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轻度头部外伤后出现危及生命的巨大皮下血肿:一名疑似患有新型埃勒斯-当洛综合征的年轻女性患者。

Life-threatening large subcutaneous hematoma after minor head trauma: A young female patient who was suspected of having new Ehlers-Danlos syndrome.

作者信息

Fujimoto So, Ota Takahiro, Mizutani Tohru

机构信息

Department of Neurosurgery, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan.

Department of Neurosurgery, Faculty of Medicine, Showa University, Tokyo, Japan.

出版信息

Asian J Neurosurg. 2015 Apr-Jun;10(2):148-50. doi: 10.4103/1793-5482.154985.

Abstract

Life-threatening large subcutaneous hematomas after minor injury are rare clinical states for young people; however these patients may have hidden diseases, which can cause a tendency to bleed. A 31-year-old woman visited our hospital after minor injury. The first computed tomography (CT) scan revealed a small subcutaneous hematoma, but her head bulged and the second CT scan revealed her subcutaneous hematoma had become enlarged. Two surgeries were needed to stop the bleeding and. Though she received intensive care, she died 48 days after onset. The new Ehlers-Danlos syndrome (EDS), known as EDS Kosho type (EDSKT), is a connective tissue disease, in which patients often experience large subcutaneous hematomas. We suspected our patient had EDSKT because her clinical features were compatible with this syndrome. Our findings support the notion that large subcutaneous hematomas in young patients with connective tissue disease can be fatal; a careful follow-up is required.

摘要

危及生命的轻微损伤后大面积皮下血肿在年轻人中是罕见的临床情况;然而这些患者可能患有隐匿性疾病,这会导致出血倾向。一名31岁女性在轻微受伤后前来我院就诊。首次计算机断层扫描(CT)显示有一个小的皮下血肿,但她的头部肿胀,第二次CT扫描显示她的皮下血肿已经增大。需要进行两次手术来止血。尽管她接受了重症监护,但发病48天后死亡。新的埃勒斯-当洛综合征(EDS),即科绍型EDS(EDSKT),是一种结缔组织疾病,患者常出现大面积皮下血肿。我们怀疑我们的患者患有EDSKT,因为她的临床特征与该综合征相符。我们的研究结果支持这样一种观点,即患有结缔组织疾病的年轻患者出现大面积皮下血肿可能是致命的;需要进行仔细的随访。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72d2/4421959/564a89f32662/AJNS-10-148-g001.jpg

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