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一名儿科患者的肺栓塞并发症

Complications of Pulmonary Embolism in a Pediatric Patient.

作者信息

Patil Shruti, Zia Ayesha, Fuller Julie, Billa Ramya, Goss Kara, Andersen Nicholas D, Griffiths Megan

机构信息

University of Texas Southwestern Medical School, Dallas, Texas, USA.

Department of Pediatrics, Division of Hematology/Oncology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.

出版信息

JACC Case Rep. 2025 Feb 5;30(3):103221. doi: 10.1016/j.jaccas.2024.103221.

Abstract

A 16-year-old boy presents with a massive acute pulmonary embolism requiring emergent surgical embolectomy and extracorporeal membrane oxygenation for right ventricular failure. Subsequently he was diagnosed with catastrophic antiphospholipid syndrome requiring immunosuppression, and then pneumatoceles causing tension pneumothoraxes. The rarity of presentation in a child required collaboration across pediatric and adult disciplines.

摘要

一名16岁男孩因大面积急性肺栓塞,需要紧急进行手术取栓,并因右心室衰竭接受体外膜肺氧合治疗。随后,他被诊断为灾难性抗磷脂综合征,需要进行免疫抑制治疗,之后又出现了导致张力性气胸的肺大疱。由于儿童出现这种情况非常罕见,因此需要儿科和成人学科之间的合作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc74/11830248/f777e48259e1/ga1.jpg

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