Enormous enormous subgaleal hematoma with epidural extension, accompanying occipital bone's absorption is an uncommon complication of hemophilia A. A 30 years old man presenting scalp lump was found enormous enormous subgaleal hematoma with epidural extension, accompanying occipital bone's destruction by computed tomography (CT) scan, and laboratory examination indicated that the concentration of his factor VII was 2% of normal level. Further inquiring his medical history found that this patient has been suffering from hemophilia A diagnosed when he was 6 years old. He recovered well after receiving the therapertic methods of factor VII replacement and surgical decompression. This case tells us that patient suffering from enormous enormous subgaleal hematoma with epidural extension, accompanying occipital bone's destruction and hemophilia A could recover well as long as he is well treated.

<正>急性单纯性硬膜下血肿(ASH)是由于脑皮层动静脉或桥静脉破裂引起出血,血液在脑表面形成较大区域的血肿,从而对开颅骨瓣选择、出血点发现造成一定难度。现回顾性分析本院近10年102例急性单纯性硬膜下血肿CT征象,术中所见,复习文献加以总结。

颅脑损伤者常伴有各种不同程度的呼吸功能障碍,这是颅脑损伤后一系列病理生理改变的重要因素之一.一般临床常压吸氧难以纠正缺氧,同时呼吸道梗阻气管切开、深昏迷、病情危重的患者不适宜做高压氧舱.笔者采取氧合液静脉输入,纠正体内缺氧及脑缺氧,增加需氧含量,提高氧分压,在颅脑外伤早期,应用氧合液治疗的基础和临床研究鲜有报道.2004年9月至2005年6月,笔者采用双盲对照实验的方法治疗了50例急性颅脑损伤患者,取得较好疗效.现报告如下.