Cooling D S, Viccellio P
Department of Emergency Medicine, University Hospital, State University of New York, Stony Brook 11794-7400.
J Emerg Med. 1991;9 Suppl 1:33-5. doi: 10.1016/0736-4679(91)90585-4.
A 23-month-old child developed massive head swelling secondary to a subgaleal hematoma several days following minor head trauma. When seen in the emergency department, the child was felt to be otherwise well and hemodynamically stable and was discharged with close follow-up. The hematoma subsequently resolved over the ensuing two weeks. This case represents an uncommon, but dramatic complication of minor head trauma and serves to illustrate the need for physicians to recognize this entity as well as manage it effectively. The major pitfalls in managing these patients are failure to recognize this entity and, particularly in the infant, failure to carefully assess the hemodynamic status.
一名23个月大的儿童在轻微头部外伤几天后，因帽状腱膜下血肿出现大量头部肿胀。在急诊科就诊时，该儿童被认为其他方面状况良好，血流动力学稳定，经密切随访后出院。血肿随后在接下来的两周内消退。该病例代表了轻微头部外伤一种罕见但严重的并发症，说明了医生认识并有效处理这一情况的必要性。处理这些患者的主要陷阱是未能识别这一情况，尤其是在婴儿中，未能仔细评估血流动力学状态。
