COVID-19. Diagnosis and treatment of lung damage
https://doi.org/10.24835/1607-0763-2020-2-37-49
Abstract
Aim. This publication is devoted to a brief review of the unresolved questions of medical imaging and treatment of COVID-19.
Materials and methods. The analysis of publications for the first quarter of 2020 on radiation diagnosis and treatment of COVID-19 with an emphasis on morpho-radiological comparisons was performed.
Results. It was established that CT can be used for the initial “sorting” of patients in determining the need and conditions of hospitalization, but in the future, often leads to disagreement among pulmonologists and radiologists in assessing the dynamics of the development of the disease. In most patients with COVID-19, the pathomorphological and radiological patterns indicate the formation of the acute phase of diffuse alveolar damage, transforming into organizing pneumonia with typical CT manifestations. However, to date there are no established opinions on the management of patients with corresponding lung lesions.
Conclusion. The literature data on the peculiarities of the pathomorphological and radiological patterns of COVID-19 COVID-19 justify the advisability of using corticosteroids in the treatment of this disease.
About the Authors
A. L. Yudin
Pirogov Russian National Research Medical University of the Ministry of Health of Russia
Russian Federation
Russian Federation
Andrey L. Yudin – Doсt. of Sсi. (Med.), professor, professor, head of radiology department
house 1, Ostrivityanova str., Moscow, 117997
Yu. A. Abovich
Pirogov Russian National Research Medical University of the Ministry of Health of Russia;
Pirogov National Medical Surgical Center of the Ministry of Health of Russia
Russian Federation
Russian Federation
Yulia A. Abovich – Cand. of Sci. (Med.), associate professor of radiology department; radiologist of radiology department
house 1, Ostrivityanova str., Moscow, 117997;
Nizhnyaya Pervomayskaya str., 70, Moscow, 105203
E. A. Yumatova
Pirogov Russian National Research Medical University of the Ministry of Health of Russia
Russian Federation
Russian Federation
Elena A. Yumatova – Cand. of Sci. (Med.), associate professor, radiology department
house 1, Ostrivityanova str., Moscow, 117997
O. Yu. Bronov
Pirogov National Medical Surgical Center of the Ministry of Health of Russia
Russian Federation
Russian Federation
Oleg Yu. Bronov – Cand. of Sci. (Med.), head of radiology department
Nizhnyaya Pervomayskaya str., 70, Moscow, 105203
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Review
For citations:
Yudin A.L., Abovich Yu.A., Yumatova E.A., Bronov O.Yu. COVID-19. Diagnosis and treatment of lung damage. Medical Visualization. 2020;24(2):37-49. (In Russ.) https://doi.org/10.24835/1607-0763-2020-2-37-49
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