Sobus K M, Cawley M F, Alexander M A
Alfred I. duPont Institute, Wilmington, DE.
Arch Phys Med Rehabil. 1994 Mar;75(3):362-4. doi: 10.1016/0003-9993(94)90044-2.
Deep venous thrombosis (DVT) and pulmonary embolus (PE) are known to occur with significant frequency in the adult population but are believed to be rare in children. Our experience during a 26 month period would challenge this thought. Five of 60 adolescent patients developed an acute DVT and/or PE after severe traumatic brain injury. Clinical presentation of pulmonary embolus in two of three patients was similar to acute pneumonia. Prophylaxis for DVT and PE may be necessary to those adolescent patients who are likely to remain immobile for an extended period of time.
已知成人中深静脉血栓形成(DVT)和肺栓塞(PE)的发生率很高,但据信在儿童中很少见。我们在26个月期间的经验对这一观点提出了挑战。60名青少年患者中有5名在严重创伤性脑损伤后发生了急性DVT和/或PE。三名患者中有两名的肺栓塞临床表现与急性肺炎相似。对于可能长时间保持不动的青少年患者,可能有必要进行DVT和PE的预防。