Mountain States Regional Hemophilia and Thrombosis Center, Aurora, CO 80045-0507, USA.
Hematol Oncol Clin North Am. 2010 Feb;24(1):151-66. doi: 10.1016/j.hoc.2009.11.005.
With improved pediatric survival from serious underlying illnesses, greater use of invasive vascular procedures and devices, and a growing awareness that vascular events occur among the young, venous thromboembolism (VTE) increasingly is recognized as a critical pediatric concern. This review provides background on etiology and epidemiology in this disorder, followed by an indepth discussion of approaches to the clinical characterization, diagnostic evaluation, and management of pediatric VTE. Prognostic indicators and long-term outcomes are considered, with emphasis on available evidence underlying current knowledge and key questions for further investigation.
随着严重基础疾病患儿存活率的提高、更多地采用有创血管操作和器械,以及人们日益认识到年轻人也会发生血管事件,静脉血栓栓塞症(VTE)日益成为儿科领域关注的一个重要问题。本文首先介绍该病的病因和流行病学背景,然后深入探讨儿科 VTE 的临床特征、诊断评估和管理方法,分析预后指标和长期转归,并重点阐述现有知识的依据和进一步研究的关键问题。