https://www.yiliao.com/index.php?action=history&feed=atom&title=%E5%A4%B4%E7%9A%AE%E8%A1%80%E8%82%BF 2026-04-18T09:45:40Z 本wiki的该页面的版本历史 MediaWiki 1.35.1 https://www.yiliao.com/index.php?title=%E5%A4%B4%E7%9A%AE%E8%A1%80%E8%82%BF&diff=242580&oldid=prev 2015-01-12T10:46:46Z

<p></p> <table class="diff diff-contentalign-left diff-editfont-monospace" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="zh-Hans-CN"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">←上一版本</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">2015年1月12日 (一) 10:46的版本</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l5" >第5行：</td> <td colspan="2" class="diff-lineno">第5行：</td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>头皮血肿多因钝器伤所致，按血肿出现于头皮内的具体层次，可分为[[皮下血肿]]、帽状腱膜下血肿和骨膜下血肿三种。　　</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>头皮血肿多因钝器伤所致，按血肿出现于头皮内的具体层次，可分为[[皮下血肿]]、帽状腱膜下血肿和骨膜下血肿三种。　　</div></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==[[症状]][[体征]]==</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==[[症状]][[体征]]==</div></td></tr> <tr><td class='diff-marker'>−</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del class="diffchange diffchange-inline">皮下血肿一般体积小，有时因血肿周围组织[[肿胀]]隆起，中央反而凹陷，易误认为凹陷性颅骨骨折，需用[[颅骨]]x线摄片作鉴别。帽状腱膜下血肿因该层组织疏松可蔓延至全头部，小儿及体弱者可导致[[休克]]或[[贫血]]。骨膜下血肿的特点是局限于莱一颅骨范围之内，以骨缝为界，见于颅骨受损之后，如</del>[[产伤]]<del class="diffchange diffchange-inline">等。　</del></div></td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline">1．局部肿块  皮下血肿一般体积小，有时因血肿周围组织肿胀隆起，中央相对凹陷，易误认为凹陷性颅骨骨折。帽状腱膜下血肿，因帽状腱膜组织疏松可蔓及范围较广。骨膜下血肿其特点是限局于某一颅骨范围内，以骨缝为界，见于颅骨受损之后，如</ins>[[产伤]]<ins class="diffchange diffchange-inline">等。</ins></div></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td></tr> <tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">2．休克或贫血  帽状腱膜下血肿可蔓延至全头部，小儿及体弱者可导致休克或贫血。</ins></div></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==辅助检查==</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==辅助检查==</div></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>1． 实验室检查</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>1． 实验室检查</div></td></tr> <tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l34" >第34行：</td> <td colspan="2" class="diff-lineno">第35行：</td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>2、穿刺治疗无效，血肿不消或继续增大时，可切开清除血肿并止血。对合并颅骨骨折的骨膜下血肿，要注意并发颅内血肿的可能。凡已经感染的血肿均需切开引流。</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>2、穿刺治疗无效，血肿不消或继续增大时，可切开清除血肿并止血。对合并颅骨骨折的骨膜下血肿，要注意并发颅内血肿的可能。凡已经感染的血肿均需切开引流。</div></td></tr> <tr><td class='diff-marker'>−</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div> </div></td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline">== 参考资料 ==</ins></div></td></tr> <tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline">临床诊疗指南_神经外科学分册</ins></div></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[分类:疾病]][[分类:病理学]][[分类:急救]][[分类:外伤]]</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[分类:疾病]][[分类:病理学]][[分类:急救]][[分类:外伤]]</div></td></tr> </table>

王京京 https://www.yiliao.com/index.php?title=%E5%A4%B4%E7%9A%AE%E8%A1%80%E8%82%BF&diff=242579&oldid=prev 2015-01-12T10:40:10Z

