How to handle the occurrence of blood similar to blood in the subcutaneous hematoma recovery period

Patient's question:

My son is 9 months old. He had an accidental injury and developed a hematoma under the scalp. We went to the Guangzhou Women and Children's Medical Center for treatment, and the recovery has been good. However, today when the child was crying, we noticed that there was a discharge similar to blood pus from the bandaged surgical wound on the forehead. I'm not sure if it's an infection or inflammation?

Doctor's answer:

Generally, smaller scalp hematomas do not require special treatment and can usually absorb on their own within 1 to 2 weeks. Larger hematomas often need to be aspirated through puncture while applying local compression and bandaging. Healing can be achieved after one or several treatments. If puncture treatment is ineffective, the hematoma does not subside or continues to enlarge, surgical hematoma removal and hemostasis may be necessary. For subperiosteal hematomas associated with skull fractures, it is important to be aware of the possibility of concurrent intracranial hematoma. All infected hematomas require surgical incision and drainage.

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