静脉留置针穿刺抽吸术后行持续负压引流治疗儿童帽状腱膜下血肿  

Treatment of children with subgaleal hematoma by venous indwelling needle aspiration and continuous negative pressure drainage

作　　者：周柯均[1] 王城[1] 雷媛[1] 廖君左[1] 王进[1] 张灿[1] 赵丹[1] 刘雪岚[1] 陈小波[1] 

机构地区：[1]川北医学院附属医院小儿外科,四川南充637000

出　　处：《中华小儿外科杂志》2011年第6期417-419,共3页Chinese Journal of Pediatric Surgery

摘　　要：目的探讨静脉留置针穿刺抽吸术后行持续负压引流方法治疗儿童帽状腱膜下血肿的临床效果。方法将45例儿童帽状腱膜下血肿的患儿分为两组。A组（治疗组）：采用静脉留置针穿刺抽吸术后行持续负压引流治疗24例。B组（对照组）：采用注射器穿刺抽吸联合加压包扎治疗21例。比较两组的穿刺次数、治愈时间、并发症例数的差异。结果穿刺次数：A组1次，B组（3．33±1.10）次。两组相比（t检验）差异有统计学意义（P〈0．01）。治愈时间：A组（2．63±0．97）d，B组（8．10±1．87）d。两组相比（t检验）差异有统计学意义（P〈0．05）。并发症例数：再次出血A组为0例，B组4例。两组相比（X^2检验）差异有统计学意义（X^2=5．017，P〈0．05）。血肿腔感染A组为0例，B组0例。结论静脉留置针穿刺抽吸术后行持续负压引流治疗儿童帽状腱膜下血肿，可一次性手术治愈，疗程短，并发症少，患儿痛苦小，疗效好，操作简便，是目前治疗儿童帽状腱膜下血肿较好的新方法，值得临床推广应用。Objective To investigate the treatment of children with subgaleal hematoma by venous indwelling needle aspiration combined with continuous negative pressure drainage. Methods Forty-five children with subgaleal hematoma were divided into two groups： 24 patients （group A） underwent puncture aspiration by venous indwelling needle combined with continuous negative pressure drainage, 21 patients （group B） underwent puncture aspiration by syringe combined with pressure bandaging. The times of puncture, healing time and complications were recorded and analyzed. Results The puncture times of groupA were significant less than those of group B （P〈0. 05）. The healing time of group A （2. 63 ± 0. 97 days） was significant shorter than that of group B （8.10 ± 1.87 days）. There were 4 cases of group B had rehaemorrhagia, no hematoma residual cavity infection happened in both groups. Conclusions It is an effective method to treat massive subgaleal hematoma by venous indwelling needle aspiration and continuous negative nressure drainage.

关 键 词：血肿 引流术 

分 类 号：R726.5[医药卫生—儿科]