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[血友病患儿的硬膜外血肿:诊断困难]

[Epidural hematoma in a child with hemophilia: diagnostic difficulties].

作者信息

Chrétiennot-Bara C, Guët A, Balzamo E, Noseda G, Torchet M F, Rothshild C, Blakimé P, Schmit P

机构信息

Service de pédiatrie générale, hôpital Necker-Enfants-Malades, 149, rue de Sèvres, 75743 Paris, France.

出版信息

Arch Pediatr. 2001 Aug;8(8):828-33. doi: 10.1016/s0929-693x(01)00542-5.

Abstract

UNLABELLED

Spinal epidural hematoma is an uncommon complication in hemophilia.

CASE REPORTS

The cases of an extensive epidural hematoma in two boys with severe hemophilia are reported.

CONCLUSION

Acute onset of severe neck pain or backache leads to the diagnosis of epidural hematoma in children with hemophilia, even in the absence of neurologic symptoms. Early diagnosis is important and relies on magnetic resonance imaging. Replacement therapy is mandatory and must be prescribed before neuroradiologic imaging. Generally, children have a good neurologic outcome.

摘要

未标注

脊髓硬膜外血肿是血友病中一种罕见的并发症。

病例报告

报告了两名重度血友病男孩发生广泛硬膜外血肿的病例。

结论

即使没有神经症状,血友病患儿出现严重颈部疼痛或背痛急性发作也可导致硬膜外血肿的诊断。早期诊断很重要,依赖于磁共振成像。替代疗法是必需的,且必须在神经放射学成像之前开具。一般来说,儿童的神经功能预后良好。

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