Agrawal Sonam, Shrivastava Yash, Bolia Rishi, Panda Prateek K, Sharawat Indar K, Bhat Nowneet K
Department of Paediatrics, All India Institute of Medical Sciences Rishikesh, Uttarakhand, India.
Indian J Crit Care Med. 2020 Dec;24(12):1272-1275. doi: 10.5005/jp-journals-10071-23682.
Pulmonary embolism (PE) is a life-threatening event with a mortality of ~10%. It is relatively uncommon in children and literature regarding the condition is sparse. In adults, the classical clinical presentation is with pleuritic chest pain, hemoptysis, and dyspnea, whereas in children, the presentation is often nonspecific.
Clinical features, risk factors, and outcome of children with PE presenting to our unit between December, 19 and March, 2020 were recorded.
Four children [mean age: 10 (6-16) years, 3 females], all presenting with tachycardia and dyspnea were diagnosed with PE. Different risk factors such as deep vein thrombosis, nephrotic syndrome, softtissue infection, and infective endocarditis (IE) were identified in all patients. One child died while others responded to anticoagulation.
We aim to highlight the importance of timely recognition of PE in children with known risk factors for the same. Early recognition and timely treatment of PE are critical to save lives.
Agrawal S, Shrivastava Y, Bolia R, Panda PK, Sharawat IK, Bhat NK. Pulmonary Embolism in Children: A Case Series. Indian J Crit Care Med 2020;24(12):1272-1275.
肺栓塞（PE）是一种危及生命的疾病，死亡率约为10%。它在儿童中相对不常见，关于该疾病的文献也很稀少。在成人中，典型的临床表现为胸膜炎性胸痛、咯血和呼吸困难，而在儿童中，表现通常不具有特异性。
记录了2019年12月至2020年3月期间在我们科室就诊的PE患儿的临床特征、危险因素和结局。
4名儿童[平均年龄：10（6 - 16）岁，3名女性]均因心动过速和呼吸困难就诊，被诊断为PE。在所有患者中均发现了不同的危险因素，如深静脉血栓形成、肾病综合征、软组织感染和感染性心内膜炎（IE）。1名儿童死亡，其他儿童对抗凝治疗有反应。
我们旨在强调及时识别有已知PE危险因素儿童的PE的重要性。早期识别和及时治疗PE对于挽救生命至关重要。
Agrawal S, Shrivastava Y, Bolia R, Panda PK, Sharawat IK, Bhat NK.儿童肺栓塞：病例系列。《印度重症监护医学杂志》2020；24(12):1272 - 1275。
