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[经皮穿刺抽吸骨膜下血肿致急性硬膜外血肿迅速消失——病例报告]

[Rapid disappearance of acute epidural hematoma by percutaneous aspiration of subperiosteal hematoma--case report].

作者信息

Kinoshita Yoshimasa, Tsuru Eichi, Kasuga Urara, Yasukouchi Hideoki, Harada Atsukuni, Okudera Toshio

机构信息

Department of Neurosurgery, Munakata Suikokai General Hospital, 341-1 Kamisaigo, Fukutsu, Fukuoka 811-3298, Japan.

出版信息

Brain Nerve. 2007 Dec;59(12):1369-72.

Abstract

We present the case of an 8-year-old boy who was injured in a bicycle accident and was admitted with a right frontal skull fracture, an acute epidural hematoma, a right frontal laceration, and a subperiosteal hematoma on admission. After the frontal cutaneous suture, the subperiosteal hematoma was aspirated by the percutaneous needle. Two hours later, a CT scan revealed that the epidural hematoma was disappeared. It is speculated that the subperiosteal and epidural hematoma communicated via the skull fracture thus necessitating the evacuation of the epidural hematoma by subperiosteal aspiration.

摘要

我们报告一例8岁男孩,他在一次自行车事故中受伤,入院时伴有右额颅骨骨折、急性硬膜外血肿、右额部裂伤和骨膜下血肿。额部皮肤缝合后,经皮穿刺针抽吸骨膜下血肿。两小时后,CT扫描显示硬膜外血肿消失。推测骨膜下血肿和硬膜外血肿通过颅骨骨折相通,因此需要通过骨膜下抽吸来清除硬膜外血肿。

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