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目的 为减少晚发维生素K缺乏致颅内出血的发生率 ,改善预后 ,降低死亡率 ,减轻后遗症。方法 回顾分析 1 993～ 2 0 0 0年收治的 2 6例晚发维生素K缺乏致颅内出血病儿的致病相关因素及临床治疗效果。结果 外来人员 1 8例 ,本地农村基层 7例 ,本区 1例。经补充维生素K ,及输新鲜全血或血浆 ,补钙 ,降颅压 ,抗惊厥 ,康复等综合治疗 ,治愈 1 9例 ,自动出院 3例 ,死亡 4例。结论 预防性应用维生素K及围生期保健指导 ,对防止该病发生有十分重要意义。加强临床实践提高对本症认识是做到早期诊断 ,早期治疗的关键
The purpose is to reduce the incidence of intracranial hemorrhage caused by vitamin K deficiency late onset, improve prognosis, reduce mortality and reduce sequelae. Methods Retrospective analysis of 263 cases of children with intracranial hemorrhage caused by late onset vitamin K deficiency from 1993 to 2000 were retrospectively analyzed. Results There were 18 migrant workers, 7 cases of local rural grass-roots and 1 case of this district. After the supplement of vitamin K, and lose fresh whole blood or plasma, calcium, reducing intracranial pressure, anticonvulsant, rehabilitation and other comprehensive treatment, cured 19 cases, 3 cases were discharged automatically, 4 died. Conclusion Preventive use of vitamin K and perinatal health guidance, to prevent the occurrence of the disease is of great significance. Strengthening clinical practice to improve understanding of the disease is the key to early diagnosis and early treatment