中华小儿外科杂志
中華小兒外科雜誌
중화소인외과잡지
CHINESE JOURNAL OF PEDIATRIC SURGERY
2012年
12期
881-885
,共5页
婴儿,新生儿%颅骨骨折%治疗
嬰兒,新生兒%顱骨骨摺%治療
영인,신생인%로골골절%치료
Infant,newborn%Skull fractures%Therapy
目的 探讨非手术方式治疗新生儿单纯颅骨凹陷性骨折的可行性.同时结合文献复习,期望为新生儿颅骨凹陷骨折提供一个合理的治疗方案.方法 回顾分析1997年8月至2012年2月非手术治疗的11例新生儿单纯颅骨凹陷性骨折的临床转归.全部病例均是出生后即发现颅骨凹陷.入院年龄为出生后9h～17d,凹陷深度0.3～1.0 cm,其中6例凹陷深度＞0.5 cm.合并颅内出血4例,有神经系统症状1例.10例采取观察,待其自然恢复；1例采取产科负压吸引器抽吸颅骨凹陷.结果 10例观察患儿颅骨凹陷在1～7个月后恢复,没有后遗神经系统并发症;1例颅骨凹陷使用产科负压吸引器抽吸后,颅骨凹陷立即恢复.复查脑CT,原有颅内出血灶无增大,颅内颅外也未见新出血灶及病变.结论 非手术疗法可成为新生儿单纯颅骨凹陷性骨折之选择；在不增加危险的情况下,负压抽吸术是一种快速解决更大而深骨折凹陷的选择,还可以减轻患儿家属的焦虑情绪.
目的 探討非手術方式治療新生兒單純顱骨凹陷性骨摺的可行性.同時結閤文獻複習,期望為新生兒顱骨凹陷骨摺提供一箇閤理的治療方案.方法 迴顧分析1997年8月至2012年2月非手術治療的11例新生兒單純顱骨凹陷性骨摺的臨床轉歸.全部病例均是齣生後即髮現顱骨凹陷.入院年齡為齣生後9h～17d,凹陷深度0.3～1.0 cm,其中6例凹陷深度＞0.5 cm.閤併顱內齣血4例,有神經繫統癥狀1例.10例採取觀察,待其自然恢複；1例採取產科負壓吸引器抽吸顱骨凹陷.結果 10例觀察患兒顱骨凹陷在1～7箇月後恢複,沒有後遺神經繫統併髮癥;1例顱骨凹陷使用產科負壓吸引器抽吸後,顱骨凹陷立即恢複.複查腦CT,原有顱內齣血竈無增大,顱內顱外也未見新齣血竈及病變.結論 非手術療法可成為新生兒單純顱骨凹陷性骨摺之選擇；在不增加危險的情況下,負壓抽吸術是一種快速解決更大而深骨摺凹陷的選擇,還可以減輕患兒傢屬的焦慮情緒.
목적 탐토비수술방식치료신생인단순로골요함성골절적가행성.동시결합문헌복습,기망위신생인로골요함골절제공일개합리적치료방안.방법 회고분석1997년8월지2012년2월비수술치료적11례신생인단순로골요함성골절적림상전귀.전부병례균시출생후즉발현로골요함.입원년령위출생후9h～17d,요함심도0.3～1.0 cm,기중6례요함심도＞0.5 cm.합병로내출혈4례,유신경계통증상1례.10례채취관찰,대기자연회복；1례채취산과부압흡인기추흡로골요함.결과 10례관찰환인로골요함재1～7개월후회복,몰유후유신경계통병발증;1례로골요함사용산과부압흡인기추흡후,로골요함립즉회복.복사뇌CT,원유로내출혈조무증대,로내로외야미견신출혈조급병변.결론 비수술요법가성위신생인단순로골요함성골절지선택；재불증가위험적정황하,부압추흡술시일충쾌속해결경대이심골절요함적선택,환가이감경환인가속적초필정서.
Objective The purpose of this study is to offer a rational principle for neonate suffering from skull simple depressed fractures through the investigation of non-surgical therapy and relevant references review.Methods Between August 1997 and February 2012,total 11 neonates underwent non-surgical treatment in our department and better efficacy was found in them.Their clinical data was reviewed and analyzed.All of them were diagnosed as skull depressed fractures in post-born and admitted once definite diagnosis.The depressed depth ranged from 0.3 cm to 1.0 cm in depth and 6 of them were more than 0.5 cm.4 cases were found to be complicated with intracranial hemorrhage,only 1 case presented nervous symptoms.10 cases underwent the conservative therapy and vacuum extraction was performed in 1 case.Results Spontaneous restoration was observed in 10 patients within a period ranging from 1 to 7 months and no neurological deficits was found in them.1 case who underwent vacuum extraction recovered without complications.Conclusions non-surgical therapy can be a reasonable option for neonates with skull simple depressed fractures.Under the situation of safety,vacuum extraction is also an approach in therapy of neonate with deeper depressions,which contributes to relieve anxieties to their family.
