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总结新生儿晚发性维生素 K缺乏性颅内出血患者外科治疗的经验。方法 对我院 1993～ 1999年以来收治的新生儿晚发性维生素 K缺乏性颅内出血患儿 32例 ,行开颅术或 CT导向锥颅置管引流以及术前、术后维生素 K、维生素 D及钙剂等治疗。结果 32例患儿经治疗 2 9例痊愈出院 ,3例死亡 ,随访 0 .5～ 1年 ,5例有轻度偏瘫 ,另 2例语言发育迟缓 ,无其他严重后遗症。结论 尽早手术或锥颅引流颅内血肿 ,脱水 ,止血 ,维持水电解质稳定及维生素 K口服或肌注等治疗 ,可提高患儿的生存率 ,减少并发症 ,改善预后。
Summarize the experience of surgical treatment of neonates with delayed vitamin K deficiency intracranial hemorrhage. Methods 32 cases of neonates with late onset vitamin K deficiency-type intracranial hemorrhage admitted to our hospital from 1993 to 1999 underwent craniotomy or CT-guided condyle drainage and preoperative and postoperative vitamin K, vitamin D And calcium and other treatment. Results Twenty-two children were discharged after treatment. Twenty-three of them were discharged and 3 died. The follow-up ranged from 0.5 to 1 year. Five patients had mild hemiplegia and the other two had language delay. There were no other serious sequelae. Conclusion As early as possible operation or cranial skull drainage of intracranial hematoma, dehydration, bleeding, maintaining water and electrolyte stability and vitamin K oral or intramuscular injection therapy can increase the survival rate of children, reduce complications and improve prognosis.