Uğur S, Uzel N, Dündar K, Kaya U, Ayan I, Gedikoğlu G
Institute of Child Health, Istanbul Faculty of Medicine, University of Istanbul, Turkey.
Pediatr Emerg Care. 1991 Aug;7(4):231-3. doi: 10.1097/00006565-199108000-00010.
The rarity of spinal cord injuries and hemorrhages and of fibrin-stabilizing factor XIII deficiency during childhood has induced us to report the case of this two-year-old boy with factor XIII deficiency who presented with cervical intraspinal hemorrhage between the C4 and C7 levels as well as paraplegia presumably following a minor trauma. The findings in this patient, who was brought in two weeks after the appearance of the first symptoms, indicate the importance of early diagnosis and early intervention to minimize the extent of the damage from the injury in such cases. The case also points to the need for close follow-up of patients with factor XIII deficiency for CNS bleeding.
儿童期脊髓损伤、出血以及纤维蛋白稳定因子 XIII 缺乏症较为罕见，这促使我们报告该例两岁男孩的病例。该男孩患有因子 XIII 缺乏症，在 C4 至 C7 水平出现颈段脊髓内出血，并在轻微外伤后出现截瘫。该患者在首次症状出现两周后前来就诊，其检查结果表明，在此类病例中，早期诊断和早期干预对于将损伤造成的损害程度降至最低至关重要。该病例还指出，对于患有因子 XIII 缺乏症的患者，需要密切随访以监测中枢神经系统出血情况。
