Patient's question:
Premature infant, just choked on water, but blood tests at birth showed all indicators were normal. After five days, the condition of peeling skin reappeared. What kind of assistance is needed: I want to know why all indicators were normal at the initial blood test after birth, but the condition of blood vessels reappeared after staying in the incubator for several days.Doctor's answer:
Disseminated intravascular coagulation (DIC) is a bleeding syndrome caused by various different etiologies, recurring in many disease processes, and is a significant cause of neonatal mortality. [Treatment] 1. Remove the underlying cause: Actively treat the primary disease. This condition can sometimes be difficult to distinguish from other causes of thrombocytopenia due to vitamin K deficiency, so intravenous administration of 10.5–1 mg of vitamin K should be considered for suspected cases. 2. Infuse fresh plasma and platelets to replenish coagulation factors. 3. In severe cases of bleeding, timely hemostatic treatment should be initiated to replenish sufficient coagulation factors and platelets, and to thoroughly eliminate toxins and fibrinolytic products from the underlying disease. The above suggestions are for the issue of "intrauterine bleeding in premature infants." It is hoped that this will be helpful to you. Wishing you good health!