Hangai Mayumi, Kimura Yuki, Mori Harushi, Yasui Kojiro, Tsuchida Shinya, Takahashi Naoto
Department of Pediatrics, University of Tokyo Hospital, Tokyo, Japan.
Pediatr Int. 2014 Aug;56(4):623-6. doi: 10.1111/ped.12310.
Neonatal subgaleal hemorrhage (SGH) is a serious adverse event that is often underestimated and sometimes goes unrecognized. It can cause bleeding complications and jeopardize the patient's life. Early diagnosis and prompt treatment are important in optimizing the outcome in neonates with SGH. Herein we describe the case of a newborn who developed severe SGH and died. We report unenhanced computed tomography (CT) of ongoing SGH, which showed a low-density region in the surrounding area of the head. The density could be explained by unclotted active bleeding and low hematocrit. Even if a patient with clinically suspected SGH has a low-density region on CT, the presence of SGH should not be excluded.
新生儿帽状腱膜下出血（SGH）是一种严重的不良事件，常常被低估，有时甚至未被识别。它可导致出血并发症，危及患者生命。早期诊断和及时治疗对于优化患有SGH的新生儿的预后至关重要。在此，我们描述了一例发生严重SGH并死亡的新生儿病例。我们报告了正在出血的SGH的平扫计算机断层扫描（CT），其显示头部周围区域有一个低密度区。这种密度可由未凝固的活动性出血和低血细胞比容来解释。即使临床怀疑患有SGH的患者CT上有低密度区，也不应排除SGH的存在。