<p>头皮血肿的辅助检查</p> <table class="diff diff-contentalign-left diff-editfont-monospace" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="zh-Hans-CN"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">←上一版本</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">2015年1月12日 (一) 10:40的版本</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l5" >第5行：</td> <td colspan="2" class="diff-lineno">第5行：</td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>头皮血肿多因钝器伤所致，按血肿出现于头皮内的具体层次，可分为[[皮下血肿]]、帽状腱膜下血肿和骨膜下血肿三种。　　</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>头皮血肿多因钝器伤所致，按血肿出现于头皮内的具体层次，可分为[[皮下血肿]]、帽状腱膜下血肿和骨膜下血肿三种。　　</div></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==[[症状]][[体征]]==</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==[[症状]][[体征]]==</div></td></tr> <tr><td class='diff-marker'>−</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>皮下血肿一般体积小，有时因血肿周围组织[[肿胀]]隆起，中央反而凹陷，易误认为凹陷性颅骨骨折，需用[[颅骨]]x线摄片作鉴别。帽状腱膜下血肿因该层组织疏松可蔓延至全头部，小儿及体弱者可导致[[休克]]或[[贫血]]。骨膜下血肿的特点是局限于莱一颅骨范围之内，以骨缝为界，见于颅骨受损之后，如[[产伤]]<del class="diffchange diffchange-inline">等。　　</del></div></td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>皮下血肿一般体积小，有时因血肿周围组织[[肿胀]]隆起，中央反而凹陷，易误认为凹陷性颅骨骨折，需用[[颅骨]]x线摄片作鉴别。帽状腱膜下血肿因该层组织疏松可蔓延至全头部，小儿及体弱者可导致[[休克]]或[[贫血]]。骨膜下血肿的特点是局限于莱一颅骨范围之内，以骨缝为界，见于颅骨受损之后，如[[产伤]]<ins class="diffchange diffchange-inline">等。　</ins></div></td></tr> <tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div> </div></td></tr> <tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline">==辅助检查==</ins></div></td></tr> <tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline">1． 实验室检查</ins></div></td></tr> <tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline">⑴ 血常规化验  了解机体对创伤的反应状况,有无继发感染。</ins></div></td></tr> <tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline">⑵ 血红蛋白下降表明出血严重。</ins></div></td></tr> <tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div> </div></td></tr> <tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline">2． 影像学检查</ins></div></td></tr> <tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline">⑴ 头颅X线平片,包括正位、侧位和血肿部位切线位平片。</ins></div></td></tr> <tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline">⑵ 必要时可考虑行头颅CT，以除外颅内异常。</ins></div></td></tr> <tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div> </div></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==治疗方案==</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==治疗方案==</div></td></tr> <tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>较小的头皮血肿在1～2周左右可自行吸收，巨大的血肿可能需4-6周才吸收。采用局部适当加压包扎，有利于防止血肿的扩大。为避免感染，一般不采用穿刺抽吸。处理头皮血肿时，要着重于考虑到[[颅骨损伤]]甚至脑损伤的可能。　　</div></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>较小的头皮血肿在1～2周左右可自行吸收，巨大的血肿可能需4-6周才吸收。采用局部适当加压包扎，有利于防止血肿的扩大。为避免感染，一般不采用穿刺抽吸。处理头皮血肿时，要着重于考虑到[[颅骨损伤]]甚至脑损伤的可能。　　</div></td></tr> </table>

王京京 https://www.yiliao.com/index.php?title=%E5%A4%B4%E7%9A%AE%E8%A1%80%E8%82%BF&diff=45156&oldid=prev 2014-01-25T19:51:01Z

