Clinical features of pulmonary thromboembolism of eight children

To improve the diagnosis and therapy of childhood pulmonary thromboembolism (PTE) by analyzing the clinical features of this rare condition. A total of 8 pediatric patients (4 males, 4 females) with PTE diagnosed in the Children's Hospital of Zhejiang University School of Medicine from March, 2...

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Veröffentlicht in:Zhonghua er ke za zhi 2020-01, Vol.58 (1), p.25-29
Hauptverfasser: Zhang, F Z, Yuan, J X, Tao, X F, Chen, Z M, Tang, L F
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Yuan, J X
Tao, X F
Chen, Z M
Tang, L F
description To improve the diagnosis and therapy of childhood pulmonary thromboembolism (PTE) by analyzing the clinical features of this rare condition. A total of 8 pediatric patients (4 males, 4 females) with PTE diagnosed in the Children's Hospital of Zhejiang University School of Medicine from March, 2014 to March, 2019 were enrolled. The clinical manifestation, laboratory results, imaging findings, diagnosis and treatment were summarized. Among these 8 cases, aged from 9 hours to 14 years and 10 months. Fever was found in 4 cases, cough aggravation in 4, short of breath in 3, chest pain in 2, abdominal and back pain in one, hemoptysis in 2, cyanosis in 1, and edema of lower extremities in 2. Physical examination found decreased breath sound in 2 cases, phlegm rale in 3, and pleural friction rub in one. Pleural effusion was found in 5 cases by ultrasound. Plasma D-dimer increased in 6 cases (0.66-9.96 mg/L) and hypersensitive C-reactive protein elevated in 5 cases (10.78-78.00 mg/L). Chest enhanced CT showed pulmonar
doi_str_mv 10.3760/cma.j.issn.0578-1310.2020.01.007
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A total of 8 pediatric patients (4 males, 4 females) with PTE diagnosed in the Children's Hospital of Zhejiang University School of Medicine from March, 2014 to March, 2019 were enrolled. The clinical manifestation, laboratory results, imaging findings, diagnosis and treatment were summarized. Among these 8 cases, aged from 9 hours to 14 years and 10 months. Fever was found in 4 cases, cough aggravation in 4, short of breath in 3, chest pain in 2, abdominal and back pain in one, hemoptysis in 2, cyanosis in 1, and edema of lower extremities in 2. Physical examination found decreased breath sound in 2 cases, phlegm rale in 3, and pleural friction rub in one. Pleural effusion was found in 5 cases by ultrasound. Plasma D-dimer increased in 6 cases (0.66-9.96 mg/L) and hypersensitive C-reactive protein elevated in 5 cases (10.78-78.00 mg/L). 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subjects Adolescent
Chest Pain - diagnostic imaging
Child
Female
Fibrin Fibrinogen Degradation Products - metabolism
Humans
Male
Pleural Effusion
Pneumonia, Mycoplasma - complications
Pneumonia, Mycoplasma - diagnosis
Pulmonary Artery - diagnostic imaging
Pulmonary Embolism - complications
Pulmonary Embolism - diagnosis
Tomography, X-Ray Computed
Treatment Outcome
title Clinical features of pulmonary thromboembolism of eight children
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