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高钠血症性脱水继发新生儿腹主动脉闭塞性血栓形成的成功系统性溶栓治疗:病例报告及文献综述

Successful Systemic Thrombolysis in a Neonatal Occlusive Abdominal Aortic Thrombus Secondary to Hypernatremic Dehydration: A Case Report and Literature Review.

作者信息

Al Nuaimi Mohammed, Williams Suzan

机构信息

Pediatric Hematology/Oncology Training Program.

Department of Pediatrics, Division of Hematology/Oncology, University of Toronto, The Hospital for Sick Children, Toronto, ON, Canada.

出版信息

J Pediatr Hematol Oncol. 2020 Oct;42(7):e589-e592. doi: 10.1097/MPH.0000000000001794.

Abstract

A 6-day-old neonate presented with hypernatremic dehydration and weight loss. Fluids were started for rehydration. He was subsequently found to have signs of reduced lower limb perfusion and investigations revealed an abdominal aortic thrombus and bilateral occlusion of renal arteries. Systemic thrombolysis led to complete resolution of renal artery thrombi with no major complications. A review of similar cases with hypernatremic dehydration and thrombosis is provided.

摘要

一名6日龄新生儿出现高钠血症性脱水和体重减轻。开始补液以纠正脱水。随后发现他有下肢灌注减少的迹象,检查显示腹主动脉血栓形成和双侧肾动脉闭塞。全身溶栓治疗使肾动脉血栓完全溶解,无重大并发症。本文对高钠血症性脱水和血栓形成的类似病例进行了综述。

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