【摘要】 目的 比较几种小儿外伤性硬膜下积液的治疗方法。方法 63例婴幼儿硬膜下积液,35例行钻孔硬膜下置管外引流术,其中2例改行硬膜下-腹腔分流术,1例改行开颅积液包膜切除术;28例保守治疗。结果 35例行钻孔硬膜下置管引流术的患者,18例痊愈,14例好转,3例无效;28例保守治疗的患者,20例痊愈,8例好转;2例硬膜下腔-腹腔分流术及1例开颅手术积液包膜切除术的患者均痊愈。全组无手术感染及死亡。结论 婴幼儿外伤性硬膜下积液的治疗,视具体情况可手术和保守治疗,手术治疗以硬膜下置管外引流术为首选。

    【关键词】 外伤性硬膜下积液;婴幼儿;外科手术治疗

    Surgery Treatment of infants and young children traumatic subdral effusionin

    HAN Pei-jun,ZHANG Rui-hua,LIU Kun,et al.The Second Hospital of Liaocheng Taishan Medical College,Linqing 252600,China;2.Lin-qing Woman and Child Health Hospital,Linqing 252600,China

    【Abstract】 Objective To campare the treatment of infants and young chinldren traumatic subdral effusionin.Methods Among the 63 infants and young chinldren with traumatic subdral effusionin,35 cases underwent trepanation subdural atheter drainage,2 of which changdely underwent subduralloperitoneal shunt and 1of which changdely underwentcraniotomy capsularectomy,and another 28 cases were treated by conservative treatment.Results ......