Deep venous thrombosis in preterm infants:3 cases report

VernacularTitle:早产儿下肢静脉血栓3例报告
Author: Qi HU ; Wenting FAN ; Rui DENG ; Wei LIAO
Publication Type:Journal Article
Keywords: deep venous thrombosis; treatment; premature
From: Journal of Clinical Pediatrics 2016;34(6):453-456
CountryChina
Language:Chinese
Abstract: Objective To enhance the awareness of diagnose and treatment of venous thrombus in premature infants. MethodsThe clinical features, treatment and prognosis of lower limb vein thrombus in three case of premature infants were retrospectively analyzed.ResultsThree premature infants of gestational age 29-36 weeks were found thrombosis in 1-57 days after birth. One case received peripherally inserted central cathete (PICC). All of three cases had infection signs and trauma. One case received thrombolytic and anticoagulant therapy, one case received high dose thrombolytic therapy, and both of them were treated successfully without bleeding complication. However, another case was deteriorated after giving up treatment.ConclusionsCritically ill premature infants are at high risk of thrombosis. Infection, indwelling tube, thrombophilia constitution, and maternal risk factors were the high risk factors of thrombosis. Early detection, early diagnosis, and effective individualized treatment can improve the prognosis.