22例晚发性维生素K缺乏致颅内出血临床及CT分析

目的:分析晚发性维生素K缺乏致颅内出血的临床及CT表现。材料和方法:晚发性维生素K缺乏致颅内出血症22例,其中男15例,女7例;年龄15天～6个月;纯母乳喂养20例,混合喂养2例。结果:经头颅CT检查全部病例均显示异常。出血部位在蛛网膜下腔者16例,硬膜下13例,脑室出血10例,脑实质出血8例。伴缺血缺氧性脑病5例,脑实质扩大10例,中线移位8例。结论:头颅CT检查可做到早期安全诊断,明确出血部位及范围,为治疗和预后判断提供可靠的依据。

Clinical and CT Findings of Intracranial Hemorrhage Induced by Late Occurring Vitamin k Deficiency: Preliminary Report of 22 cases

Purpose: To analyze the clinical and CT findings of intracranial hemorrhage induced by late occurring vitamin k deficiency. Materials and Methods: Twenty - two patients (15 male. 7 female; aged 15days to 6 months) with intracranial hemorrhage underwent CT scan of the head, in whom twenty patients were fed on single breast milk but other two patients were fed on mixed foodstuff. Results: CT scan of the head demonstrated that all patients occurred abnormalities that were mainly intracranial hemorrhage. According to the locations of hemorrhage, there were 16 cases from subarachnoid, 13 cases from subdual, 10 cases from ventricle, and 8 cases from brain parenchyma, in additien, also occurred 5 cases of brain disease complicating with anoxemia, 10 cases of enlargement of brain parenchyma, and 8 cases of deviation of midline structure in all patients. Conclusions: CT scan of the head can satisfactorily obtain early accurate diagnosis of intracranial hemorrhage, clear the location and extent of hemorrhage, and provide reliable evidences for future therapy or to understand the prognosis.