手术治疗迟发性维生素K缺乏致颅内血肿的效果

• 作 者: 金东辉 马杰 刘旭光
• 机 构: 浙江省嘉兴市妇幼保健院神经外科,上海新华医院,吉林大学第一医院心外科,
• 出 处: 中国妇幼保健
• 发表日期: 2013年35期
• 关键词: 维生素K缺乏 颅内出血 手术 婴幼儿

目的:探讨迟发性维生素K缺乏致颅内出血的手术治疗的效果。方法:选择26例诊断为迟发性维生素K缺乏致颅内出血患儿,经CT检查,出血量均大于15 ml,最多者达35 ml,且伴有脑组织受压,中线结构有移位,均积极采取血肿腔引流术治疗。结果:26例患儿手术均顺利完成,复查可见引流后血肿占位明显变小,脑受压、占位明显得到改善,无死亡病例,随访6个月至5年不等,残留有智力低下2例,听力障碍1例,癫痫6例,肢体功能障碍2例。结论:维生素K缺乏致颅内出血是小儿科急重症病之一,及时采取手术清除血肿占位,可明显改善预后。

Objective: To investigate the effect of delayed treatment of intracranial hemorrhage caused by vitamin K deficiency. Methods: Twenty-six children with intracranial hemorrhage diagnosed as delayed vitamin K deficiency were enrolled in this study. The volume of bleeding was more than 15 ml and the maximum was 35 ml. Complications of brain tissue compression, displacement of midline structure, Hematoma cavity drainage are actively taken for treatment. Results: The operation of 26 cases was successfully completed. The examination showed that the occupancy of the hematoma after drainage was significantly reduced, the pressure of the brain was significantly reduced and the space occupied was significantly improved. There were no deaths. The follow-up ranged from 6 months to 5 years, with residual mental retardation 2 cases, 1 hearing impairment, 6 cases of epilepsy, 2 cases of limb dysfunction. Conclusions: Intracranial hemorrhage caused by vitamin K deficiency is one of the most serious pediatric acute diseases. Surgery to remove hematoma in time can significantly improve the prognosis.