Patient's question:
I got into a fight a few years ago``I took a few heavy punches to the head, felt dizzy for a moment, and for half a second, it felt like the sky turned red, my hair was also forcefully pulled``It was so painful``I felt like my scalp was about to be torn off, did the fight affect my head?Doctor's answer:
According to the location of the hematoma, it can be divided into three types: subcutaneous hematoma, subgaleal hematoma, and subperiosteal hematoma.Subcutaneous hematoma is relatively localized, without fluctuation, and slightly harder at the periphery than in the center. It may be mistaken for a depressed fracture. If necessary, an X-ray can be taken for differentiation. This type of hematoma generally does not require treatment and usually resolves on its own within a few days.
Subgaleal hematoma is larger and may extend to the entire head, unrestricted by the cranial sutures. It feels softer and has a noticeable fluctuation. A large subgaleal hematoma in infants and young children can cause anemia or even shock. For smaller hematomas, pressure bandaging can be applied to allow spontaneous absorption. If the hematoma is larger, it should be aspirated under strict skin preparation and disinfection, followed by pressure bandaging.