group of patients with invasive mechanical ventilation and mortality rate was significantly higher than that in H1N1 group(P<0.05),the improvement rate was significantly lower than that of H1N1 group(P<0.05);H7N9 patients with CT showed interlobular septal thickening, mesh density, pleural effusion was higher than that of H1N1 patients(P<0.05).Conclusion The basic diseases of people infected with H7N9 avian influenza are more than those of H1N1 patients, and the disease develops rapidly and the mortality rate is high. The CT examination can objectively reflect the image features of H7N9 and H1N1 patients, and has important guiding significance for clinical treatment.
H7N9 avian influenzainfluenza A (H1N1)severe pneumoniatomography