Patti G, Morucci M, Todini A R, Di Loreto L, Calvani M, Paiella M L, Latini T, Menghini M L, De'Medici L
Divisione di Chirurgia Pediatrica, Ospedale S. Camillo di Roma, Italia.
Pediatr Med Chir. 1995 May-Jun;17(3):265-9.
Deep venous thrombosis with pulmonary embolism is considered rare in pediatric population, but a literature review points out this disease more frequent than would be expected in children. The low incidence and the poor consideration of this occurrence in pediatric age group, cause the thromboembolic disease with pulmonary involvement an often missed diagnosis. The illness is usually related to intravenous catheters, surgery, trauma, sepsis, prolonged immobilization, neoplasia, drugs, some congenital or acquired diseases. The Authors report their experience with two pediatric cases of inferior vena cava thrombosis and pulmonary embolism treated with anticoagulant therapy, temporary vena cava filters and locoregional fibrinolysis.
深静脉血栓形成伴肺栓塞在儿科人群中被认为较为罕见,但一项文献综述指出,这种疾病在儿童中的发生率比预期的要高。儿科年龄组中这种情况的低发病率以及对其的重视不足,导致伴有肺部受累的血栓栓塞性疾病常常漏诊。该疾病通常与静脉导管、手术、创伤、败血症、长期制动、肿瘤、药物、一些先天性或后天性疾病有关。作者报告了他们对两例小儿下腔静脉血栓形成和肺栓塞病例的治疗经验,采用了抗凝治疗、临时腔静脉滤器和局部纤维蛋白溶解疗法。