迟发性维生素K缺乏性颅内出血临床分析  

Clinical analysis for delayed Vitamin K deficiency intracranial hemorrhage

作　　者：葛书霞[1] 

机构地区：[1]广东省高州市人民医院儿科,525200

出　　处：《河北医药》2006年第6期466-467,共2页Hebei Medical Journal

摘　　要：目的总结迟发性维生素K缺乏性颅内出血的诱因及临床表现等,做到对该病的早防早治。方法对我院32例因该病入院的患儿的临床资料、诱因、治疗及预后进行分析。结果16例(50%)患儿起病前有发热、腹泻等感染病史。单纯母乳喂养儿25例占78.1%。全部病例维生素K治疗有效,留有神经系统后遗症者8例占23.8%,死亡4例占12.9%。结论迟发性维生素K缺乏性颅内出血是新生儿晚期至3个月内婴儿常见疾病,该病致残率、死亡率较高,要做到早防早治,尤其是预防性应用维生素K可以减少和避免此病的发生。Objective To summarize the inducement and clinical manifestations of delayed Vitamin K deficiency intracranial hemorrhage, for earlier diagnose, treatment and prevention the disease. Methods To analyze 32 cases of delayed Vitamin K deficiency intracranial hemorrhage including clinical manifestation, inducement, therapy and prognosis. Results 16 cases （50%） suffered from fever or/and diarrhea. 25 cases （78.1% ） were only fed by breast feeding.Vitamin K was effective to all of the cases.23.8% （8/32） had sequelae of nerve system,4 cases were dead accounting for 12.9%. Conclusion The delayed Vitamin K deficiency intracranial hemorrhage often occurs at late period of neonate and infants within 3 month, which may cause more functional disorders and higher mortality. Preventive application of Vitamin K could decrease or avoid the occurrence of the disease.

关 键 词：迟发性 维生素K缺乏 颅内出血 婴儿 

分 类 号：R723.2[医药卫生—儿科] R722.12[医药卫生—临床医学]