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本文报告婴儿期维生素K 缺乏所致出血综合征31例中伴颅内出血的25例,颅内出血发生率80.6%,病死率12%。蛛网膜下腔、硬脑膜下腔或脑室内出血可根据临床及相应部位的穿刺确诊,而脑实质出血则诊断较困难。我们用B 型超声(B 超)经前囟探查9例,发现脑实质出血3例,硬脑膜下腔出血4例。随访13例中1例B 超早于临床发现脑积水。我们认为B 超与临床配合可较全面地了解颅内出血部位及病变发展情况,对后遗症及预后估计将有一定帮助。
This article reports infantile hemorrhage syndrome caused by vitamin K deficiency in 31 cases with intracranial hemorrhage in 25 cases, the incidence of intracranial hemorrhage 80.6%, the mortality rate of 12%. Subarachnoid, subdural or intraventricular hemorrhage can be diagnosed according to the clinical and the corresponding parts of the puncture, while the diagnosis of intraparenchymal hemorrhage is more difficult. We use B-mode ultrasound (B-ultrasound) to explore the anterior fontanel 9 cases found in 3 cases of cerebral parenchymal hemorrhage, 4 cases of subdural hemorrhage. Follow-up in 13 cases, 1 case of B-early clinical discovery of hydrocephalus. We believe that B-and clinical cooperation can be more fully understand the location of intracranial hemorrhage and lesion development, prognosis of sequelae and prognosis will be of some help.