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[西班牙关于婴幼儿血管瘤的共识]

[Spanish consensus on infantile haemangioma].

作者信息

Baselga Torres Eulalia, Bernabéu Wittel José, van Esso Arbolave Diego L, Febrer Bosch María Isabel, Carrasco Sanz Ángel, de Lucas Laguna Raúl, Del Pozo Losada Jesús, Hernández Martín Ángela, Jiménez Montañés Lorenzo, López Gutiérrez Juan Carlos, Martín-Santiago Ana, Redondo Bellón Pedro, Ruíz-Canela Cáceres Juan, Torrelo Fernández Antonio, Vera Casaño Ángel, Vicente Villa María Asunción

机构信息

Servicio de Dermatología, Hospital de la Santa Creu i Sant Pau, Barcelona, España.

Servicio de Dermatología, Hospital Universitario Virgen del Rocío, Sevilla, España.

出版信息

An Pediatr (Barc). 2016 Nov;85(5):256-265. doi: 10.1016/j.anpedi.2015.10.004. Epub 2015 Nov 19.

DOI:10.1016/j.anpedi.2015.10.004
PMID:26776166
Abstract

INTRODUCTION

Infantile haemangiomas are benign tumours produced by the proliferation of endothelial cells of blood vessels, with a high incidence in children under the age of one year (4-10%). It is estimated that 12% of them require treatment. This treatment must be administered according to clinical practice guidelines, expert experience, patient characteristics and parent preferences.

METHODS

The consensus process was performed by using scientific evidence on the diagnosis and treatment of infantile haemangiomas, culled from a systematic review of the literature, together with specialist expert opinions. The recommendations issued were validated by the specialists, who also provided their level of agreement.

RESULTS

This document contains recommendations on the classification, associations, complications, diagnosis, treatment, and follow-up of patients with infantile haemangioma. It also includes action algorithms, and addresses multidisciplinary management and referral criteria between the different specialities involved in the clinical management of this type of patient.

CONCLUSIONS

The recommendations and the diagnostic and therapeutic algorithms of infantile haemangiomas contained in this document are a useful tool for the proper management of these patients.

摘要

引言

婴儿血管瘤是由血管内皮细胞增殖产生的良性肿瘤,在一岁以下儿童中发病率较高(4-10%)。据估计,其中12%需要治疗。这种治疗必须根据临床实践指南、专家经验、患者特征和家长偏好进行。

方法

通过对文献进行系统回顾筛选出的关于婴儿血管瘤诊断和治疗的科学证据,以及专家意见,进行共识制定过程。发布的建议由专家进行验证,专家们还提供了他们的同意程度。

结果

本文档包含关于婴儿血管瘤患者的分类、关联、并发症、诊断、治疗和随访的建议。它还包括行动算法,并涉及这类患者临床管理中不同专业之间的多学科管理和转诊标准。

结论

本文档中包含的婴儿血管瘤的建议以及诊断和治疗算法是妥善管理这些患者的有用工具。

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