title: [Pulmonary embolism in the child: diagnostic and therapeutic particularities].
abstract: BACKGROUND
  Pulmonary embolism in children is an overlooked pathology. Yet the first description dates back to the end of the 19th century and this specific pathology is not seldom observed. The main risk factors are trauma, surgery, and foreign bodies.
  
  
  METHODS
  Thrombophilia can be diagnosed when a thromboembolic event occurs. The initial thrombosis may be found anywhere in the venous network. Venous sonography usually gives the diagnosis. Pulmonary embolism usually has a poor clinical expression. An unexplained situation can be the first manifestation. Echocardiography guides diagnosis confirmed by ventilation-perfusion scintigraphy.
  
  
  METHODS
  Prophylaxis is achieved with small doses of heparin. Treatment is based on the use of hypocoagulant doses of heparin, potentially after systemic thrombolysis and followed by oral anticoagulation.
authors.affiliation: Département de Cardiologie, Hôpital Robert Debré, Reims.
authors.forename: C
authors.initials: C
authors.lastname: Brasselet
authors.forename: S
authors.initials: S
authors.lastname: Tassan-Mangina
authors.forename: P
authors.initials: P
authors.lastname: Mauran
authors.forename: C
authors.initials: C
authors.lastname: Raynaud-Brasselet
authors.forename: J
authors.initials: J
authors.lastname: Elaerts
authors.forename: D
authors.initials: D
authors.lastname: Metz
mesh_terms: D000293:Adolescent; D000925:Anticoagulants / Q000008:administration & dosage; D002648:Child; D002675:Child, Preschool; D005260:Female; D006493:Heparin / Q000008:administration & dosage; D006801:Humans; D007223:Infant; D008297:Male; D011655:Pulmonary Embolism / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D012307:Risk Factors; D019851:Thrombophilia / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology
chemical_list: D000925:Anticoagulants; D006493:Heparin
vernacular_title: Embolie pulmonaire de l'enfant: particularités diagnostiques et thérapeutiques.