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维生素 K 缺乏所致新生儿颅内出血已引起临床重视,现将笔者所见较典型2例报告并讨论如下。例1 男,30天,以阵发性哭闹、呕吐、尖叫1天为主诉,于1988年10月19日急诊入院。病前健康,无外伤史,无家族性出血史,父母均健,第一胎足月顺产,母乳喂养,未添辅食。体检:体温36.8℃,神清,嗜睡状态,营养发育中等,面色苍白,皮肤出血点(一),黄染(一),前囟2.5×2.5cm,稍隆起且紧张,瞳孔等圆等大,对光反射迟钝,颈抵抗(±),克氏征、布氏征(一),膝反射亢进,四肢肌
Neonatal intracranial hemorrhage caused by vitamin K deficiency has caused clinical attention, now I see the more typical 2 cases reported and discussed below. Example 1 Male, 30 days, with paroxysmal crying, vomiting, screaming one day as the chief complaint, in October 19, 1988 emergency admission. Premorbid health, no history of trauma, no history of familial bleeding, parents are healthy, full-term first-trimester of pregnancy, breastfeeding, without added food supplement. Physical examination: body temperature 36.8 ℃, Shen Qing, drowsiness, moderate nutrition development, pale, skin bleeds (a), yellow dye (a), anterior fontanel 2.5 × 2.5cm, slightly elevated and nervous, pupils and other large circle, Lack of light reflection, neck resistance (±), Kirschner Sign, Brinell sign (a), knee hyperactivity, limb muscle