| 晚发性维生素K依赖因子缺乏致婴儿颅内血肿的外科治疗 |
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| 引用本文： | 梁平,夏佐中,李映良,翟萱,薛启苏. 晚发性维生素K依赖因子缺乏致婴儿颅内血肿的外科治疗[J]. 中华小儿外科杂志, 2000, 21(2): 89-91 |
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| 作者姓名： | 梁平 夏佐中 李映良 翟萱 薛启苏 |
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| 作者单位： | 400014,重庆医科大学儿童医院神经外科 |
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| 摘 要： | 目的 探讨晚发性维生素Ｋ依赖因子缺乏致婴儿颅内血肿的诊断及治疗。方法 １９９２年１月－１９９８年１２月，外科手术方法治疗４ ３２例并发颅内血肿这晚发性维生素Ｋ依赖因子缺乏症患儿，其中单纯血肿清除９例；血肿清除＋置管引流１３例；单纯钻孔置管引流１０例。结果 ３２例均治愈。２９例获得１－４年随访，其中２３例无任何神经系统后遗症，３例偏瘫，２例智力发育落后，１例癫阐述。
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| 关 键 词： | 维生素K缺乏 颅内血肿 婴儿 外科手术 |
| 修稿时间： | 1999-02-13 |
Surgical treatment for intracranial hematoma caused by delayed vitamin K deficiency bleeding in infants |
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| LIANG Ping,XIA Zuozhong,LI Yingliang,et al.. Surgical treatment for intracranial hematoma caused by delayed vitamin K deficiency bleeding in infants[J]. Chinese Journal of Pediatric Surgery, 2000, 21(2): 89-91 |
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| Authors: | LIANG Ping XIA Zuozhong LI Yingliang et al. |
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| Affiliation: | LIANG Ping,XIA Zuozhong,LI Yingliang,et al. Dept. of Neurosurgery,Children's Hospital,Chongqing Medical University,Chongqing 400014,China |
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| Abstract: | Objective To appraise the diagnosis and treatment of intracranial hematomas caused by delayed Vitamin K deficiency bleeding syndrome in infants.Methods Thirty two cases of intracranial hematomas were admitted between Jan.1992 and Dec. 1998. The surgical procedure included: 1) evacuation of hematoma ( n=9), 2) evacuation and catheter drainage ( n=13) and 3) puncture and catheter drainage (n=10).Results All cases recovered. Twenty-nine cases were followed up for 1 4 years, Of them ,23 cases had no nervous sequelae, 3 had hemiparalysis, 2 had mental retardation and one epilepsy. Conclusion Prompt evacuation of hematoma is important to decrease the mortality and disability rate of intracranial hematomas caused by delayed Vitamin K deficiency bleeding syndrome. |
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| Keywords: | Hematoma subdural Vitamin K deficiency Infants. |
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