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婴儿迟发性维生素K缺乏致颅内出血,早期症状不典型,极易误诊,我科近年共误诊8例,均为农家儿,男7例,女1例;年龄3个月以内;纯母乳喂养6例,混合喂养、奶粉喂养各1例。误诊为颅内感染2例,手足搐搦症3例,肠梗阻、支气管炎伴贫血、消化不良各1例。8例患儿临床均有阵哭、拒乳、呕吐,4例出现抽搐,另有面色苍黄或黄疸延迟,注射针孔出血不止。检查:血Hb34～80g/L,出血时间正常,凝血时间5例延长,凝血酶原时间均延长(>1.15小
Infant delayed vitamin K deficiency caused intracranial hemorrhage, early symptoms are not typical, easily misdiagnosed, my family in recent years were misdiagnosed in 8 cases were farm children, 7 males and 1 females; within 3 months; exclusive breastfeeding 6 cases, mixed feeding, milk powder feeding in 1 case. Misdiagnosed as intracranial infection in 2 cases, 3 cases of tetany, intestinal obstruction, bronchitis with anemia, indigestion in 1 case. Eight cases of children with clinical crying, breast rejection, vomiting, convulsions occurred in 4 cases, otherwise pale yellow or jaundice delay, injection of pinhole bleeding more than. Check: blood Hb34 ~ 80g / L, normal bleeding time, clotting time in 5 cases, prolonged prothrombin time (> 1.15 small