钻孔引流治疗儿童创伤性单侧后颅窝硬膜外液态血肿（30例报告）

摘要

目的：探讨钻孔引流儿童创伤性单侧后颅窝硬膜外液态血肿的可行性与疗效。方法对2001年1月～2014年1月采用钻孔引流的30例儿童创伤性单侧后颅凹硬膜外液态血肿患者资料进行回顾性分析。在局麻（1％盐酸利多卡因）加基础麻醉（异丙酚）下，在血肿最厚处钻孔（直径1．0cm），吸除大部分液态血肿，放置引流管，引流24～48h。结果本组30例中25例全部清除，5例清除90％左右，手术时间约30min。术后患者临床症状迅速改善，无严重后遗症发生。全部治愈出院，平均住院7d。结论钻孔引流治疗儿童创伤性单侧后颅凹硬膜外液态血肿是一种创伤小、安全、快速、有效的手术方法。%Objective To explore the feasibility and efficacy of the drill -hole drainage in treating unilat-eral traumatic pediatric liquid epidural hematoma in the posterior fossa .Methods Thirty cases of unilateral trau-matic pediatric posterior fossa liquid epidural hematoma were retrospectively analyzed ,who were treated with drill-hole drainage from Jan.2001 to Jan.2014.Under local anesthesia(1%lidocaine hydrochloride) plus basic anes-thesia(propofol),the skull at the thickest hematoma level (the diameter was 1.0 cm) was drilled,most of hematoma was sucked,and drainage pipe was placed for 24 to 48h.Results Hematoma was totally removed in 25 of 30 cases and 90%of hematoma was removed in the remaining 5 cases.The duration of surgery was about 30 min.All the pa-tients recovered soon after the operation without serious complications .The average hospital stay was 7d.Conclu-sion The drill-hole drainage is a minimally invasive ,safe,and effective surgical method for treating unilateral trau-matic pediatric liquid epidural hematoma in the posterior fossa .