Babata Kikelomo, Vadlamudi Gayathri, Bailey Nicole A, Gill Shamaila, Viswanathan Pranav, Sillero Rafael, Seidu Tina, Mangona Kate Louise, Leon Rachel, Angelis Dimitrios
Department of Pediatrics, Division of Neonatal-Perinatal Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Department of Obstetrics and Gynecology, Maternal Fetal Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA.
J Perinatol. 2025 Feb;45(2):167-179. doi: 10.1038/s41372-024-02116-w. Epub 2024 Sep 16.
Subgaleal hemorrhages (SH) involve bleeding in the expansive compartment between the periosteum of the skull and the galea aponeurotica. The potentially rapid accumulation of blood in this space is responsible for the clinical severity, as neonates with SH can present with acute hypovolemia, shock and multiorgan failure. SH is associated with instrumented delivery, especially with use of vacuum extraction. Although infrequent, the incidence of SH has not decreased over the past several decades, despite improvements in obstetrical care. Management of severe SH is complex and requires cardiovascular support, management of co-existent encephalopathy, and most importantly correction of coagulopathy and anemia.
帽状腱膜下出血（SH）是指颅骨骨膜与帽状腱膜之间的疏松间隙内出血。该间隙内血液可能迅速积聚，这就是其临床严重性的原因，因为患有SH的新生儿可能会出现急性血容量减少、休克和多器官功能衰竭。SH与器械助产有关，尤其是真空吸引术的使用。尽管不常见，但尽管产科护理有所改善，在过去几十年中SH的发生率并未下降。严重SH的治疗很复杂，需要心血管支持、处理并存的脑病，最重要的是纠正凝血障碍和贫血。
