Wu Shuihua,Chen Zhaohui,Fan Shuangshi,et al.Surgical treatments of intracranial hemorrhages in neonates and infants under 3 months of age[J].Journal of Clinical Pediatric Surgery,2019,18(09):748-751.[doi:10.3969/j.issn.1671-6353.2019.09.008]
3月龄以内婴儿颅内出血并血肿形成手术治疗方案的初步探讨
- Title:
- Surgical treatments of intracranial hemorrhages in neonates and infants under 3 months of age
- Keywords:
- Intracranial Hemorrhages/SU; Infant; Newborn; Clinical Protocols
- 分类号:
- R726.1;R651.1+1;R743.34
- 摘要:
- 目的 初步探讨3月龄以内婴儿颅内出血并血肿形成的外科治疗最佳方案。方法 以2014年1月至2018年12月于湖南省儿童医院接受手术治疗的10例颅内出血并血肿形成患儿为研究对象，对其临床资料进行回顾性分析。10例中采用钻孔引流术2例，开颅血肿清除术8例，并随访所有患儿的治疗结局。结果 本组病例最长随访时间为4年。综合股脑动脉DSA造影和病理诊断结果，共4例明确诊断为颅内动静脉畸形并出血。随访结果显示发育良好8例，轻度异常并接受康复治疗1例，死亡1例。结论 对于3月龄以内婴儿的颅内出血并血肿，早期在已做好必要准备的情况下，合理选用外科手术治疗可有效降低患儿死亡率、致残率，改善预后。
- Abstract:
- Objective To explore the optimal surgical approach for intracranial hemorrhage and hematoma formation within 3 months of age.Methods The clinical data were retrospectively analyzed for 10 children with intracranial hemorrhage and hematoma formed by surgical operation at Hunan Children’s Hospital from January 2014 to December 2018.Drilling drainage (n=2) and hematoma evacuation (n=8) were performed and the outcomes followed up.Results The longest follow-up time was 4 years.A total of 4 cases were diagnosed as intracranial arteriovenous malformations and hemorrhage.Follow-up outcomes were excellent development (n=8),mild abnormalities & rehabilitation (n=1) and mortality (n=1).Conclusion For intracranial hemorrhage and hematoma within 3 months of age,rational surgery can effectively reduce the rates of mortality and disability and improve the prognosis of children with early preparation.
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备注/Memo
收稿日期:2019-03-21。
基金项目:湖南省医药卫生科研计划项目（编号：B2017118）
通讯作者:沈沉浮,Email:cf_shen@126.com