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婴儿期维生素k 缺乏所致的颅内出血,近来年才被重视.该病易误诊为脑血管畸形引起的蛛网膜下腔出血、化脓性脑膜炎等而延误治疗,导致死亡或遗留永久性中枢神精系统后遗症。松坂提出本病的诊断标准是:(1)母乳喂养儿;(2)生后2周~3个月突然发病;(3)急性或亚急性颅内出血;(4)呕血、便血、皮下出血,注射部位出血不止;(5)给予维生素k 后出血倾向及贫血得以改善;(6)给予维生素k、新鲜血及凝血因子制剂后不能查明颅内出血的原因,现将我院近几年符合该标准的7例报道如下.
Infant intracranial hemorrhage caused by vitamin k deficiency in recent years was valued. The disease is misdiagnosed as cerebral vascular malformations caused by subarachnoid hemorrhage, purulent meningitis and delayed treatment, leading to death or left a permanent central nervous Fine system sequelae. Matsuzaka proposed diagnostic criteria for this disease are: (1) breastfeeding children; (2) 2 weeks after birth to 3 months a sudden onset; (3) acute or subacute intracranial hemorrhage; (4) vomiting, blood in the stool, subcutaneous hemorrhage, (5) given vitamin k bleeding tendency and anemia can be improved; (6) give vitamin k, new blood and clotting factor preparations can not identify the cause of intracranial hemorrhage, now in our hospital in line with the recent years The standard 7 cases are reported below.