Firlik K S, Adelson P D
Department of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Pediatr Neurosurg. 1999 Jan;30(1):39-42. doi: 10.1159/000028759.
Cephalohematomas following birth normally resorb within the 1st month of life. In cases of prolonged resorption, over greater than 1 month, cephalohematomas typically begin to calcify. We report the case of a 3-month-old child with a persistent, large cephalohematoma that did not calcify. After observation alone failed to demonstrate a decrease in the size of the hematoma, 30 cm3 of old blood was aspirated, and the patient's head was wrapped. Unlike calcified cephalohematomas, this noncalcified lesion did not require open surgical intervention. A treatment protocol for cephalohematomas is presented.
出生后发生的头颅血肿通常在出生后第1个月内吸收。在吸收时间延长的情况下，即超过1个月，头颅血肿通常开始钙化。我们报告了1例3个月大的儿童，其持续性巨大头颅血肿未发生钙化。在单纯观察未能显示血肿大小减小后，抽出了30立方厘米的陈旧血液，并对患儿头部进行了包扎。与钙化的头颅血肿不同，这种未钙化的病变不需要进行开放性手术干预。本文提出了一种头颅血肿的治疗方案。
