Abood Kimberly K, Paul Megan Rose, Kuo Dennis John
University of California, School of Medicine.
Division of Pediatric Hematology-Oncology, University of California, San Diego/Rady Children's, Hospital-San Diego, San Diego, CA.
J Pediatr Hematol Oncol. 2019 May;41(4):321-323. doi: 10.1097/MPH.0000000000001113.
Venous thromboembolism is becoming increasingly recognized as a significant cause of morbidity and mortality in the hospitalized pediatric population. However, young healthy athletes can present with unique risk factors for deep vein thrombosis (DVT) that can be overlooked. Here we report a case of an adolescent male with no inherited risk factors or prior history of DVTs who developed a right femoral vein DVT in the context of playing catcher in baseball after recovering from a bout of streptococcal pharyngitis. We review the evidence that suggests that repetitive squatting-induced compression of the femoral vein can cause the venous stasis and endothelial microtrauma that contributed to the formation of this thrombus.
静脉血栓栓塞症日益被认为是住院儿童发病和死亡的重要原因。然而,年轻健康的运动员可能存在一些易被忽视的深静脉血栓形成(DVT)的独特危险因素。在此,我们报告一例青少年男性病例,该患者无遗传性危险因素,既往也无DVT病史,在患链球菌性咽炎康复后从事棒球接球手运动时,发生了右股静脉DVT。我们回顾了相关证据,这些证据表明重复性下蹲引起的股静脉受压可导致静脉淤滞和内皮微创伤,进而促使该血栓形成。