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儿童血栓瘤:从单个中心数据库的回顾性研究
Cristian Sava1,2, Alin Iuhas3,2, Andreea Balmoș1,2
1Faculty of Medicine and Pharmacy, University of Oradea, Oradea, Romania.
In vivo (Athens, Greece)
|December 31, 2024
概括
儿科血栓事件越来越被认可,静脉血栓栓塞是最常见的. 提高认识和诊断方法对于准确诊断和治疗儿科血栓的治疗至关重要.
科学领域:
- 儿科血液学 儿科血液学
- 血栓形成研究研究
- 流行病学 流行病学
背景情况:
- 由于先进的诊断,儿童血栓事件越来越多地被确定.
- 这些事件比成年人少,往往与危险因素有关.
- 诊断存在挑战,特别是在较小的医疗中心.
研究的目的:
- 建立罗马尼亚比霍尔县儿科血栓事件的流行病学数据.
- 为了突出儿童血栓形成的诊断挑战.
- 为儿童血栓事件提出诊断和治疗算法.
主要方法:
- 在22年的时间里进行了回顾性研究.
- 涉及39名被诊断患有血栓事件的儿科患者.
- 从区域医院的电子病历中收集的数据.
主要成果:
- 大多数诊断 (82.1%) 发生在2013-2024年之间.
- 两个年龄峰值:新生儿和青少年.
- 静脉血栓塞栓症 (53.8%) 是最常见的,其次是动脉 (41%).
- 大脑血栓是最常见的,其次是四肢事件.
- 鉴定了遗传性血栓性 (抗血栓素,蛋白质S,C缺乏) 和获得性因素 (恶性瘤).
- PAI-1 4G/5G是最常见的遗传变异.
结论:
- 在过去的二十年中,对儿科血栓栓塞的认可显著增加.
- 诊断不足仍然是一个令人担忧的问题.
- 提高医疗保健专业人员的意识对于未引起的血栓形成病例至关重要.
- 建议多学科团队参与和血栓友爱小组测试.
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