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一名患有急性重症溃疡性结肠炎男孩的中央静脉窦血栓形成

Central Venous Sinus Thrombosis in a Boy With Acute Severe Ulcerative Colitis.

作者信息

Martín-Masot Rafael, Ortiz Pérez Pilar, Serrano Nieto Juliana, Martínez León María, Pascual Martínez Antonia, Blasco-Alonso Javier, Navas-López Victor Manuel

机构信息

Pediatric Gastroenterology and Nutrition Unit, Hospital Regional Universitario de Malaga, Málaga, Spain.

Pediatric Radiology Department, Hospital Regional Universitario de Malaga, Málaga, Spain.

出版信息

Front Pediatr. 2019 Feb 1;7:19. doi: 10.3389/fped.2019.00019. eCollection 2019.

Abstract

Cerebral venous sinus thrombosis (CVST) in childhood is uncommon. Certain diseases predispose patients to CVST, such as inflammatory bowel disease (IBD), which is considered a risk factor for developing thrombosis, which in turn is considered an extraintestinal manifestation of IBD. The use of prophylaxis in certain patients is a controversial topic. We present the case of a 5-years-old child with ulcerative colitis, who presented with transverse sinus thrombosis immediately after colectomy. Considering the recent recommendations on prophylaxis in this disease, our patient and probably many others would benefit from establishing treatment with low-molecular-weight heparin. We believe that these recommendations should be known, with our case serving as an example, given that we are heading in a direction that has so far been controversial.

摘要

儿童脑静脉窦血栓形成(CVST)并不常见。某些疾病使患者易患CVST,如炎症性肠病(IBD),它被认为是发生血栓形成的危险因素,而血栓形成又被视为IBD的肠外表现。在某些患者中使用预防措施是一个有争议的话题。我们报告一例5岁溃疡性结肠炎患儿,在结肠切除术后立即出现横窦血栓形成。考虑到近期关于该病预防的建议,我们的患者以及可能其他许多患者将从低分子量肝素治疗中获益。鉴于我们正朝着一个迄今为止存在争议的方向发展,我们认为这些建议应该为人所知,我们的病例可作为一个例子。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9a0/6367252/bfa83e5170c8/fped-07-00019-g0001.jpg

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