CT诊断晚发性维生素K缺乏症并颅内出血的研究  

CT diagnosis of vitamin K deficiency with intracranial hemorrhge in infant

作　　者：沈庆隆[1] 蔡毅勇[1] 黄睿刚[1] 余主花[1] 黄炎坤[1] 

机构地区：[1]福建省漳州市医院放射科,福建漳州363000

出　　处：《医学影像学杂志》2003年第4期227-228,共2页Journal of Medical Imaging

摘　　要：目的 :探讨晚发性维生素K缺乏症所致颅内出血的CT表现及临床研究 ,旨在提高对本病的早期诊断 ,早期治疗 ,降低死亡率和致残率。方法 :对 5 8例临床可疑晚发性维生素K缺乏症并颅内出血的患者行CT检查 ,对二者进行分析讨论。结果 :硬膜下血肿 36例 ,合并蛛网膜下腔出血 17例 ,脑实质内出血 8例 ,脑室内出血 5例。脑实质内出血 2 5例 ,合并蛛网膜下腔出血 10例 ,硬膜下出血 8例 ,脑室内出血 5例 ,硬膜外血肿 3例。蛛网膜下腔出血 14例。脑室内出血 9例。结论 :头颅CT检查是诊断本病的首选方法 ,既可确定出血部位及程度 。Objective:To study CT findings and clinical characteristics of delayed vitamin K deficiency for early diagnosis,early treatment,and reduction of mortality and disability rate.Methods:CT was done and analyzed in 58 cases with suspected intracranial hemorrhage.Results:36 cases were subdural hemorrhage,17 cases associated with subarachnoid hemorrhge,8 cases were intracephalic hemorrhage,5 cases were intraventricular hemorrhge.of 25 cases with intracephalic hemorrhage,10 cases were associated with subarachnoid hemorrhage,8 cases were subdural hemorrhage,5 cases were intraventricular hemorrhage,3 cases were epidural hmotoma.19 cases were intraventricular hemorrhage,8 cases associated with aubarachnoid hemorrhage,5 cases were subdural hemorrhge,3 cases were intracephalic hemorrhage.Conclusion:Head CT examination could be first choice in diagnosis of Vitamin K deficiency,It could not only determine hemorrhagic location and degree,but also be evidence of estimation of treatment and prognosis.

关 键 词：C T诊断 晚发性 维生素K缺乏症 颅内出血 研究 并发症 

分 类 号：R591.49[医药卫生—内科学] R743.340.4[医药卫生—临床医学]