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[一名患有颅骨肿胀的婴儿:腱膜下积液]

[An infant with a cranial swelling: sub-aponeurotic fluid collection].

作者信息

Aries Marcel J H, van Dam Stijntje W, Hoving Eelco W, Brouwer Oebele F

机构信息

Universitair Medisch Centrum Groningen, Groningen, The Netherlands.

出版信息

Ned Tijdschr Geneeskd. 2009;153:A713.

Abstract

A sub-aponeurotic fluid collection (an extracranial fluid accumulation between the galea aponeurotica and the periostium of the scalp) of 2 week duration was observed in a 2.5-month-old male infant. In contrast to a subgaleal bleeding, which occurs on the first day after birth and is of a progressive nature, swelling caused by sub-aponeurotic fluid collection does not occur until a few weeks after birth and shows a benign course. The exact etiological mechanism of this fluid collection is unknown. It is probable that temporary (micro) fluid fistula, as a result of birth trauma, plays a role. Management is conservative, and complete reabsorption can be expected within a few weeks to months at the most.

摘要

在一名2.5个月大的男婴中观察到持续2周的腱膜下积液(颅外积液积聚于帽状腱膜和头皮骨膜之间)。与出生后第一天发生且呈进行性的帽状腱膜下出血不同,腱膜下积液引起的肿胀直到出生后几周才出现,且病程呈良性。这种积液的确切病因机制尚不清楚。出生创伤导致的暂时性(微小)液体瘘管可能起了作用。治疗是保守的,最多在几周至几个月内有望完全吸收。

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