Assessment of cases with thrombosis in the neonatal period and results of one-year-follow-up Yenidoǧan döneminde tromboz saptanan olgularin deǧerlendirilmesi ve bir yillik izlem sonuçlari
Turk Pediatri Arsivi, cilt.44, sa.4, ss.120-123, 2009 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 44 Sayı: 4
- Basım Tarihi: 2009
- Dergi Adı: Turk Pediatri Arsivi
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.120-123
- Anahtar Kelimeler: Morbidity, Newborn, Prognosis, Risk factors, Thrombophilia, Thrombosis
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Aim: We aimed to investigate thrombotic cases determined in the neonatal period for one year and to assess their prognosis in one-yearfollow-up. Material and Method: All thrombotic neonatal patients in the year 2007 were involved in the study. Prospectively recorded data included sex, gestational age, week of the first determined symptoms, perinatal risk factors, radiological findings, localization of thrombosis, type and duration of applied treatment, blood count and coagulation tests at diagnosis, prothrombotic state tests, follow-up results in the neonatal period and in the following year. Results: Five patients, all males, developed thrombosis in the mentioned period. Mean gestational age, birth weight and postnatal age when the thrombosis was diagnosed were 34 weeks; 2,352 g and 11 days respectively. Risk factors were preterm birth (two patients), difficult vaginal delivery, preeclampsia, gestational diabetes and dehydratation. Localization sites of thrombosis were inferior caval vein, left portal vein, left saphena magna vein, left sinus venosus, and right renal vein. Further investigations revealed antithrombin-3 deficiency in a patient. In the one-year follow-up period, a patient died due to sudden infant death and neurodevelopmental delay was found in another patient. Conclusions: Early diagnosis and treatment of thrombosis in the neonatal period reduces mortality and morbidity rates. Thus, there is a need for awareness of risk factors in the development of thrombosis, and precantions must be taken in those patients against the development of thrombosis.