Deficiency of vitamin k1 delayed clinical care.docVIP

 PAGE \* MERGEFORMAT 4 Deficiency of vitamin k1 delayed clinical care Late-onset deficiency of vitamin k1 is not uncommon in clinical practice, common in infants, exclusive breastfeeding within 3 months in children whose mothers do not eat vegetables. Our department since July 2005 since January 2010 were treated in late-onset vitamin k1 deficiency in 25 cases, 19 cases age 1-2 months, more than 2 months in 6 cases. pathogenesis have inadequate intake, malabsorption, the use of barriers, synthesis decreased. delayed by about 90% found in breast milk alone feeding children, such as associated with diarrhea, the use of antibiotics for a long-term fasting in children with hepatobiliary disease and more likely, if intracranial hemorrhage, and its high mortality rate, complications and more. 1. The main symptoms and signs The main symptoms are fever, full anterior fontanel, vomiting, irritability, refusal to milk, convulsions, skin ecchymosis at the injection site more than bleeding, hematemesis and melena, coma, irregular breathing, all cases of varying degrees of anemia, liver ribs is greater than 3cm5 cases, 8 cases of intracranial hemorrhage. 2. Treatment Infants had bleeding should be immediately injected with vitamin k12mg, can rapidly improve the bleeding. Severe bleeding of fresh blood or plasma should be 10-20ml/kg, added coagulation factor. Gastrointestinal tract bleeding should be temporary fasting, intravenous hyperalimentation. intracranial hemorrhage and intracranial hypertension as appropriate, the performance of mannitol, furosemide, dexamethasone. tic were satisfied with the luminal, diazepam, chloral hydrate, so just scared. There were additional signs of infection with antibiotics and other . This set of results with 19 patients cured, 2 patients discharged condition deteriorated, 4 deaths. 3. Care 3.1 to keep quiet, of delayed intracranial hemorrhage of vitamin K1 deficiency of particular importance in children, avoid