臀位分娩后急性新生儿硬膜下血肿

Acute neonatal subdural hematoma following breech delivery.

作者信息

Abroms I F, McLennan J E, Mandell F

出版信息

Am J Dis Child. 1977 Feb;131(2):192-4. doi: 10.1001/archpedi.1977.02120150074015.

DOI:10.1001/archpedi.1977.02120150074015

Abstract

We describe two term infants born by complicated breech deliveries, each of whom suffered an acute subdural hematoma. Both infants required repeated subdural taps; in one case a parietal burr hole was needed. Despite stormy neonatal courses, follow-up examination of the first infant at 26 months showed him to be normal, and in the other only a mild left esotropia was found at 22 months. Acute neonatal subdural hematoma is rare, but symptoms and signs are distinctive and the condition is remediable; immediate recognition and treatment is important.

摘要

我们描述了两名足月婴儿，他们通过复杂的臀位分娩出生，均患有急性硬膜下血肿。两名婴儿均需要反复进行硬膜下穿刺；其中一例需要进行顶骨钻孔。尽管新生儿期过程波折，但对第一名婴儿在26个月时的随访检查显示他一切正常，而对另一名婴儿在22个月时仅发现轻度左眼内斜视。急性新生儿硬膜下血肿很少见，但症状和体征独特，且该病可治愈；立即识别和治疗很重要。