晚发性维生素K依赖因子缺乏致婴儿颅内血肿的外科治疗  

Surgical treatment for intracranial hematoma caused by delayed vitamin K deficiency bleeding in infants

作　　者：梁平[1] 夏佐中[1] 李映良[1] 翟萱 薛启苏[1] 

机构地区：[1]重庆医科大学儿童医院神经外科,400014

出　　处：《中华小儿外科杂志》2000年第2期89-91,共3页Chinese Journal of Pediatric Surgery

摘　　要：目的　探讨晚发性维生素K依赖因子缺乏致婴儿颅内血肿的诊断及治疗。方法　1992年 1月～ 1998年 12月 ,外科手术方法治疗的 32例并发颅内血肿之晚发性维生素K依赖因子缺乏症患儿 ,其中单纯血肿清除 9例 ;血肿清除 +置管引流 13例 ;单纯钻孔置管引流 10例。结果　 32例均治愈。 2 9例获得 1～ 4年随访 ,其中 2 3例无任何神经系统后遗症 ,3例偏瘫 ,2例智力发育落后 ,1例癫痫。结论　本病有手术指征的颅内血肿及时行外科手术 (血肿清除或引流术 )是降低本病病死率及致残率的重要手段。Objective To appraise the diagnosis and treatment of intracranial hematomas caused by delayed Vitamin K deficiency bleeding syndrome in infants.Methods Thirty two cases of intracranial hematomas were admitted between Jan.1992 and Dec. 1998. The surgical procedure included: 1) evacuation of hematoma ( n=9), 2) evacuation and catheter drainage ( n=13) and 3) puncture and catheter drainage (n=10).Results All cases recovered. Twenty-nine cases were followed up for 1 4 years, Of them ,23 cases had no nervous sequelae, 3 had hemiparalysis, 2 had mental retardation and one epilepsy. Conclusion Prompt evacuation of hematoma is important to decrease the mortality and disability rate of intracranial hematomas caused by delayed Vitamin K deficiency bleeding syndrome.

关 键 词：维生素K缺乏 颅内血肿 婴儿 外科手术 

分 类 号：R726.5[医药卫生—儿科]