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目的探讨小儿肾病综合征合并费动脉栓塞的诊断与治疗。方法报告了2例我院肾脏内科2010年收治的肾病综合征合并肺动脉栓塞患儿,并对近年来小儿肺栓塞的相关研究资料进行综述分析。结果 2例患儿均出现发热、咳嗽,并伴有胸痛、咯血。误诊为肾病综合征合并肺部感染。分别行肺通气-灌注显像及胸部增强CT确诊肺动脉栓塞,给予抗凝、溶栓治疗后均提示有效。结论肾病综合征患儿突发咳嗽、胸痛等不适,应警惕肺动脉栓塞的可能,凝血功能是重要的检查之一。
Objective To investigate the diagnosis and treatment of pediatric nephrotic syndrome complicated with arterial embolism. Methods Two cases of children with nephrotic syndrome and pulmonary embolism admitted in our department of nephrology in 2010 were reported. The related research data of pediatric pulmonary embolism in recent years were reviewed and analyzed. Results 2 cases of children were fever, cough, accompanied by chest pain, hemoptysis. Misdiagnosed as nephrotic syndrome with pulmonary infection. Pulmonary ventilation - perfusion imaging and chest enhanced CT were diagnosed pulmonary embolism, given anticoagulant, thrombolytic therapy were prompted effective. Conclusion In children with nephrotic syndrome, sudden cough, chest pain and other discomfort should be alert to the possibility of pulmonary embolism, coagulation is one of the important tests.