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Проявляется в виде опухоли на голове [1](https://ru.marus.care/directions/cephalohematoma). Особенность — гематома находится в пределах одной кости и не распространяется за её границы [1](https://ru.marus.care/directions/cephalohematoma). \n\nВыделяют кефалогематомы теменной (наиболее часто), лобной, затылочной (распространены реже) и височной (очень редкая локализация) [3](https://ru.wikipedia.org/wiki/%D0%9A%D0%B5%D1%84%D0%B0%D0%BB%D0%BE%D0%B3%D0%B5%D0%BC%D0%B0%D1%82%D0%BE%D0%BC%D0%B0).\n\n\n\n## Причины\nОсновная причина — **травмы родовых путей** при прохождении головы новорождённого [1](https://ru.marus.care/directions/cephalohematoma). К провоцирующим факторам относятся: \n* длительные или стремительные роды [1](https://ru.marus.care/directions/cephalohematoma); \n* использование акушерских инструментов (щипцов, вакуум-экстрактора) [1](https://ru.marus.care/directions/cephalohematoma); \n* крупный размер ребёнка [1](https://ru.marus.care/directions/cephalohematoma); \n* несоответствие таза матери и головы плода [1](https://ru.marus.care/directions/cephalohematoma); \n* неправильное предлежание плода [1](https://ru.marus.care/directions/cephalohematoma). \n\nВ редких случаях кефалогематома — следствие нарушений гемостаза (свёртывающей системы крови) у ребёнка, например, при гемофилии или тромбоцитопении [5](https://mc21.ru/articles/kefalogematoma-u-novorozhdennykh/).\n\n## Симптомы\n**Основной признак** — припухлость или выпуклость на голове новорождённого [5](https://mc21.ru/articles/kefalogematoma-u-novorozhdennykh/). Она может располагаться в любой части головы, но чаще всего локализуется в области теменных или затылочных костей [5](https://mc21.ru/articles/kefalogematoma-u-novorozhdennykh/). \n\n**Характерные особенности**: \n* чёткие границы образования, которые не переходят на соседние кости черепа [5](https://mc21.ru/articles/kefalogematoma-u-novorozhdennykh/); \n* плотноэластическая или тестоватая консистенция припухлости [5](https://mc21.ru/articles/kefalogematoma-u-novorozhdennykh/); \n* безболезненность образования при пальпации [5](https://mc21.ru/articles/kefalogematoma-u-novorozhdennykh/); \n* отсутствие изменений цвета кожи над образованием [5](https://mc21.ru/articles/kefalogematoma-u-novorozhdennykh/); \n* образование не пульсирует и не увеличивается в размерах при крике ребёнка [5](https://mc21.ru/articles/kefalogematoma-u-novorozhdennykh/). \n\nКлинические проявления обычно возникают не сразу после рождения, а спустя несколько часов или даже дней [5](https://mc21.ru/articles/kefalogematoma-u-novorozhdennykh/).\n\n## Диагностика\n**Диагноз ставится на основании осмотра и истории родов** [1](https://ru.marus.care/directions/cephalohematoma). Для уточнения применяют: \n* ультразвуковое исследование головы [1](https://ru.marus.care/directions/cephalohematoma); \n* нейросонографию при подозрении на внутричерепные повреждения [1](https://ru.marus.care/directions/cephalohematoma); \n* анализ крови для оценки уровня гемоглобина и билирубина [1](https://ru.marus.care/directions/cephalohematoma).\n\n## Лечение\n**В большинстве случаев кефалогематома рассасывается самостоятельно** без лечения [1](https://ru.marus.care/directions/cephalohematoma). Рекомендуется регулярное наблюдение за состоянием гематомы у педиатра [11](https://kirsanovkids.ru/napravleniya/rodovaya-i-bitovaya-travma/kefalogematoma/). \n\n**При крупных гематомах**, вызывающих осложнения или не рассасывающихся длительно, может потребоваться **пункция** — удаление содержимого [1](https://ru.marus.care/directions/cephalohematoma)[11](https://kirsanovkids.ru/napravleniya/rodovaya-i-bitovaya-travma/kefalogematoma/). \n\n**После пункции или при выжидательной