Brevière G M, Enjolras O, Lemarchand-Vénencie F
CHR, Lille.
Rev Prat. 1992 Oct 15;42(16):2011-20.
Immature haemangiomas affect only infants and children and follow a peculiar course: first an expansion phase, then an involution phase which ends in complete cure in the majority of cases. Because of this favorable outcome, all inopportune treatments must be avoided, and abstention is the best attitude. However, early corticosteroid therapy must be prescribed when the lesion is located in a dangerous area, such as the eyelids or the lips. Specific treatments must be instituted only in very special cases, such as visceral or giant cutaneous haemangiomas or Kasabach-Merritt syndrome.
不成熟的血管瘤仅影响婴幼儿,其病程独特:先是增殖期,然后是消退期,大多数情况下最终可完全治愈。鉴于这种良好的预后,必须避免所有不适当的治疗,观察等待是最佳态度。然而,当病变位于危险区域,如眼睑或唇部时,必须尽早使用皮质类固醇激素治疗。仅在非常特殊的情况下,如内脏或巨大皮肤血管瘤或卡萨巴赫-梅里特综合征,才需采取特殊治疗。