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

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。

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.