Clinical and Experimental Pediatrics

대한소아청소년과학회 (The Korean Pediatric Society)
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신생아에서 동반된 두혈종 흡인으로 치료된 경막외출혈 1례

Epidural hematoma treated by aspiration of accompanying cephalhematoma in a newborn infant

  • 오기원 (울산대학교 의과대학 소아과학교실) ;
  • 김행미 (경북대학교 의과대학 소아과학교실)
  • Oh, Ki Won (Department of Pediatrics, College of Medicine, Ulsan University Hospital) ;
  • Kim, Heng Mi (Department of Pediatrics, College of Medicine, Kyungpook National University)
  • 투고 : 2007.08.19
  • 심사 : 2007.09.10
  • 발행 : 2007.11.15
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초록

신생아기에 발생하는 경막외출혈은 매우 드문 분만손상 중 하나로 주로 기구분만이나 분만과 관련된 합병증과 연관이 많은 편이다. 치료로는 수술적 배혈이 주로 시도되고 있으나 수술적 치료 이외의 고식적 치료, 경막외 혈종의 흡인, 동반된 두혈종을 통한 흡인 등 다양한 비수술적 방법들이 시도되고 있다. 저자들은 두혈종이 동반된 경막외출혈을 보였던 5일된 신생아에 대해 동반된 두혈종 흡인을 통해 경막외출혈을 비수술적으로 치료하였기에 문헌고찰과 함께 보고하는 바이다.

Epidural hematoma is relatively rare in newborn infants and frequently associated with instrumental deliveries or other complications during labor and delivery. Although surgical evacuation has been the most common therapy, many other procedures have been described. Although many epidural hematomas require surgical evacuation rather than nonsurgical management, conservative or aspiration of hematoma have been attempted. In the case of EDH associated with cephalhematoma, aspiration of cephalhematoma could be attempted because frequent features of these combination were communication between these hematoma. We report a case of successful nonsurgical management of epidural hematoma through the aspiration of accompanying cephalhematoma in a 5-day-old newborn infant.

키워드

참고문헌

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