孙多成,肖忠,金永源,阮燕斯,詹志鹏,夏雨,徐林,李世忠.维生素K缺乏症颅内出血的CT表现[J].中国医学影像技术,2004,20(7):1028~1029
维生素K缺乏症颅内出血的CT表现
CT manifestation of intracranial hemorrhage due to vitamin
  
DOI:
中文关键词:  维生素K缺乏  颅内出血  体层摄影术,X线计算机
英文关键词:Vitamin K deficiency  Intracranial hemorrhages  Tomography, X-ray computed
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作者单位
孙多成 广东省中山市博爱医院放射科,广东 中山 528403 
肖忠 广东省中山市博爱医院急救中心,广东 中山 528403 
金永源 广东省中山市博爱医院放射科,广东 中山 528403 
阮燕斯 广东省中山市博爱医院放射科,广东 中山 528403 
詹志鹏 广东省中山市博爱医院放射科,广东 中山 528403 
夏雨 广东省中山市博爱医院放射科,广东 中山 528403 
徐林 广东省中山市博爱医院放射科,广东 中山 528403 
李世忠 广东省中山市博爱医院放射科,广东 中山 528403 
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中文摘要:
      目的 探讨维生素K缺乏症颅内出血的CT表现。方法 对2002年1月至2003年12月我院经CT确诊的50例患儿进行回顾性总结。结果 CT显示蛛网膜下腔出血最多见占96%,其次为硬膜下血肿占44%,脑内出血占40%,单纯脑室出血和出血性脑梗塞较少见,有两个部位以上出血的占14%,有脑水肿表现的共21例(42%),患侧脑室受压变小占68%。结论 CT能明确维生素K缺乏症颅内出血的部位、出血量,判断其预后与转归。
英文摘要:
      Objective To discuss CT findings of intracranial hemorrhage caused by delayed vitamin K deficiency. Methods CT features of 50 patients, who were hospitalized from Jan 2002 to Dec 2003 with intracranial hemorrhage diagnosed by cranial CT, were retrospectively analyzed. Results Subarachnoid hemorrhage (48/50, 96%), subdural hemotoma (22/50, 44%), intracerebral hemorrhage (20/50,40%), and, rarely, intraventricular hemorrhage and hemorrhagic cerebral infarction were found in CT scans. Seven patients (14%) had hemorrhage more than two sites. There were also some attendant features, such as cerebral edema (21/50,42%) and lateral ventricle decrease caused by compression (34/50, 68%). Conclusion CT can accurately locate the hemorrhage, estimate the amount of hemorrhage, so as to assess the prognosis in patients of later vitamin K deficiency.
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