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现将我们近年4例婴儿晚发性维生素K缺乏所致颅内出血分析如下。 1 临床资料 4例中男3例,女1例。年龄分别为1月、1.5月、2月和2.5月。病程分别为1d、5h、1d和8h。均为母乳喂养。例1和例3有腹泻史,例4有肺炎史。恶心呕吐及抽搐3例,昏迷2例。4例均有面色苍白、前囱饱满及瞳孔不等大。4例均有采血或肌注部位出血不止。4例凝血时间均延长,出血时间及血小板正常,凝血酶元时间延长。CT检查分别为枕叶、基底节区、枕叶和硬膜下出血。例3、4分别静注维生素K_1治疗14d和30d治愈;例1开颅手术、例2消炎脱水,都未用维生素K治疗而死亡。
Now in our hospital in recent 4 cases of delayed onset of vitamin K deficiency due to intracranial hemorrhage analysis is as follows. 1 clinical data in 4 cases, 3 males and 1 female. The ages were January, 1.5 months, February and 2.5 months respectively. Course of disease were 1d, 5h, 1d and 8h. All are breastfeeding. Cases 1 and 3 had a history of diarrhea, and case 4 had a history of pneumonia. Nausea and vomiting and convulsions in 3 cases, 2 cases of coma. 4 cases were pale, full of chimneys and pupils ranging from large. 4 cases had bleeding or intramuscular bleeding site more than. 4 cases of coagulation time are extended, bleeding time and platelet normal, prolonged prothrombin time. CT examinations were occipital lobe, basal ganglia, occipital lobe and subdural hemorrhage. Example 3 and 4 were intravenous vitamin K_1 treatment 14d and 30d cure; Example 1 craniotomy, Example 2 anti-inflammatory dehydration, were not treated with vitamin K and died.