婴幼儿良性硬膜下积液11例治疗分析

Diagnosis and treatment for innocent subdural collection of fluid in infants

目的探讨婴幼儿良性硬膜下积液的临床表现、诊断及治疗。方法2000—01～2007—06收治11例婴幼儿良性硬膜下积液，男8例，女3例，初诊年龄3～15个月，平均7．2个月。6例头围偏大（合并1例癫痫），4例轻微头外伤（合并1例生长发育迟滞）和另1例因偶然原因头颅CT发现异常后求诊。结果4例头外伤患儿均经穿刺或钻孔引流治疗积液无改善；7例未经手术治疗，其中1例癫痫患儿予抗癫痫治疗；所有患儿生后15～30个月积液消失，生长发育正常。结论婴幼儿良性硬膜下积液通常无临床症状，大部分可有头围大，少部分有癫痫、一过性生长发育迟滞等症状。CT是诊断的主要工具，该病为自限性疾病，多数不需治疗。

Objective To investigate the clinical presentation,diagnosis,and treatment of innocent subdural collection of fluid in infants. Methods Eleven infants（8 boys and 3 girls） were admited from January 2000 to June 2007. The age ranged from 3 to 15 months with a mean of 7.2 months. Results Subdural collection of fluid of 4 infants with head injury were not improved after operation,seven infants were not operated,one infant with epilepsy was reffered drugs against epilepsy; subdural collection of fluid of all infants dispeared between 15 and 30 months and they were normal. Conclusion Usually innocent subdural collection of fluid in infants have no clinical symptoms,most of patients have a bigger head circumference,and few of them have epilepsy and transient delay in grow. CT is a major diaglostic tool. Most of patients need closely observation but operation.