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晚发性维生素K缺乏症48例临床分析
http://www.100md.com 2008年6月22日 《中国医药导报》 2008年第13期
     [摘要] 目的:研究分析晚发性维生素K缺乏对婴儿出生后发育的影响及防治对策。方法:对我院2001~2006年48例晚发性维生素K缺乏症病例进行分析。结果:48例中有26例表现为抽搐,前囟饱满;18例有全身散在出血点;20例有惊厥、易激惹;6例有呕血、便血;16例注射部位出血不止。结论:①晚发性维生素K缺乏症所致颅内出血率达83.3%,预后不良。②早期诊断,早期治疗。③母乳喂养的母亲口服维生素K1,新生儿出生时肌注维生素K1。

    [关键词] 晚发性维生素K缺乏症;婴儿;诊治分析

    [中图分类号]R725 [文献标识码]C [文章编号]1673-7210(2008)05(a)-163-02

    The clinic analysis on 48 cases of the late vitamin K deficiency disease

    MO Wei-ming

    (The Second People's Hospital of Guilin, Guilin 541001,China)

    [Abstract] Objective: To study and analyze the effect of the late vitamin K deficiency and the protection. Methods: To analyze the 48 cases of late vitamin K deficiency disease occurred from 2001~2006 in the Second People's Hospital of Guilin. Results:Among the 48 cases, 26 cases occurred twitch,full bregma; 18 cases appeared hemorrhagic spot on the body; 20 cases occurred eclampsia and irritability; 6 cases occurred hematemesis and hemafecia and 16 cases occurred haemophilia on the injection spot. Conclusion: ①The late vitamin deficiency disease caused 83.3% intracranial hemorrhageamong the patients, which means unfavorable prognosis; ②early diagnosis and early treatment; ③the breast-feeding mother should take oral vitamin K1 while the newborn infant should get the intramuscular vitamin K1. ......

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