CAJ | 학술논문

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.
목적 비교궤충소인외상성경막하적액적치료방법.방법 63례영유인경막하적액,35례행찬공경막하치관외인류술,기중2례개행경막하-복강분류술,1례개행개로적액포막절제술;28례보수치료.결과 35례행찬공경막하치관인류술적환자,18례전유,14례호전,3례무효;28례보수치료적환자,20례전유,8례호전;2례경막하강-복강분류술급1례개로수술적액포막절제술적환자균전유.전조무수술감염급사망.결론 영유인외상성경막하적액적치료,시구체정황가수술화보수치료,수술치료이경막하치관외인류술위수선.
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 1 of which changdely underwent craniotomy capsularectomy,and another 28 cases were treated by conservative treatment.Results In the 35 cases underwent subdural atheter drainage,healed 18 ,useful 14,effective 3.In the 28 cases underwent conservative treatment ,healed 20,useful 8.2 cases underwent subduralloperitoneal shunt and 1case underwent craniotomy capsularectomy had healed.In the group,therc is no surgical infection and death.Conclusion In treatment of infants and young chinldren with raumatic subdral effusionin,surgical treatment or conservative treatment shoud be applicated accoding to accurence.Subdural catheter drainage for subdural effusionin is the fist treatment of surgical treatment.