保健 - 第80期 - page 78

76
Why do Newborns have Brain Haemorrhage: Deficiency of Vitamin K-dependent Clotting Factors
Although neck rigidity usually signifies meningitis, it could also signify brain haemorrhage. A 47-day old patient had deep coma, anaemia, bulging
of the anterior frontanelle (sign of raised intra-cranial pressure) and bleeding tendency. Another 2-month old baby had purplish-red, watery stool,
bleeding tendency, anaemia, bulging of the anterior frontanelle and neck rigidity. Both had deranged clotting profiles, signifying deficiency of vitamin
K-dependent clotting factors. Vitamin K acts as an enzyme in the liver when synthesizing clotting factors II, VII, IX and X; lack of vitamin K means
poor clotting. Vitamin K is found in greens, fruits, beans and animal liver, etc.; the gut’s beneficial bacteria also synthesize vitamin K but human milk
has little vitamin K; prolonged antibiotics kill beneficial bacteria; prolonged diarrhea leads to poor absorption of vitamin K; liver dysfunction prevents
synthesis of vitamin K. Prevention is to give the occasional cow’s milk even for breast fed babies; paediatricians advocate routine vitamin K to all
newborns. Nursing mothers should take more greens, fruits and beans; avoid prolonged broad-spectrum antibiotics.
綜合報導
診斷與治療
ν ؈ ᔼ͛࿁͉षϞɓ֛ٙଣሞٝᗆdಀ຾ዝཀᅰ
Էd̻ࣛɦϞה ᙆઑdൢᓙԨʔᗭf
ᗆй ࠅ ჯމ jఊॱ˸͎ԪᒸቮٙՇ
ɧ ࡈ ˜ᏃՅd߉್೯͛ྕΟe ל
Ԫeၚग़ൂᗰdᘌࠠ٫೯͛ᜓ௺e
ٮ ᜗ פ ⏩dޟ Ї೯͛׾৖dϾԨೌ
׼ᜑٙช༦ݑ ൥fᏨ೯ݟତᝍlzᏀ
ʺ৷ٙ၇၇ ڌ ତdመν ۃ ័ ژ ཱི
တeጱඤdޟ ЇԈᝍ৶ᐻʱᕎf̤
ɓՊۨसًމ મАءא ࢛௅ЗသА
ʔ˟dԨ˲Ԙ஺̈ତமАसًf ࡊ
߰ԈՑ˸ɪவԬઋر dఱᏐ຅ᙆઑ
͉षfЪ᎘ᝍCTᙲ˪d̙˸׼ᆽൢ
ᓙdʔШ̙˸೯ତᝍlzА໕dԨ˲
ঐ੄ᆽ֛Չ௅Зf
А੬஝Ꮸ ݟ dᜑͪ̈Аཀεˏৎٙ ߎ ୚ ࠇߤ ᅰಯ
ˇdА ߎ ஐͣඎ׼ᜑಯЭd פ АᏨ಻d೯ତኑАΪ
ᅰŘeŝeşeŠॹ˶ˏߧٙኑАཀ೻ღᖟf
͉षषઋɽεΉᎈdɓ͇೯ତdᏐͭуϗИ৫dආ
Бวહ ط ᐕdʱ߆̀ ن f຅ਕʘ ܢ ݊ ء ࢛ၪ͛९
Kd፩อᒻА€ࢫπАʕኑАΪᅰ࢙׸ॎᕸdʔ֝મ
͜dᅰʃࣛʘ ܝ dኑАΪᅰఱึɪʺЇ͍੬˥๟d
̈АහΣՓ˟fʔֱٙ݊d ߒ Ϟ 1/3ઃՅवɨٮ ᜗ᜣ
့eᜤⶶeࢮ౽ഃʕᅹग़຾ӻ୕ ፲ܝसdϾᗭ˸ੰ
ూdැ̀ᅂᚤڗɽʘܝ ͛ݺ eኪ୦ձఱุf
重在預防
ၪ͛९KԱ፠Ϊᅰॹ˶सɓ͇Ի೯
ᝍlz̈Аd؈ܝ ɽεɤʱᘌࠠd
वɨᗭ˸৕ᔷٙ ፲ܝसd୞͛ ߧ
ಞdΪϤࠠίཫԣdᏐးඎᒒе
வɓΚसٙ೯͛f
уԴ͎Ԫ̂ԑdʃᏃՅɰᏐӊ˂
ంɓՇϣৣ˙̲४d˸ᄣ̋ၪ͛
९ Kٙᙲɝdɰ̙˸ంᄆก׸੻ٙ
ၪ͛९KႡኒf࣬ኽ਷lz7 ޲19751
Τ ݺ ପᏃՅٙሜ ݟ dՉʕ 40% π
ίԭᑗґၪ͛९ Kॹ˶dΪϤ਷
lzՅ߅ਖ਼࢕˴ੵd ה Ϟอ͛Յ̈
͛ ܝ dேᏐཫԣ׌؂͜ၪ͛९KႡ
ኒdӊ˂ 1 ϣdஹ؂1 մfԪ͎Ꮠ຅εΦอᒻᇴൄe
˥ ؈ձԌᗳd˸౤৷͎Ԫʕၪ͛९KٙўඎfᏃՅઃ
षࣛdᏐးඎᒒе؂͜ᄿᗅҤ͛९d˸еਗ਼໑༸ʕ
Ϟूഽ໊¨ɓၣ͂း©dϾᓙഒၪ͛९KٙІ᜗Ը๕f
ᏃՅઃϞӿᑔशष٫Ꮠʿࣛ ط ᐕd˸ ڭ ᗇዚ᜗ၪ͛
९ KٙΥϓၾіϗdӿᛔᔟ˸Υϓவ4၇ኑАΪᅰf
வᅵఱ̙ӁഒᏃՅၪ͛९KԱ፠Ϊ९ॹ˶ኬ ߧٙ̈А
හΣdतй݊ߧն׌ᝍlz̈Аٙ೯͛f
兒童保健