신생아 호흡 곤란 증후군 신생아에서 파종혈관내 응고 증후군으로 발생된 정맥 혈색전증 1례

신생아 호흡 곤란 증후군 신생아에서 파종혈관내 응고 증후군으로 발생된 정맥 혈색전증 1례

A Case of venous thromboembolism caused by disseminated intravascular coagulation in neonate with respiratory distress syndrome

(포스터):
Release Date : 2009. 10. 23(금)
Se Jung Oh, M.D., Il Sung Park, M.D., Sung Shin Kim , M.D.
Department of Pediatrics, College of Medicine, Soonchunhyang University
오세정, 박일성, 김성신
순천향대학교 부천병원 소아청소년과

Abstract

Neonatal thromboembolism is rare and in most cases iatrogenic from indwelling central catheters, peripheral arterial lines, and umbilical lines and also numerous clinical conditions. It often requires urgent intervention to restore perfusion and to avoid morbidity and even mortality. Very few case reports of neonatal thrombosis after birth are described in the literature. We present the case of a full-term infant with respiratory distress syndrome, noted to have marked color change on right leg caused by disseminated intravascular coagulation at birth day. Doppler ultrasound of the leg demonstrated a thrombus in the right femoral and popliteal veins. He underwent right leg thrombectomy and anticoagulant therapy with poor recovery so that finally he had an operation for amputation. We present a case of venous thromboembolism caused by disseminated intravascular coagulation in neonate with respiratory distress syndrome.

Keywords: Thromboembolism, Disseminated intra vascular coagulation, Amputaion