婴幼儿颅骨骨膜下血肿并骨化的诊治分析

Clinical analysis of subperiosteal hematoma with skull ossification in neonates and infants

目的观察新生儿及婴幼儿颅骨骨膜下血肿的转归规律,探讨病程各时期的治疗措施,为婴幼儿颅骨骨膜下血肿并骨化诊治提供依据。方法回顾性分析我院收治的18例新生儿及婴儿颅骨骨膜下血肿并骨化患儿的病程转归与治疗结果,采用最佳方案进行治疗。结果 18例患儿中13例行血肿穿刺抽吸,3例反复复发者行持续负压血肿抽吸,2例血肿包膜完全骨化者行全麻下手术。经治疗后,本组18例患儿全部治愈。结论新生儿及婴儿骨膜下血肿需就病程各时期给予个性化治疗,血肿包膜有骨化者应根据情况尽早穿刺抽吸或血肿包膜全部骨化患者则应给予及时手术治疗。

Objective To observe the rule of prognosis and therapy experience of neonates and infants with subperiosteal hematoma with ossification in different period and provide the basis for diagnosis and treatment. Methods 18 neonates and infants with subperiosteal hematoma were treated in our hospital, and the suitable treatment was given. Results All the 18 pa- tients had good results. 13 patients were cured by puncture with needle; 3 patients were cured by puncture with needle under continuous negative pressure ,and 2 patients were cured by operation under general anesthesia. Conclusions Subperiosteal he- matoma in neonates and infants in different course should give individualized treatment. Haemostat and needle aspiration should be given to subcapsular hematoma with part ossification, while operation should be given as soon as patient with completely os sificationa.