钻孔外引流治疗儿童创伤性单侧后颅窝硬膜外血肿临床观察  

External drainage treatment of traumatic unilateral posterior cranial fossa epidural hematoma in children

作　　者：陈大普 韩宏杰[1] 

机构地区：[1]北大医疗集团平顶山中心医院神经外科,河南平顶山467000

出　　处：《中国实用神经疾病杂志》2018年第3期318-320,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨儿童创伤性后颅窝硬膜外血肿经钻孔外引流治疗的有效性和可行性。方法选取北大医疗集团平顶山中心医院2007-06—2016-06收治的儿童创伤性后颅窝单侧硬膜外血肿患者,均行钻孔外引流术,术中吸除大部分血肿,放置引流管,引流48~72h。结果本组20例儿童患者,15例血肿消除90%以上,5例血肿消除80%以上,手术时间40~50min,术后儿童患者临床症状改善明显,无严重并发症和后遗症,20例均治愈出院,平均住院时间11d。结论钻孔引流治疗儿童创伤性后颅窝单侧硬膜外血肿是一种有效、快速、安全、创伤性非常小的手术方法。Objective To evaluate the effect and feasibility of external drainage for drilling traumatic epidural hematoma in the posterior cranial fossa. Methods The children in our hospital with traumatic unilateral posterior fossa epidural hematoma from June 2007 to June 2016 were all treated with drilling drainage,hematoma suction,drainage with 48-72 hours. Results There were 20 cases of pediatric patients in this study. Over 90% hematoma eliminated in 15 cases, and over 80% hematoma eliminated in 5 cases. The operation time was 40-50 minutes, the clinical symptoms of pediatric patients were improved after surgery, with no seri- ous complications. They were all cured,the average hospitalization days was 11 days. Conclusion Drilling and drainage is an effec tive, rapid, safe and very small traumatic operation for the treatment of unilateral epidural hematoma in childreffs traumatic cranial fossa.

关 键 词：创伤性硬膜外血肿 后颅窝单侧钻孔引流术 儿童 枕骨骨折 头皮下血肿 

分 类 号：R651.15[医药卫生—外科学]