Section of Pediatric Hematology, Oncology and Stem Cell Transplant, Department of Pediatrics, University of Chicago, Chicago, IL.
Section of Neonatology, Department of Pediatrics, Northwestern University, Chicago, IL.
Neoreviews. 2024 Nov 1;25(11):e710-e719. doi: 10.1542/neo.25-11-e710.
The coagulation and thrombotic systems of an infant are fundamentally different from those of adults and older children. Hemostatic factors have inherently lower circulation levels in infants and are also affected prenatally by conditions of pregnancy. The unique physiology of neonates can contribute to a procoagulant state, which can result in a high level of morbidity and mortality. This review outlines the epidemiology, clinical characteristics, diagnosis and management, and etiologies of congenital and acquired forms of thrombotic disorders, with a discussion of the evaluation for hypercoagulation.
婴儿的凝血和血栓形成系统与成人和大龄儿童的系统有根本的不同。止血因子在婴儿体内的循环水平天生较低,并且在妊娠期间还受到妊娠状况的影响。新生儿的独特生理机能可能导致促凝状态,从而导致高发病率和死亡率。本文概述了先天性和获得性血栓形成性疾病的流行病学、临床特征、诊断和治疗以及高凝评估,并讨论了这些问题。