新生儿阴囊血肿（Neonatal hematoma of scrotum）.docVIP

新生儿阴囊血肿（Neonatal hematoma of scrotum） 1 cases of neonatal vitamin K deficiency with hematoma of scrotum as the main manifestation Liu Enci Du Fengrong Classification number: R72, document identification code: B The male patient was born 3 D, full-term, with spontaneous labor and 2 D admitted because of scrotal swelling. Physical examination: 36.5 C T, R 40 /min, HR 140 /min, weight 3.3 kg, God, good response, breath smooth, moderate skin sclera yellow dye, right lower abdomen near the groin visible ecchymosis in 1 cm * 2.5 cm, bregmatic flat and soft, round and other bilateral pupil to light sensentive, heart and lung abnormalities, the abdomen is soft, no tenderness and rebound tenderness, liver and spleen were palpable, normal bowel sounds, normal muscular tension, hugging, sucking, gripping normal reflex. Scrotal obvious swelling, dark purple, can touch 3 cm x 5 cm size of the bag, in the quality of fixed, tenderness, transmission test negative. Auxiliary examination: WBC 10.3 * 109/L, N 0.626, L 0.282, Hb 165, g/L, RBC 4.98 * 1012/L, Plt 180 * 109/L. The prothrombin time was 68 s, significantly longer than that of the control 12.5, and the total bilirubin was 212.04 umol/L s. Diagnosis of admission: (1) neonatal hemorrhage; (2) neonatal hyperbilirubinemia. All the patients were treated with vitamin K1 supplementation, Reptilase and plasma infusion for 2 D, third days after normal prothrombin time, hematoma of the scrotum without narrowing, fourth days to the hospital examination, abdominal ultrasound and CT hematoma of the right adrenal gland was 2 cm * 3 cm, 15 d after hospitalization, scrotal hematoma absorption, adrenal hematoma reduced to 1 cm * 1 cm, cured. The most common manifestations of neonatal vitamin K deficiency are gastrointestinal bleeding, umbilical bleeding, intracranial hemorrhage, hematoma of the scrotum and adrenal hematoma. The patients with vitamin K1 treatment significantly, treatment 2 D, normal prothrombin time, for the cases of adrenal