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小儿血栓形成:危险因素、诊断及预防策略。

Pediatric thrombosis: Risk factors, diagnosis, and prevention strategies.

作者信息

Obeagu Emmanuel Ifeanyi

机构信息

Department of Biomedical Laboratory Science, Africa University, Mutare, Zimbabwe.

出版信息

Medicine (Baltimore). 2025 Jul 18;104(29):e43370. doi: 10.1097/MD.0000000000043370.

Abstract

Pediatric thrombosis is an underdiagnosed condition with potentially life-threatening consequences. Unlike adult thrombosis, the pediatric variant is characterized by age-specific risk factors, such as central venous catheters, infections, and genetic predispositions, which demand a tailored approach to diagnosis and management. Neonates and adolescents are particularly vulnerable due to physiological and hormonal changes, respectively, that amplify their susceptibility to thrombotic events. A deeper understanding of these factors is crucial for early detection and effective prevention strategies. The diagnostic process for pediatric thrombosis is fraught with challenges owing to the nonspecific nature of symptoms and variability in presentation across age groups. Imaging modalities, such as Doppler ultrasound and computed tomography pulmonary angiography, remain the cornerstone for identifying thrombotic events. However, laboratory investigations, including thrombophilia testing and d-dimer assays, are essential adjuncts, particularly in cases of idiopathic or recurrent thrombosis. Timely and accurate diagnosis is pivotal for reducing morbidity and mortality associated with this condition.

摘要

小儿血栓形成是一种诊断不足的疾病,可能会产生危及生命的后果。与成人血栓形成不同,小儿血栓形成具有特定年龄的危险因素,如中心静脉导管、感染和遗传易感性,这需要采用量身定制的诊断和管理方法。新生儿和青少年分别由于生理和激素变化而特别容易受到影响,这些变化会增加他们发生血栓事件的易感性。深入了解这些因素对于早期发现和有效的预防策略至关重要。由于症状的非特异性以及各年龄组表现的变异性,小儿血栓形成的诊断过程充满挑战。成像方式,如多普勒超声和计算机断层扫描肺动脉造影,仍然是识别血栓事件的基石。然而,实验室检查,包括血栓形成倾向检测和D-二聚体检测,是必不可少的辅助手段,特别是在特发性或复发性血栓形成的病例中。及时准确的诊断对于降低与这种疾病相关的发病率和死亡率至关重要。

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