论文部分内容阅读
目的:探讨晚发型维生素K缺乏导致颅内出血与血钙关系和预防。方法:对53例婴儿晚发性维生素K缺乏致颅内出血病例临床资料进行回顾性分析。结果:53例均为纯母乳喂养,出血时间延长39例,凝血时间延长12例,血清钙下降47例,硬膜下血肿15例,脑实质内出血18例,蛛网膜下腔出血30例,患儿颅内出血的发生率为100%。结论:维生素K缺乏是导致患儿颅内出血的主要原因,应用维生素K治疗的同时应常规监测血钙,防止低血钙的发生,以减轻后遗症,降低死亡率。
Objective: To explore the relationship between late-onset vitamin K deficiency and intracranial hemorrhage and serum calcium prevention. Methods: Clinical data of 53 cases of intracranial hemorrhage caused by delayed vitamin K deficiency were retrospectively analyzed. Results: All of the 53 cases were exclusively breastfeeding. The bleeding time was prolonged in 39 cases, coagulation time in 12 cases, serum calcium decreased in 47 cases, subdural hematoma in 15 cases, intracranial hemorrhage in 18 cases, subarachnoid hemorrhage in 30 cases The incidence of intracranial hemorrhage was 100%. Conclusion: Vitamin K deficiency is the main cause of intracranial hemorrhage in children. At the same time of treatment with vitamin K, serum calcium should be routinely monitored to prevent the occurrence of hypocalcemia, so as to reduce sequelae and reduce mortality.