Evans D A, Wilmott R W
Division of Pulmonary Medicine, Children's Hospital Medical Center, Cincinnati, Ohio.
Pediatr Clin North Am. 1994 Jun;41(3):569-84. doi: 10.1016/s0031-3955(16)38770-3.
Pulmonary embolism is an uncommon diagnosis in the pediatric patient, often discovered on autopsy. The mortality rate of untreated pulmonary embolism approaches 30%, and the best way to prevent death is by swift diagnosis and initiation of therapy. This article reviews the risk factors, clinical presentation, pathophysiology, diagnostic modalities, and treatment of pulmonary embolism in children.
肺栓塞在儿科患者中是一种罕见的诊断,通常在尸检时才被发现。未经治疗的肺栓塞死亡率接近30%,预防死亡的最佳方法是迅速诊断并开始治疗。本文综述了儿童肺栓塞的危险因素、临床表现、病理生理学、诊断方法及治疗。