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目的探讨自发性颅内出血患儿的误诊原因及防范措施。方法回顾性分析16例自发性颅内出血误诊患儿的临床资料。结果 3岁以下患儿迟发性维生素K缺乏性颅内出血6例,血友病导致颅内出血1例;3~14岁患儿脑血管畸形出血8例,原因不明颅内出血1例。经治疗14例痊愈,轻残2例。结论小儿自发性颅内出血临床表现各异,容易误诊。应认真行神经系统检查,拓宽诊断思路,及时行头颅CT及凝血功能检查,避免误诊。
Objective To investigate the causes of misdiagnosis and preventive measures in children with spontaneous intracranial hemorrhage. Methods The clinical data of 16 children with misdiagnosis of spontaneous intracranial hemorrhage were retrospectively analyzed. Results In children under 3 years of age, delayed vitamin K deficiency intracranial hemorrhage in 6 cases, hemophilia caused intracranial hemorrhage in 1 case; 3 to 14 years old children with cerebral vascular malformations in 8 cases, the cause of unknown intracranial hemorrhage in 1 case. After treatment 14 cases recovered, light residue in 2 cases. Conclusion The clinical manifestations of spontaneous intracranial hemorrhage in children are different, easily misdiagnosed. Neurological examination should be conscientiously carried out to broaden the diagnostic ideas, timely head CT and coagulation tests, to avoid misdiagnosis.