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 |
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creator | Zhang, F Z 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 |
format | Article |
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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). Chest enhanced CT showed pulmonar</description><identifier>ISSN: 0578-1310</identifier><identifier>DOI: 10.3760/cma.j.issn.0578-1310.2020.01.007</identifier><identifier>PMID: 31905472</identifier><language>chi</language><publisher>China</publisher><subject>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</subject><ispartof>Zhonghua er ke za zhi, 2020-01, Vol.58 (1), p.25-29</ispartof><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31905472$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhang, F Z</creatorcontrib><creatorcontrib>Yuan, J X</creatorcontrib><creatorcontrib>Tao, X F</creatorcontrib><creatorcontrib>Chen, Z M</creatorcontrib><creatorcontrib>Tang, L F</creatorcontrib><title>Clinical features of pulmonary thromboembolism of eight children</title><title>Zhonghua er ke za zhi</title><addtitle>Zhonghua Er Ke Za Zhi</addtitle><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</description><subject>Adolescent</subject><subject>Chest Pain - diagnostic imaging</subject><subject>Child</subject><subject>Female</subject><subject>Fibrin Fibrinogen Degradation Products - metabolism</subject><subject>Humans</subject><subject>Male</subject><subject>Pleural Effusion</subject><subject>Pneumonia, Mycoplasma - complications</subject><subject>Pneumonia, Mycoplasma - diagnosis</subject><subject>Pulmonary Artery - diagnostic imaging</subject><subject>Pulmonary Embolism - complications</subject><subject>Pulmonary Embolism - diagnosis</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><issn>0578-1310</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9T81OhDAY7EHjbtZ9BcNxL-DXH2i5aYi6Jpt40Dtpy4fUtIAUDr69GFcPk0lmJjMZQg4UMi4LuLVBZx-Zi7HPIJcqpXx1GDDIgGYA8oJs__UN2cfoDPBCCAaCX5ENpyXkQrItuau8653VPmlRz8uEMRnaZFx8GHo9fSVzNw3BDLjCuxh-THTv3ZzYzvlmwv6aXLbaR9yfeUdeHx_eqmN6enl6ru5P6ZgXLGUlVWbdN2BN2WAphdFMiVyAarkVptC8Za0qJVqtlTJ5bhohlNLGIKWa78jht3Wchs8F41wHFy16r3scllgzzgVjqgS2Rm_O0cUEbOpxcmF9Uv995t9qMlya</recordid><startdate>20200102</startdate><enddate>20200102</enddate><creator>Zhang, F Z</creator><creator>Yuan, J X</creator><creator>Tao, X F</creator><creator>Chen, Z M</creator><creator>Tang, L F</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20200102</creationdate><title>Clinical features of pulmonary thromboembolism of eight children</title><author>Zhang, F Z ; Yuan, J X ; Tao, X F ; Chen, Z M ; Tang, L F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p562-2918b644b0cb9de974ba2845408f3c4b6a3f2f897ecaa88b55bd4488abbe11a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>chi</language><creationdate>2020</creationdate><topic>Adolescent</topic><topic>Chest Pain - diagnostic imaging</topic><topic>Child</topic><topic>Female</topic><topic>Fibrin Fibrinogen Degradation Products - metabolism</topic><topic>Humans</topic><topic>Male</topic><topic>Pleural Effusion</topic><topic>Pneumonia, Mycoplasma - complications</topic><topic>Pneumonia, Mycoplasma - diagnosis</topic><topic>Pulmonary Artery - diagnostic imaging</topic><topic>Pulmonary Embolism - complications</topic><topic>Pulmonary Embolism - diagnosis</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><toplevel>online_resources</toplevel><creatorcontrib>Zhang, F Z</creatorcontrib><creatorcontrib>Yuan, J X</creatorcontrib><creatorcontrib>Tao, X F</creatorcontrib><creatorcontrib>Chen, Z M</creatorcontrib><creatorcontrib>Tang, L F</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Zhonghua er ke za zhi</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhang, F Z</au><au>Yuan, J X</au><au>Tao, X F</au><au>Chen, Z M</au><au>Tang, L F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical features of pulmonary thromboembolism of eight children</atitle><jtitle>Zhonghua er ke za zhi</jtitle><addtitle>Zhonghua Er Ke Za Zhi</addtitle><date>2020-01-02</date><risdate>2020</risdate><volume>58</volume><issue>1</issue><spage>25</spage><epage>29</epage><pages>25-29</pages><issn>0578-1310</issn><abstract>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</abstract><cop>China</cop><pmid>31905472</pmid><doi>10.3760/cma.j.issn.0578-1310.2020.01.007</doi><tpages>5</tpages></addata></record> |
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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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