婴儿迟发性维生素k缺乏致颅内出血的外科治疗

THE SURGICAL TREATMENT OF INTRACRANIAL HEMORRHAGE RESULTED FROM DELAYED AVITAMINOUS OF VITAMIN K IN INFANT

[目的]探讨婴儿迟发性维生素K缺乏致颅内出血的诊断及手术。[方法]针对血肿的部位分采用开颅小骨瓣血肿清除,钻孔血肿外引流,侧脑室穿刺外引流术。[结果]1例放弃治疗,2例术后有轻微抽搐,余患儿治愈出院。无1例死亡。[结论]对迟发性维生素K缺乏致颅内出血的患儿,特别是对出血量较大,病情危重患儿早期诊断,采用积极的手术治疗,术后采取远期综合干预措施,可降低病死率及致残率。

[ Objective] To study the diagnosis and treatment of intracranial hemorrhage resulted from delayed avitaminous of Vitamin K in infanL [Mthods ] Clearance of hemantoma by craniotormy with ossicl borre flap were adopted according to the location of hematoma, and then with trepanation and drainage of hematoma, and then paraventriculostomy. [ Results] One case were given up, two cases were with light convulsion. All the others were cured and discharged, none of them was dead. [Conclusions] Early diagnosis, adopting surgical treatment in time for the infant with intracranial hemorrhage resulted from delayed avitaminious of Vitamin K, esp for tile severe hemorrhage ones can decrease tile fatality rate and pathogenicity rate ff long-term and complicated measures were carried out after surgery simultaneously.