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摘要


成長性顱骨骨折是頭部外傷後相當罕見的併發症,而且大多發生在三歲以下幼兒,文獻上報告的發生率介於0.05%至0.6%之間。迄今共有兩個病例在本院接受治療,兩者的主要症狀皆是在頭部外傷後二個月發現有明顯的顱骨缺損,二病例皆成功地接受手術治療。對這類的病患而言,早期診斷及早期接受治療,對於防止腦組織的持續破壞是很重要的。因此,對於頭部外傷且具有發生成長性顱骨骨折潛在危險性的幼兒,密集且持續的追蹤是必須的。

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並列摘要


Growing skull fractures are rare complications of severe closed head injury occurring almost exclusively in infants and children under the age of three. The reported incidence is between 0.05% and 0.6%. Two such cases were treated at our institution. Both cases presented with bulging mass and underlying skull defect two months after head injury. They received surgical treatment and achieved excellent results. Early diagnosis and surgical intervention are essential for these patients to prevent progressive brain damage. Therefore, close follow-up for patients at risk of developing growing skull fracture is necessary.

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