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目的探讨小儿外伤后硬膜下积液的诊断和外科治疗。方法总结61例小儿外伤性硬膜下积液,均由CT或MRI确诊,根据积液量和病程,采取手术治疗,观察疗效。结果前囟侧角穿刺16例,颅骨钻孔硬膜下腔置管外引流38例,7例开颅清除硬膜下积液,切除积液囊壁。术后痊愈46例,好转10例,无效0例,死亡2例。结论小儿外伤性硬膜下积液患儿可根据不同的积液量和病程,采用相应的治疗措施,如原发脑病损伤不重,治疗及时、合理,预后良好。
Objective To investigate the diagnosis and surgical treatment of subdural effusion after pediatric trauma. Methods 61 cases of pediatric traumatic subdural effusion were diagnosed by CT or MRI, according to fluid volume and duration of surgery to observe the effect. Results Sixteen cases of anterior lateral fontanelle puncture and 38 cases of extradural drainage were obtained by skull drilling, and 7 cases underwent craniotomy to remove the subdural effusion and remove the effusion wall. 46 cases were cured, 10 cases improved, 0 cases ineffective, and 2 cases died. Conclusion Children with traumatic subdural effusion in children with different volume and duration of effusion, the use of appropriate treatment measures such as primary encephalopathy injury is not heavy, timely and reasonable treatment, good prognosis.