тактике** важно соблюдать покой, не допускать травмирования головы, регулярно посещать врача для контроля, следить за признаками воспаления [1](https://ru.marus.care/directions/cephalohematoma). \n\n**Возможные осложнения**: анемия, желтуха, инфицирование, кальцификация гематомы [1](https://ru.marus.care/directions/cephalohematoma). При своевременном лечении прогноз благоприятный, кефалогематома обычно рассасывается полностью [1](https://ru.marus.care/directions/cephalohematoma).","linksData":[{"sourceId":1,"url":"https://ru.marus.care/directions/cephalohematoma","shownUrl":"https://ru.marus.care/directions/cephalohematoma","title":"Кефалогематома — лечение, первые признаки, диагностика | MARUS для граждан России","shortUrl":"ru.marus.care","isTranslated":false,"description":"","greenUrl":"ru.marus.care"},{"sourceId":2,"url":"https://www.smdoctor.ru/disease/kefalogematoma-u-rebenka/","shownUrl":"https://www.smdoctor.ru/disease/kefalogematoma-u-rebenka/","title":"Кефалогематома у ребенка - причины, симптомы и методы лечения детских болезней в «СМ-Клиника» для детей и подростков","shortUrl":"smdoctor.ru","isTranslated":false,"description":"","greenUrl":"smdoctor.ru"},{"sourceId":3,"url":"https://ru.wikipedia.org/wiki/%D0%9A%D0%B5%D1%84%D0%B0%D0%BB%D0%BE%D0%B3%D0%B5%D0%BC%D0%B0%D1%82%D0%BE%D0%BC%D0%B0","shownUrl":"https://ru.wikipedia.org/wiki/%D0%9A%D0%B5%D1%84%D0%B0%D0%BB%D0%BE%D0%B3%D0%B5%D0%BC%D0%B0%D1%82%D0%BE%D0%BC%D0%B0","title":"Кефалогематома — Википедия","shortUrl":"ru.wikipedia.org","isTranslated":false,"description":"","greenUrl":"ru.wikipedia.org"},{"sourceId":4,"url":"https://polyclinika.ru/direction2/pediatriya/kefalogematoma/","shownUrl":"https://polyclinika.ru/direction2/pediatriya/kefalogematoma/","title":"Кефалогематома - причины, степени, симптомы, последствия, диагностика, лечение","shortUrl":"polyclinika.ru","isTranslated":false,"description":"","greenUrl":"polyclinika.ru"},{"sourceId":5,"url":"https://mc21.ru/articles/kefalogematoma-u-novorozhdennykh/","shownUrl":"https://mc21.ru/articles/kefalogematoma-u-novorozhdennykh/","title":"Кефалогематома у новорожденных: причины, симптомы и лечение","shortUrl":"mc21.ru","isTranslated":false,"description":"","greenUrl":"mc21.ru"},{"sourceId":6,"url":"https://yandex.ru/health/turbo/articles?id=7037","shownUrl":"https://yandex.ru/health/turbo/articles?id=7037","title":"Кефалогематома","shortUrl":"yandex.ru","isTranslated":false,"description":"","greenUrl":"yandex.ru"},{"sourceId":7,"url":"https://www.KrasotaiMedicina.ru/diseases/children/cephalohematoma","shownUrl":"https://www.KrasotaiMedicina.ru/diseases/children/cephalohematoma","title":"Кефалогематома - причины, симптомы, диагностика и лечение","shortUrl":"KrasotaiMedicina.ru","isTranslated":false,"description":"","greenUrl":"KrasotaiMedicina.ru"},{"sourceId":8,"url":"https://apteka.ru/blog/articles/zdorovyy-rebenok/kefalogematoma-govorim-o-rodovom-travmatizme/","shownUrl":"https://apteka.ru/blog/articles/zdorovyy-rebenok/kefalogematoma-govorim-o-rodovom-travmatizme/","title":"Кефалогематома:-что это у новорожденных, причины, лечение, последствия","shortUrl":"apteka.ru","isTranslated":false,"description":"","greenUrl":"apteka.ru"},{"sourceId":9,"url":"https://semeynaya.ru/directions/pediatriya/Kefalogematoma/","shownUrl":"https://semeynaya.ru/directions/pediatriya/Kefalogematoma/","title":"Кефалогематома","shortUrl":"semeynaya.ru","isTranslated":false,"description":"","greenUrl":"semeynaya.ru"},{"sourceId":10,"url":"https://ProBolezny.ru/kefalogematoma/","shownUrl":"https://ProBolezny.ru/kefalogematoma/","title":"Кефалогематома: что это у новорожденных, причины, лечение, последствия в статье остеопата Месяцева С. 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