摘要
通过66例晚发性维生素K缺乏致颅内出血病历分析,此病多发生于生后1～3月婴儿(87.79％).由于母乳中维生素K含量仅为牛乳的1/4及产后乳母很少进食绿叶蔬菜和水果,使维生素K摄取不足,故母乳喂养儿的发病(75.76％)高于人工喂养儿及混合喂养儿.另外小年龄组婴儿在患有腹泻,乳儿肝炎.反复感染等疾患时,由于影响了维生素K在体内的吸收、利用及合成,更易发生维生素K缺乏引起的颅内出血。因此预防应采取综合措施,在加强乳母营养指导的同时对于母乳喂养儿给予维生素K补充,对于患有上述疾患的小年龄组婴儿,在治疗原发病同时给予维生素K的补充.
The analysis in the 66 cases of later intracranial-hemorrhage caused by vitamin K deficiency reveals that most of those patients (nearly 87. 8%)were among one to three months after birth. Since the vitamin K in the mother's milk is only 1/4 of that in fresh cow milk and the lack of vegetables or fruits in mother's food, hight rate(75. 8%) of the case took place in breast fed infants than the infants by cow milk fed or mixed formula fed. Infants of small age are more susceptible to the intracranial-hemorrhage caused by lack of vitamin k after diarrhoea, hepatitis syndrome or recurrent infection. The incidence caused by the above mentioned diseases are 31. 8%, 37. 9% and 21. 2% respectively. Therefore, overall measures should be taken in prevetion of the disease. Those are giving more in struction about mother's nutrition; taking vitamin K tablet to the breast fed infants and the small age infants who have suffered from above mentioned diseases.
