8 hours after the injury, the boy had a brain bleeding, and the doctor: the danger after the brain injury is 72 hours.

Author:Wuhan Evening News Time:2022.09.18

Wuhan Evening News, September 18th, fell from a slide about 1.5 meters high. The boy had no abnormalities at that time. In the early morning of 8 hours, he had a sudden hemorrhage. Fortunately, parents follow the doctor's advice and let their children be hospitalized to observe and get timely treatment. The doctor reminded that after the brain was traumatized, it was a dangerous period within 72 hours, and monitoring must be strengthened.

On the evening of September 9th, 8 -year -old boy Xiaofan played in the community, accidentally fell from a slide about 1.5 meters high, and hit his head. At that time, because the head was not obviously traumatic or bruised, the parents didn't care. In the evening, Xiao Fan kept shouting a headache and vomiting again. His parents became nervous and sent him to the Optics Valley Hospital of Wuhan Third Hospital to see a doctor.

In the emergency department, the doctor arranged Xiao Fan to receive a CT examination on the head, and the results showed that there was epidural hematoma on the left forehead, which means that there is intracranial hemorrhage, but because the amount of bleeding is not large, it is expected to be absorbed by himself. The situation is not serious. However, it is still recommended to let the child be hospitalized to observe and be closely monitored. For this reason, parents discussed in the hospital. Xiao Fan's mother felt that she should listen to the doctor, but her father thought that the child's headache improved, and his mind was very clear. There was no big deal. It was better to go home to observe, so as not to affect the class the next day.

"The head is traumatized, and sometimes delayed cerebral hemorrhage. The amount of bleeding was not large at the time, but it may continue to bleed or suddenly bleed suddenly. Once the treatment is not timely, life may be in danger." After the doctor's repeated communication, Xiao Fan's parents finally decided to obey the doctor's suggestion and let the child be hospitalized.

That night, the doctors and nurses on duty have been closely monitoring Xiao Fan's life signs, paying attention to the changes in heart rate, respiratory, and blood pressure, and observing his consciousness and pupil changes every 30 minutes. At 3 am on the 10th, unexpectedly, the nurse found that he could not wake up Xiaofan, and the response was obviously worse. The doctor immediately reviewed the head CT, showing that the intracranial hematoma increased significantly, and the surgery was urgently needed. Subsequently, immediately contacted neurosurgeons, prepared for emergency surgery, and cleared intracranial hematoma for Xiaofan.

After the operation, Xiaofan was closely monitored and rescued in the ICU ward. After 4 days, the condition was stable and transferred to a neurosurgery general ward. At present, children have recovered smoothly.

When a sudden bleeding, it has been about 8 hours before Xiao Fan's injury. Doctors said that this delayed cerebral hemorrhage is not uncommon clinically.

"When encountering accidental bumps, head injuries, delayed cerebral bleeding may occur. The most common is 3-7 hours after injury, but within 72 hours after the injury, it is a dangerous period. Obviously the symptoms ignore the injury. "Yang Luyu, a doctor of severe medical medicine at the hospital, reminded that after the head is traumatized, there are two periods of time to pay special attention: if there is continuous headache, dizziness, nausea, and vomiting in a short period of time after injury, Even if the consciousness is blurred, lethargic, fell asleep, coma, etc., you must seek medical treatment in time; if there is no abnormality at the time after the injury, you still need to pay special attention to whether the above symptoms will occur within 72 hours to prevent delayed cerebral bleeding. Essence (Reporter Wang Chunlan Correspondent Jiang Hongying Li Yan)

[Edit: Yu Lina]

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