Biss Tina T, Kahr Walter H A, Brandão Leonardo R, Chan Anthony K C, Thomas Karen E, Williams Suzan
Department of Haematology/Oncology, The Hospital for Sick Children, Toronto, ON, Canada.
Pediatr Blood Cancer. 2009 Sep;53(3):462-3. doi: 10.1002/pbc.22077.
Post-thrombotic syndrome (PTS) is a potential complication following deep vein thrombosis (DVT) in children. Guidelines for management of PTS in children are non-existent. The absence of guidelines may limit the use of elastic compression stockings (ECS), offered for prevention and treatment of PTS in adults. We report the case of a 6-year-old, who developed PTS following a presumed line-related lower limb DVT, with dramatic improvement in functional status with ECS use. The presented case highlights the subtle nature of symptoms, potential benefits and limitations of ECS use for PTS, and current lack of evidence in children.
血栓形成后综合征(PTS)是儿童深静脉血栓形成(DVT)后的一种潜在并发症。目前尚无儿童PTS的管理指南。缺乏指南可能会限制用于预防和治疗成人PTS的弹力袜(ECS)的使用。我们报告了一例6岁儿童的病例,该患儿在推测与导管相关的下肢DVT后发生了PTS,使用ECS后功能状态有显著改善。该病例突出了症状的隐匿性、ECS用于PTS的潜在益处和局限性,以及目前儿童缺乏相关证据的情况。