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本文引用的文献

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Differentiation of Deep Venous Thrombosis Among Children With or Without Osteomyelitis.患有或未患有骨髓炎的儿童深静脉血栓形成的鉴别
J Pediatr Orthop. 2018 Nov/Dec;38(10):e597-e603. doi: 10.1097/BPO.0000000000001240.
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Epidemiology and Risk Assessment of Pediatric Venous Thromboembolism.儿童静脉血栓栓塞症的流行病学与风险评估
Front Pediatr. 2017 Apr 10;5:68. doi: 10.3389/fped.2017.00068. eCollection 2017.
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Septic Pulmonary Embolism Requiring Critical Care: Clinicoradiological Spectrum, Causative Pathogens and Outcomes.需要重症监护的脓毒性肺栓塞：临床放射学谱、致病病原体及转归
Clinics (Sao Paulo). 2016 Oct 1;71(10):562-569. doi: 10.6061/clinics/2016(10)02.
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Risk factors for mortality in patients with septic pulmonary embolism.脓毒性肺栓塞患者死亡的危险因素。
J Infect Chemother. 2016 Aug;22(8):553-8. doi: 10.1016/j.jiac.2016.05.008. Epub 2016 Jun 23.
5
Inferior Vena Cava Filters: Guidelines, Best Practice, and Expanding Indications.下腔静脉滤器：指南、最佳实践及不断扩展的适应证
Semin Intervent Radiol. 2016 Jun;33(2):65-70. doi: 10.1055/s-0036-1581088.
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A Multicenter Cohort Study of Inferior Vena Cava Filter Use in Children.儿童下腔静脉滤器使用的多中心队列研究
Pediatr Blood Cancer. 2015 Dec;62(12):2089-93. doi: 10.1002/pbc.25662. Epub 2015 Jul 23.
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Endovascular infection following inferior vena cava (IVC) filter insertion.下腔静脉滤器置入术后的血管内感染
J Thromb Thrombolysis. 2015 Nov;40(4):452-7. doi: 10.1007/s11239-015-1219-1.
8
Associations and outcomes of septic pulmonary embolism.脓毒性肺栓塞的关联因素及预后
Open Respir Med J. 2014 Jul 24;8:28-33. doi: 10.2174/1874306401408010028. eCollection 2014.
9
Hospital-associated venous thromboembolism in children: incidence and clinical characteristics.儿童医院相关性静脉血栓栓塞症：发生率及临床特征。
J Pediatr. 2014 Feb;164(2):332-8. doi: 10.1016/j.jpeds.2013.10.025. Epub 2013 Dec 12.
10
When should DVT be suspected in children with osteomyelitis?患有骨髓炎的儿童何时应怀疑深静脉血栓形成（DVT）？
Hosp Pediatr. 2012 Jul;2(3):167-72. doi: 10.1542/hpeds.2012-0011.

儿童感染性深静脉血栓形成中的下腔静脉滤器

Inferior Vena Cava Filter in Childhood Septic Deep Vein Thrombosis.

作者信息

Aljabari Salim, Waheed Shahzad, Davis Ryan, Padhye Amruta

机构信息

Department of Child Health, University of Missouri, Columbia, Missouri, United States.

Department of Radiology, University of Missouri, Columbia, Missouri, United States.

出版信息

J Pediatr Intensive Care. 2021 Mar;10(1):71-74. doi: 10.1055/s-0040-1710056. Epub 2020 Apr 24.

DOI:10.1055/s-0040-1710056
PMID:33585065
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7870330/
Abstract

Inferior vena cava (IVC) filter in venous thromboembolism (VTE) is an alternative to anticoagulation when the latter is contraindicated. The use of IVC filter in pediatrics continues to be rare and has not increased despite the ever-increasing rates of childhood VTE. Historically, septic VTE was regarded as a contraindication to IVC filter. Safety and efficacy of IVC filters in septic VTE have been reported in adult patients but not in pediatric patients. In this study, we reported a safe use of IVC filter in a critically ill 12-year-old patient with a large IVC thrombus and multiple pulmonary embolisms with favorable outcome.

摘要

下腔静脉（IVC）滤器用于静脉血栓栓塞症（VTE），是在抗凝治疗禁忌时的一种替代方法。IVC滤器在儿科的使用仍然很少见，尽管儿童VTE的发病率不断上升，但使用量并未增加。历史上，感染性VTE被视为IVC滤器的禁忌证。IVC滤器在成年感染性VTE患者中的安全性和有效性已有报道，但在儿科患者中尚未见报道。在本研究中，我们报告了1例12岁危重症患者安全使用IVC滤器的情况，该患者下腔静脉有大量血栓且合并多发性肺栓塞，结果良好。