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我院于1987年3月至1993年3月共收治婴儿维生素K缺乏致颅内出血的患儿23例,其中男性16例,女性7例。25d～29d3例,30d～59d16例,60～90d4例。23例均为足月正常分娩儿,第一胎。全部是单纯母乳喂养来自农村。病前有上感,腹泻病史者3例,其余均体健。 临床资料 临床表现:23例均急性起病,发烧5例抽搐23例,呕吐18例,烦躁不安4例,嗜睡5例,昏迷14例,皮肤粘膜出血6例,消化道出血3例,皮肤损伤部位出血不止5例,前囟隆起20例,双侧瞳孔不等大5例,对光反射迟钝9例,一侧肢体瘫痪8例,合并面瘫6例,脑膜刺激症8例,黄疸3例。化验室检查:血
Our hospital from March 1987 to March 1993 were treated 23 cases of infants with vitamin K deficiency caused intracranial hemorrhage, including 16 males and 7 females. 25d ~ 29d3 cases, 30d ~ 59d16 cases, 60 ~ 90d4 cases. 23 cases were full-term normal childbirth, the first child. All are exclusively breastfeeding from the countryside. Premorbid feeling, a history of diarrhea in 3 cases, the rest are body health. Clinical data Clinical manifestations: 23 cases were acute onset, fever in 5 cases of convulsions in 23 cases, 18 cases of vomiting, irritability in 4 cases, lethargy in 5 cases, coma in 14 cases, skin and mucous membrane bleeding in 6 cases, 3 cases of gastrointestinal bleeding, skin damage There were more than 5 cases of hemorrhage, 20 cases of anterior fontanel, 5 cases of bilateral pupil unequal, 9 cases of light reflex, 8 cases of paralysis on one side, 6 cases of facial paralysis, 8 cases of meningeal irritation and 3 cases of jaundice. Laboratory tests: blood