Strumila Arūnas, Dagilytė Rūta Vilija, Beiša Virgilijus
Children's Hospital, Affiliate of Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania.
Faculty of Medicine, Vilnius University, Vilnius, Lithuania.
Acta Med Litu. 2018;25(1):38-44. doi: 10.6001/actamedica.v25i1.3702.
Infantile haemangioma is the most common childhood vascular tumour, which causes great anxiety to parents and treating first-line physicians due to its proliferative nature. It accounts for a large percentage of a tertiary centre consultations, thus delaying consultation time for patients in need of immediate care.
Review of literature and experience of treatment and observation of infantile haemangiomas in a tertiary centre of paediatric surgery.
Based on the gathered information, we established an observation guideline of infantile haemangiomas for first-line physicians.
First-line physicians must recognise the infantile haemangioma that requires immediate referral to a tertiary centre in order to prevent the appearance of associated complications. The remaining population of the patients of infantile haemangioma can be actively monitored once a month for at least a year by the treating pediatrician or family doctor. New and easy to use protocoled diagnostic tests such as thermography would greatly benefit first-line and tertiary-centre physicians in the follow-up of infantile haemangiomas.
婴儿血管瘤是儿童期最常见的血管肿瘤，因其增殖特性给家长和一线治疗医生带来极大焦虑。它在三级医疗中心的会诊中占很大比例，从而延误了急需治疗患者的会诊时间。
回顾文献以及在一家小儿外科三级医疗中心治疗和观察婴儿血管瘤的经验。
基于收集到的信息，我们为一线医生制定了婴儿血管瘤观察指南。
一线医生必须识别出需要立即转诊至三级医疗中心的婴儿血管瘤，以防止出现相关并发症。其余婴儿血管瘤患者可由治疗儿科医生或家庭医生每月进行一次积极监测，至少持续一年。新的、易于使用的规范化诊断测试，如热成像，将极大地有助于一线和三级医疗中心医生对婴儿血管瘤进行随访。
