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危重患儿下肢深静脉血栓10例

Diagnostic and Therapeutic Experiences in 10 Critically Illed Children with Deep Venous Thrombosis of Lower Extremity

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【作者】 贾鑫磊耿荣李云娟陈贤楠

【Author】 JIA Xinlei GENG Rong Li Yunjuan,et al.Department of Paediatric Intensive Care Unit,Beijing Children’s Hospital,Capital University of Medical Science,Beijing 100045

【机构】 首都医科大学附属北京儿童医院首都医科大学附属北京儿童医院 北京 100045北京 100045

【摘要】 目的:探讨危重患儿下肢深静脉血栓(DVT)的危险因素、诊断及治疗。方法:回顾性分析10例DVT的临床资料。结果:9例患儿应用股静脉插管。诊断DVT后均接受抗凝,祛聚综合治疗。4例行溶栓治疗;10例全部治愈,随访9例无复发.1例因原发病行截肢。结论:DVT在儿科发病率低,中心静脉插管是儿科DVT的主要危险因素,综合应用溶栓、抗凝及祛聚治疗,效果良好,后遗症少。

【Abstract】 Objective: Summarize the experience of diagnosis and treatment in 10 Critically illed children with deep venous thrombosis of lower extremity(DVT). Methods: Retrospective analysis of 10 Critically ill children with DVT. Results:9 children had femoral venous catheters. All of the children being treated with compositive methods including with anticoagulation and anti-platelet adhesion. 4 children accepted thrombolytic therapy. 10 children cured.after follow up ,9 children had no recurrence. 1 child accepted amputation because of primary disease. Conclusion: The incidence of DVT in hospitalized children is less than in adults. Central venous catheters (CVCs) are a primary risk in children with DVT. Thrombolytic.anticoagulation and anti -platelet adhesion are effective therapy methods.

【关键词】 深静脉血栓儿科诊断治疗
【Key words】 Deep venous thrombosisPaediatricDiagnoseTherapy
  • 【文献出处】 中国临床医学 ,Chinese Journal of Clinical Medicine , 编辑部邮箱 ,2006年02期
  • 【分类号】R720.597
  • 【被引频次】4
  • 【下载频次】96
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