打破年龄障碍:在患有状细胞疾病的儿童中发生自发性外周血瘤
Bipin Bihari Rout1, Santosh Navi1, Raju S M1
1Paediatrics, All India Institute of Medical Sciences Raipur, Raipur, Chhattisgarh, India.
BMJ case reports
|January 6, 2026
概括
一名患有状细胞疾病 (SCD) 的小男孩在自发的非创伤性外周血瘤 (EDH) 中幸存下来,这突显了儿童SCD患者需要保持警的必要性. 这个案例代表了这样一个关键事件的最年轻的被记录的幸存者.
科学领域:
- 儿科神经学 儿科神经学
- 血液学 血液学 血液学
- 神经外科 神经外科
背景情况:
- 状细胞疾病 (SCD) 是一种与各种并发症相关的遗传性血液疾病.
- 内出血是一种已知但罕见的SCD并发症,特别是在年轻患者中.
- 在儿童中,自发性外周血瘤 (EDH) 不常见,特别是那些患有SCD的儿童.
研究的目的:
- 报告SCD儿童中最年轻的自发EDH幸存者的案例.
- 强调儿科SCD患者非创伤性内出血的可能性.
- 提高紧急医生对这种罕见但危急的疾病的认识.
主要方法:
- 一个中年男孩患有同卵性SCD的案例报告.
- 临床表现包括四肢疼痛,改变的感官体和增加内压力的迹象.
- 诊断成像 (头骨CT) 显示双边EDH与中线偏移.
- 紧急手术干预 (切除) 和医疗管理 (机械呼吸,输血,芬巴比昏迷).
主要成果:
- 患者幸存下来的是一个大左前额-双肩EDH与中线转移.
- 成功地手术疏散了血瘤,并进行了密集的医疗管理.
- 最初的恢复与右半,显著改善到独立的行走.
- 在随访期间,EDH没有复发.
结论:
- 这个病例代表了SCD中最年轻的自发EDH幸存者的记录.
- 在年轻的SCD患者中,包括EDH在内的非创伤性内出血可能发生.
- 紧急医生必须考虑EDH在儿童SCD患者的神经病变的差异诊断.
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