<p>以“头皮血肿多因<a href="/%E9%92%9D%E5%99%A8%E4%BC%A4" title="钝器伤">钝器伤</a>及<a href="/%E5%A4%B4%E7%9A%AE" title="头皮">头皮</a>所致。一般较小的头皮血肿，无需特殊处理，经过1～2周左右多能自行吸收。较大的<a href="/%E8%A1%80%E8%82%BF" title="血肿">血肿</a>...”为内容创建页面</p> <p><b>新页面</b></p><div>头皮血肿多因[[钝器伤]]及[[头皮]]所致。一般较小的头皮血肿，无需特殊处理，经过1～2周左右多能自行吸收。较大的[[血肿]]常需[[穿刺]]抽除同时局部压迫[[包扎]]，经一次或几次治疗可愈。穿刺治疗无效，血肿不消或继续增大时，可切开清除血肿并[[止血]]。对合并[[颅骨骨折]]的[[骨膜]]下血肿，要注意并发颅内血肿的可能。凡已经[[感染]]的血肿均需切开[[引流]]。[[头部]]被钝性外力，如被石块、木棒或铁器等打伤，[[外伤]]处[[表皮]]无破损，而很快起个大包，这就是头皮血肿。头皮通常分为五层，由外向内分别为[[皮肤]]、[[皮下组织]]、[[帽状腱膜]]、[[腱膜]]下层及骨膜层。[[头部外伤]]后头皮[[血管]]破裂形成的血肿，因部位不同，通常可分为头皮下血肿、帽状腱膜下血肿和骨膜下血肿。　　<br /> ==疾病分类==<br /> [[神经外科]]　　<br /> ==疾病描述==<br /> 头皮血肿多因钝器伤所致，按血肿出现于头皮内的具体层次，可分为[[皮下血肿]]、帽状腱膜下血肿和骨膜下血肿三种。　　<br /> ==[[症状]][[体征]]==<br /> 皮下血肿一般体积小，有时因血肿周围组织[[肿胀]]隆起，中央反而凹陷，易误认为凹陷性颅骨骨折，需用[[颅骨]]x线摄片作鉴别。帽状腱膜下血肿因该层组织疏松可蔓延至全头部，小儿及体弱者可导致[[休克]]或[[贫血]]。骨膜下血肿的特点是局限于莱一颅骨范围之内，以骨缝为界，见于颅骨受损之后，如[[产伤]]等。　　<br /> ==治疗方案==<br /> 较小的头皮血肿在1～2周左右可自行吸收，巨大的血肿可能需4-6周才吸收。采用局部适当加压包扎，有利于防止血肿的扩大。为避免感染，一般不采用穿刺抽吸。处理头皮血肿时，要着重于考虑到[[颅骨损伤]]甚至脑损伤的可能。　　<br /> ==处理办法==<br /> 头皮血肿的处理有以下几点：<br /> <br /> 1.发生头皮血肿的当时，切忌用[[跌打药酒]]涂搽血肿局部或按揉[[推拿]]，这样会使[[出血]]更厉害。可在局部用[[纱布绷带]]加压包扎或用冰块、冰水、[[热水袋]]装上冷水外敷，以促使[[血管收缩]]，阻止继续出血。<br /> <br /> 2.24 小时后可涂跌打药酒、[[红花油]]，以及用[[热敷]]促进血肿吸收。较小的血肿几天后多能吸收而愈。<br /> <br /> 3.大血肿不易吸收，可剃去头发，局部[[消毒]]后用注射针反复穿刺抽出[[积血]]，但禁止自行用针随便穿刺放血，应由医生进行处理。<br /> <br /> 4.巨大血肿，用上述方法治疗无效时，应送医院手术切开止血，如血肿感染[[化脓]]，应手术切开上药治疗。<br /> <br /> 5.发生头皮血肿，还应警惕有无颅内血肿、[[脑震荡]]或[[脑挫伤]]。要让伤员安静休息，24 小时内认真观察病情变化，如发现有越来越明显的[[头痛]]、[[恶心]]、[[呕吐]]、[[烦躁不安]]或逐渐失去意识，[[瞳孔不等]]大，耳、[[鼻出血]]等症状出现，就不是简单的头皮血肿的问题了，应及时请医生或送医院进一步诊治。　　<br /> ==保健贴士==<br /> 1、一般较小的头皮血肿，无需特殊处理，经过1～2周左右多能自行吸收。较大的血肿常需穿刺抽除同时局部压迫包扎，经一次或几次治疗可愈。<br /> <br /> 2、穿刺治疗无效，血肿不消或继续增大时，可切开清除血肿并止血。对合并颅骨骨折的骨膜下血肿，要注意并发颅内血肿的可能。凡已经感染的血肿均需切开引流。<br /> <br /> [[分类:疾病]][[分类:病理学]][[分类:急救]][[分类:外伤]]</div>

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