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本症又称婴儿获得性凝血酶原复合因子缺乏症,晚发性维生素K缺乏症。除全身出血倾向多合并颅内出血,病势重,死亡率高,且易误诊。现将我院收治4例报告如下。本组4例,男3例,女1例。日龄在30～50天3例,120天1例,均为顺产,母乳喂养,家族中无类似病史。起病至入院1天2例,3天2例。主要表现为突然起病,尖声哭叫、呕吐或抽搐3例,便血2例。4例均有面色苍白,前囟饱满,颈项抵抗,注射针眼出血不止。有口腔粘膜及皮肤瘀斑2例。例4因呕吐、腹泻3天,诊断为消化不良并脱水入院。在输液中发现前囟隆起,采血针眼出血不止达17小时。例2有颠簸史,于发病前一天,用棉被包裹卧在筐内置
This disease, also known as infant acquired prothrombin complex factor deficiency, delayed vitamin K deficiency. In addition to systemic bleeding tendency combined intracranial hemorrhage, severe illness, high mortality and easy misdiagnosis. Now in our hospital admitted 4 cases are as follows. The group of 4 patients, 3 males and 1 female. The age was 30 to 50 days in 3 cases, 120 days in 1 case, both of the natural delivery, breastfeeding, no similar family history. Onset to admission 1 day in 2 cases, 3 days in 2 cases. Mainly as a sudden onset, screaming, vomiting or convulsions in 3 cases, 2 cases of hematochezia. 4 cases were pale, full of anterior fontanelle, neck resistance, injection needle bleeding more than. There are 2 cases of oral mucosa and skin ecchymosis. Example 4 due to vomiting, diarrhea for 3 days, diagnosed as indigestion and dehydration admission. Found in the infusion before the fontanel rose, blood collection needle eye bleeding more than 17 hours. Case 2 has a history of jolting, in the day before the onset, with quilt wrapped lying in basket built