新生儿主动脉血栓形成是先天性高胱氨酸尿症的结果。
Neonatal aortic thrombosis as a result of congenital homocystinuria.
机构信息
Department of Neonatology, KEM Hospital, Parel, Mumbai, India. Correspondence to: Dr Bonny Jasani, Department of Neonatology, 10th Floor, New M.S. Building, KEM Hospital, Parel, Mumbai 400 012, India.
出版信息
Indian Pediatr. 2013 Nov 8;50(11):1054-6.
BACKGROUND
Arterial thrombosis, that too in aorta is rare in neonates.
CASE CHARACTERISTICS
A 4-day-old presented with non-recordable BP in lower limbs. Doppler ultrasonography of abdomen revealed aortic thrombus.
OBSERVATION
Serum homocysteine level was elevated (25.5 umol/L).
OUTCOME
Thrombus resolved with subcutaneous LMW heparin therapy for 2 weeks.
MESSAGE
Congenital classic homocystinuria can rarely cause aortic thrombosis in neonatal period.
背景
新生儿的动脉血栓形成，尤其是主动脉血栓形成较为罕见。
病例特点
一名 4 天大的婴儿下肢血压无法测出。腹部多普勒超声显示主动脉血栓。
观察结果
血清同型半胱氨酸水平升高（25.5umol/L）。
结果
下肢皮下使用低分子肝素治疗 2 周后血栓溶解。
结论
先天性经典同型胱氨酸尿症在新生儿期可能很少引起主动脉血栓形成。
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