危重患儿下肢深静脉血栓10例

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例固原发病行截肢。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。

Diagnostic and Therapeutic Experiences in 10 Critically Illed Children with Deep Venous Thrombosis of Lower Extremity

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.