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目的 总结婴儿晚发型维生素K缺乏所致颅内出血的诊治体验。方法 对近 10年收治的 2 8例患儿的临床特点、诊断及治疗进行回顾分析。结果 本组保守治疗 15例 ,手术 13例 ,共治愈 2 1例 ,死亡 7例 ,随访 1～ 8年 ,13例发育正常 ,8例遗有不同程度神经系统后遗症。结论 掌握其临床特点并作出早期诊断 ,根据具体病情选择合适的治疗方法是降低本病病死率及致残率的关键。
Objective To summarize the diagnosis and treatment of intracranial hemorrhage caused by lack of vitamin K deficiency in infants. Methods The clinical features, diagnosis and treatment of 28 children admitted in recent 10 years were retrospectively analyzed. Results The group of conservative treatment in 15 cases, 13 cases of surgery, a total of 21 cases were cured, 7 died, followed up for 1 to 8 years, 13 cases of normal development, 8 cases left with varying degrees of neurological sequelae. Conclusion To grasp its clinical features and make early diagnosis, according to the specific condition to choose the appropriate treatment is to reduce the mortality and morbidity of the key.