小儿自发性脑出血78例临床分析

The Clinical Analysis of 78 Patients with Spontaneous Intracranial Hemorrhage in Childhood

目的:探讨小儿自发性脑出血的临床特点、病因、诊断和治疗方法。方法:对78例自发性脑出血患儿的临床资料进行回顾性分析。结果:晚发性VitK缺乏症是小儿自发性脑出血首位病因(72%),脑血管畸形次之(18%)。结论:小儿自发性脑出血在临床表现、诊治方法上均与成人有显著区别。提高对小儿自发性脑出血临床特点的认识,将有助于对本病及时有效的救治。

Objective： To investigate the clinical characteristics, causes diagnosis and treatment of spontaneous brain hemorrhage in childhood. Methods： A retrospective study was performed in the clinical data of 78 cases. Results： Delayed vitamin K deficiency was the first cause of spontaneous brain hemorrhage in childhood （72%）,and the second was eerebrovascular malformations （18%）. Conclusion： The clinical manifestation, diagnosis and treatment for spontaneous brain hemorrhage in childhood are remarkably different from those in adult. It will give helps to a timely and effective cure for spontaneous brain hemorrhage if the clinical characteristics of spontaneous brain hemorrhage were known better.