EXTENDED DEEP-VEIN AND INFERIOR VENA-CAVA THROMBOSIS IN A 15-YEAR-OLD BOY - SUCCESSFUL LYSIS WITH RECOMBINANT TISSUE-TYPE PLASMINOGEN-ACTIVATOR 2 WEEKS AFTER ONSET OF SYMPTOMS

被引：14

作者：

ROSENBAUM, T ^{[1
]}

RAMMOS, S ^{[1
]}

KNIEMEYER, HW ^{[1
]}

GOBEL, U ^{[1
]}

机构：

[1] HEINRICH HEINE UNIV,DEPT VASC SURG,D-40225 DUSSELDORF,GERMANY

来源：

EUROPEAN JOURNAL OF PEDIATRICS | 1993年 / 152卷 / 12期

关键词：

INFERIOR VENA CAVA THROMBOSIS; THROMBOLYSIS; RECOMBINANT TISSUE-TYPE PLASMINOGEN ACTIVATOR;

D O I：

10.1007/BF01957219

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

We present the case of a 15-year-old boy with thrombosis of the inferior vena cava, the femoral, inguinal, and renal veins of unknown origin. Although the thrombosis was 2 weeks old, thrombolytic therapy with recombinant tissue-type plasminogen activator (maximum dosage: 0.4 mg/kg/h) was started as this appeared to be the only change to re-establish normal kidney function. After 1 week, treatment was discontinued because of generalized bleeding. At this time, the infrarenal inferior vena cava was again patent with complete lysis of all other clots. Phlebography 3 months after lysis documented an abnormal renal vein, a tubular, subhepatical stenosis of the inferior vena cava and a large collateral vessel between the inferior vena cava and the azygos vein.

引用

页码：978 / 980

页数：3

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