帽狀腱膜下血腫－病例報告

該報告無顱骨骨折，亦無凝血障礙，只因輕微頭部外傷所發生之帽狀腱膜下血腫的病例。病童爲11歲男孩，住院10天前曾受過輕微的頭部碰撞，7天後開始頭痛，再3天後頭部突然持續脹大而住院。住院時神經學檢查無異常，亦無凝血障礙，經頭顱部X光檢查與電腦斷層攝影診斷爲帽狀腱膜下血腫，住院時頭圍爲54cm，至住院1週後頭圍57cm，採保守療法，住院18天後頭圍53cm，住院第21天痊瘉出院。

關鍵字

無資料

並列摘要

The formation of a childhood subgaleal hematoma following a minor head trauma without skull fracture or coagulation disorder is a rather rare condition. An 11 year-old boy war admitted with complaints of generalized headache and diffuse swelling of the scalp. Ten days before admission he fell down, hitting his head on the floor. No vomiting. Drowsiness, or loss of consciousness ensued. Examinatian revealed a diffuse fluctuant swelling extending from the forehead to bilateral parieto-temporal areas. Neurologic examination showed no abnormalities. Aspiration from the swollen scalp yielded non-clotting blood. The prothrombin time partial thromboplastin time, platelet count, bleeding time, coagulation time and fibrinogen level were within normal range. The hematocrit reading was 42%, Roentgenograms of the skull revealed a soft tissue swelling. Cranial CT scan findings were compatible with extracranial bleeding. Fever up to 38.5℃ persisted for 12 days after admission. The head circumference continued to enlarge in a week period to 57 cm and then started to decrease over the next 11 days to 53 cm. The incidence, pathogenesis, differential diagnosis, prognosis and treatment of this disease are also discussed.

並列關鍵字

childhood subgaleal hematoma

國際替代計量

帽狀腱膜下血腫－病例報告

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