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[儿童血栓栓塞并发症]

[Thromboembolic complications in children].

作者信息

Liamtsev V T, Kononova V A

出版信息

Arkh Patol. 1989;51(4):41-5.

PMID:2742529
Abstract

An analysis was made of 2093 autopsies of children aged 0-14 years. Thromboembolic complications (TEC) were detected in 6.68% of the victims who had died from acute infections, chronic inflammatory diseases, congenital malformations. Thromboses of venae cava superior and umbilicalis were found to predominate in the children. Thrombogenesis was due to the damage to the venous wall during catheterization and to phlebitis. Thrombi of cardiac cavities and arteries occur rarely and develop in heart disease and arteritis and after correction of congenital heart disease. Thromboembolism occurred in 29.28% of thrombosis largely in the pulmonary artery. According to the contribution to the thanatogenesis, 3 groups of TEC were classified as (1) the main cause of death; (2) one of the causes of death; (3) being insignificant in the outcome of the disease. The life-time diagnosis of TEC is insufficient.

摘要

对2093例0至14岁儿童的尸体解剖进行了分析。在死于急性感染、慢性炎症性疾病、先天性畸形的受害者中,6.68%检测到血栓栓塞并发症(TEC)。发现上腔静脉和脐静脉血栓形成在儿童中占主导地位。血栓形成是由于插管过程中静脉壁受损以及静脉炎所致。心腔和动脉血栓很少发生,在心脏病、动脉炎以及先天性心脏病矫正后出现。血栓形成的患者中29.28%发生血栓栓塞,主要发生在肺动脉。根据对死因的影响,TEC分为3组:(1)主要死因;(2)死因之一;(3)对疾病结局无显著影响。TEC的生前诊断不足。

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