摘要
目的:探讨婴儿晚发性维生素K缺乏症的临床特点、治疗及预防。方法:2010-2014年收治婴儿晚发性维生素K缺乏症患者31例,给予对症治疗及使用5~10 mg维生素K静滴,1次/d,连续使用3~5 d。分析治疗效果。结果:治愈18例,好转5例,放弃治疗2例,转上级医院3例,死亡3例。8例颅内出血存活患儿进行6个月~4年随访,其中有4例患儿出现神经系统后遗症,主要表现为智能低下、肢体功能障碍、脑性瘫痪、癫痫、脑积水。结论:晚发性维生素K缺乏症易并发颅内出血,该症起病突然,发展快,病死率高,愈后差。预防性应用维生素K对预防本病的发生有重要的作用。
Objective:To investigate the clinical features of infantile delayed VitK deficiency,treatment and prevention.Methods:31 baby with late onset VitK deficiency were selected from 2010 to 2014. They were given symptomatic treatment,and intravenous drop of 5~10 mg of vitamin K, 1 time per day, continuous 3~5 days.The therapeutic effect was analyzed.Results:18 cases were cured;5 cases were improved; 2 cases gave up treatment;3 cases turned the superior hospital;3 cases died.8 cases of intracranial hemorrhage in children live were followed-up for 6 months to 4 years,4 cases appeared neurological sequelae, mainly showing mental retardation,limb dysfunction,cerebral palsy, epilepsy and hydrocephalus.Conclusion:Late onset VitK deficiency easily complicated with intracranial hemorrhage,the disease onset suddenly,rapid development,high mortality rate,and the prognosis is bad.The preventive application of VitK plays an important role in the prevention of this disease.
出处
《中国社区医师》
2015年第2期48-48,50,共2页
Chinese Community Doctors
关键词
晚发性
维生素K缺乏
颅内出血
治疗
预防
Late onset
Vitamin K deficiency
Intracranial hemorrhage
Treatment
Prevention
