新生儿颈部肿块较大

Jessica Joanne Thompson, Sarah Kidd, Lucinda C Winckworth
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摘要

一名患有多胎妊娠的足月男婴是通过剖腹产分娩的。他的家族史中有一个兄弟姐妹患有爱德华综合症。他出生时需要无创呼吸支持,并被送入新生儿病房。他的枕部有一个隆起的肿块(图 1),大小为 8×6 厘米,肿块中央呈黄色,周围边缘有紫色的卷曲易碎皮肤和覆盖的毛细血管扩张。肿块上方可摸到有力的脉搏。图 1 枕骨底部发现巨大颈部肿物。婴儿的血流动力学保持稳定(入院血压 69/37mmhg),血红蛋白(152 克/升)和血小板计数(149×109/升)均为正常值。他被转到一家三甲医院,超声检查(USS)显示有一个肿块,肿块内部血管流量很大(图 2)。核磁共振成像显示颈后软组织内有一个巨大的先天性血管畸形,并确定了大的供血和引流血管。图 2 B 型超声图像 ...
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Neonate with a large neck mass
A male term infant, with polyhydramnios, was delivered by caesarean section. Family history included a sibling with Edward’s syndrome. He required non-invasive respiratory support at birth and was admitted to the neonatal unit. A raised occipital mass was noted (figure 1), measuring 8×6 cm, with central yellow pallor and surrounding margins of purple convoluted friable skin and overlying telangiectasia. There was a strong palpable pulse felt above the mass. Figure 1 Large neck swelling noted on base of occiput. The baby remained haemodynamically stable (admission blood pressure 69/37mmhg) with normal values for both haemoglobin (152 g/L) and platelet count (149×109/L). He was transferred to a tertiary hospital where ultrasound (USS) demonstrated a mass with high intralesional vascular flow (figure 2). MRI demonstrated a large congenital vascular anomaly within the posterior neck soft tissues and identified large feeding and draining vessels. Figure 2 B-mode ultrasound image …
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