Question

After an extracranial injury, the newborn experienced two seizures on the third day after birth and was diagnosed with intracranial hemorrhage through computerized tomography. What was the past treatment and its effectiveness? How can assistance be requested?

Answer

The newborn experienced two seizures on the third day after birth, diagnosed with intracranial hemorrhage via computerized tomography. Attention should be given to focused protection, maintaining a warm and quiet environment, avoiding excessive movement and crying, and providing appropriate oxygen. At the same time, ensure that the airway is clear. For newborns without vomiting, place them in a 15 to 30-degree inclined position to reduce intracranial pressure; if vomiting occurs, they should lie flat with their head turned to one side, and feeding can be done through a gastric tube. The fluid intake should be controlled at 60 milliliters per kilogram per day, and adjusted according to vomiting, heart, and kidney function conditions. In addition, vitamin K1 can be administered intramuscularly or intravenously at a dose of 15 milligrams daily for three consecutive days, with a reduced dose for premature infants and the addition of vitamin C. Other hemostatic agents such as tranexamic acid can be considered, or a small amount of fresh blood or fresh frozen plasma can be infused to supplement coagulation factors and correct anemia.