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先天性皮肤发育不全的保守治疗:病例报告。

Conservative management of aplasia cutis congenita: case report.

作者信息

Six E G, Kelly D L

出版信息

Neurosurgery. 1981 Feb;8(2):233-5. doi: 10.1227/00006123-198102000-00016.

DOI:10.1227/00006123-198102000-00016
PMID:7207791
Abstract

A male newborn with a large scalp and skull defect and a cervical meningocele was transferred to the neonatal intensive care unit of the North Carolina Baptist Hospital. The scalp defect measured 8.5 x 9.5 cm, and the sagittal sinus was exposed. Because the defect was considered too large to be covered with a rotation skin flap, it was treated thrice daily with the topical application of bacitracin ointment and circumferential dressings. By the end of 3 months, the skull defect was covered with skin. The cervical meningocele was then removed without incident. At the 9-month follow-up examination, the scalp defect was well healed and the skull defect was closing slowly; the neurological findings were still normal for the patient's age.

摘要

一名患有大面积头皮和颅骨缺损以及颈段脑脊膜膨出的男婴被转至北卡罗来纳浸信会医院的新生儿重症监护病房。头皮缺损尺寸为8.5×9.5厘米,矢状窦暴露在外。由于该缺损被认为过大,无法通过旋转皮瓣覆盖,遂每日三次外用杆菌肽软膏并进行环形包扎处理。到3个月末时,颅骨缺损已被皮肤覆盖。随后顺利切除了颈段脑脊膜膨出。在9个月的随访检查中,头皮缺损愈合良好,颅骨缺损正在缓慢闭合;就患儿年龄而言,神经学检查结果仍属正常。

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