What Is a Common Hematoma Treatment?

Subcutaneous hematoma (Ecchymosis) is bleeding under the skin greater than 10 mm in diameter. The blood in the blood vessels (usually capillaries) seeps out of the blood vessels for various abnormal reasons, accumulates inside and under the skin, and forms a hematoma (Subcutaneous Hematoma). Hematomas with a diameter of less than 2 mm are called bleeding points; those with a diameter of 3 to 5 mm or more that do not fade are called purpura; those with a diameter of more than 5 mm are mostly caused by trauma and are called ecchymoses; diameters greater than 10 mm are local Subcutaneous hematomas are bulging or fluctuating. Subcutaneous hematoma should be treated according to the cause.

Basic Information

English name
ecchymosis
Visiting department
General Surgery, Hematology
Common causes
Vessel wall is damaged and blood leaks out of the blood vessel
Contagious
no

Causes of subcutaneous hematomas and common diseases

The blood vessel wall is damaged, causing blood to leak from the inside of the blood vessel to the outside of the blood vessel, forming a subcutaneous hematoma.
Common diseases and typical symptoms:
(1) Scalp hematoma: subcutaneous hematoma, swelling of soft tissue, etc.
(2) Acromion fracture: limited shoulder movement, subcutaneous hematoma, upper limb abduction, etc.
(3) Scalp injury: trauma, severe pain, skull fracture, intracranial hemorrhage, subcutaneous hematoma, etc.
(4) Sprain of the ankle: edema of the ankle and the back of the foot, swelling of the ankle, pain and swelling in the sub-ankle area, subcutaneous hematoma, etc.
(5) Fracture of the sacrum: sacrum pain, subcondylar pain, skin abrasion, subcutaneous hematoma, etc.
(6) Subcondylar dermal cysts: jaw cysts, subcutaneous nodules, subcutaneous cysts, subcutaneous hematomas, etc.
(7) There is no subcutaneous hematoma in pediatric and pediatric patients, so he should be alert to blood diseases that cause coagulopathy.

Differential diagnosis of subcutaneous hematoma

Subscalp hematoma
Scalp hematoma is mostly caused by blunt injuries. According to the specific level of hematoma appearing in the scalp, it can be divided into subcutaneous hematoma, subcapsular aponeurotic hematoma and subperiosteal hematoma.
Subcutaneous cyst
A subcutaneous cyst refers to a pathological structure that occurs in the dermis or subcutaneously, has a cystic cavity structure, has a cyst wall outside, and contains liquid or other components inside.
3. Subcutaneous emphysema
There is subcutaneous emphysema in the subcutaneous tissue of the chest when the volume of air is stored. The pressure can touch the twisted hair or feel the snow.

Subcutaneous Hematoma Examination

1. Physical examination: local bulging or undulations are visible.
2. Local puncture: blood or bloody fluid can be drawn out.
3. B-ultrasound: Superficial B-ultrasound can clearly show the size and location of subcutaneous hematomas.
4. Other inspections: X-ray inspection, CT inspection, color Doppler ultrasound inspection, etc.
5. Blood routine and coagulation tests.

Subcutaneous hematoma treatment principles

Find out whether the cause of the hematoma is trauma or blood disease, and treat the cause.

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