Department of Pediatrics, SUNY at Stony Brook School of Medicine, Stony Brook, NY, USA.
Crit Care Med. 2010 Feb;38(2 Suppl):S71-5. doi: 10.1097/CCM.0b013e3181c9cce9.
Whereas thrombotic events in critically ill children do not occur as commonly as in adults, they are being recognized with increasing frequency in the pediatric intensive care unit. The reasons for this are not clear but likely include an increased awareness of the problem and the ability to make a diagnosis using relatively noninvasive tests. In this section, I attempt to define the extent of the problem, summarize and discuss the relevant literature (pointing out where published experience in the pediatric population differs from that in adult patients), and suggest some guidelines regarding thrombophilia treatment and the management of thrombotic events.
虽然危重症儿童中的血栓事件不像成人中那么常见,但在儿科重症监护病房中,它们的发生率正在不断增加。原因尚不清楚,但可能包括对该问题认识的提高以及使用相对非侵入性检查进行诊断的能力。在本节中,我试图确定问题的严重程度,总结和讨论相关文献(指出儿科人群与成人患者的发表经验的差异),并就血栓形成倾向的治疗和血栓事件的处理提出一些建议。