晚发性维生素K缺乏致颅内出血患儿136例分析  

Analysis of 136 Cases of Late Form of Vitamin K Deficiency Bleeding and Intracranial Haemorrhage in Infancy

作　　者：曾雪飞[1] 陈国华[1] 

机构地区：[1]广东省惠州市中心人民医院儿科,广东惠州516001

出　　处：《河北医学》2007年第11期1330-1332,共3页Hebei Medicine

摘　　要：目的:提高对晚发性维生素K缺乏致颅内出血的认识,力争早期诊断、早期治疗、早期预防。方法:回顾性分析136例晚发性维生素K缺乏致颅内出血患儿的临床特点、病因及预后。结果:本组患儿136例中治愈84例(占61.76%),死亡11例(占8.08%),致残32例(占23.52%),对一些危重病人,外科手术治疗效果较好。结论:早期的诊断和治疗对降低病死率和致残率有重要意义,但预防同样关键,有效的预防措施为常规给新生儿、纯母乳喂养婴儿、有感染性疾病、腹泻病、肝胆疾病等的小婴儿定期补充VITK1。Objective： To eveluate the cognition of intracranial haemorrhage associated with late vitamin K deficiency for early diagnosis, early treatment and early preservation. Method： A retrospective study was carried out as to the clinical features, etiopathogenisis and prognosis of intracranial haemorrhages by vitamin K deficiency in 136 infants. Result：84 cases （61.76 % ） were healed, 11 cases （8.08%）dead, 32 cases （23.52%） with nervous system sequelaes, surgical intervention would be better for some severe patient. Conclusion： The early diagnosis and proper treatment of delayed vitamin K deficiency are of much clinical significance in reducing mortality rate and mutilation. Preservation were important, it could be prevented by periodical administration of supplementary vitamin K1 to newborn infant, infant with exclusively breast - fed, patient with infections, diarrhea, liver and gall disease.

关 键 词：晚发维生素K缺乏 颅内出血 病因 预防 

分 类 号：R723[医药卫生—儿科]