摘要
目的 探讨小儿颅脑手术后硬膜下腔积液的原因和治疗方法。方法 对 35例 6个月～ 12岁颅脑手术后患儿的临床资料进行回顾性分析。结果 积液原因 :6例 (17.1% )为脑积水过度引流 ;18例 (5 1.4 % )为脑外积水 ;8例 (2 2 .9% )为脑塌陷 ;3例 (8.6 % )为蛛网膜囊肿开颅剥膜或行囊肿 腹腔分流术后积液。 2 3例 (6 5 .7% )为单侧硬膜下腔积液 ,12例 (34.3% )为双侧积液。治疗方法 :2 2例 (6 2 .9% )行保守治疗 ,4例 (11.4 % )单纯行硬膜下腔积液穿刺外引流 ,9例 (2 5 .7% )行硬膜下积液 腹腔分流术。结论 硬膜下积液必须认真对待 ,根据不同病因和临床表现 ,采取保守治疗、积液穿刺外引流和积液 腹腔分流术。
Objective To study the causes and therapy of postoperative subdural effusion in children.Methods Postoperative subdural effusion of 35 children who were treated at Tiantan Hospital are studied retrospectively.Their ages range from 6 months to 12 years old.Results 6 cases (17.1%) of subdural effusions due to over flow after ventricle peritoneal shunt;18 cases (51.4%) due to pericerebral hydrocephalus;8 cases (22.9%) due to brain collapse;3 cases ( 8.6 %) due to arachnoid cyst peritoneal shunt.23 cases (65.7%) subdural effusions are unilateral,12 cases (34.3%) are bilateral.22 cases (62.9%) of the patients were treated conservatively,4 cases (11.4%) were treated by drainage,9 cases (25.7%) were treated by subdural effusions peritoneal shunt.Conclusions We summarize three types:over flow due to ventricle peritoneal shunt;brain collapse after giant tumor operation and pericerebral hydrocephalus.Different therapy should be used according to symptom,physical examination,image and cause.
出处
《北京医学》
CAS
北大核心
2003年第4期224-225,共2页
Beijing Medical Journal
