晚发性维生素K缺乏症48例临床分析

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。

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

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 hemor- rhage among 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.