儿童急性肺血管栓塞的诊断与治疗

Diagnosis and treatment of acute pulmonary vessels thrombosis in children

儿童急性肺血管栓塞与成人相比较其临床发生率较低,一旦发生却可迅速进展而危及生命。临床表现也缺乏特异性往往会导致误诊,潜在的增加该类疾病在儿童中的发病率和病死率,对于急性肺血管栓塞的准确诊断显得至关重要。由于缺乏儿童肺血管栓塞的诊断、治疗和随访的循证指南,目前的诊断和治疗等是从成人数据推断而来,对儿童的长期预后也了解甚少。需要大家更多关注该类疾病,为急性肺血管栓塞的患儿提供更合理的诊断与治疗。

Pulmonary vessels thrombosis in the pediatric population is relatively rare when compared to adults, but potentially lethal disease.Most children with pulmonary vessels thrombosis are commonly asymptomatic or have nonspecific symptoms.Pulmonary vessels thrombosis often goes unrecognized among children leading to misdiagnosis and potentially increased morbidity and mortality, accurate and timely diagnosis is critical.Evidence-based guidelines for the diagnosis, management, and follow-up of children with pulmonary vessels thrombosis are lacking and current practices are extrapolated from adult data.Long-term sequelae of pulmonary vessels thrombosis are vastly unknown among children.More attention should be paid to pulmonary vessels thrombosis to provide more reasonable diagnosis and treatment for children with pulmonary vessels thrombosis.