【摘要】 目的 介绍经前囟密闭式静脉留置针穿刺联合尿激酶注入引流治疗婴儿外伤性硬膜下血肿,探讨以静脉留置针经前囟穿刺引流在婴儿外伤性硬膜下血肿治疗中的临床应用及治疗效果。方法 以管径0.7 mm密闭式静脉留置针于血肿侧前囟外侧角穿刺,接引流管持续引流,并间断注入尿激酶碎溶血肿以利引流,引流3~7 d后拔管。结果 经前囟静脉留置针穿刺引流治疗婴儿外伤性硬膜下血肿操作简单、创伤小、避免张力性气颅、感染率低、医疗费用低,治愈率高等优点,有临床实用价值。

    【关键词】婴儿外伤性硬膜下血肿;前囟;尿激酶;静脉留置针

    IV cathter system stabs into anterior fontanel which is used in therapy infantile traumatic subdural hematoma

    GUO Yu-chen,LV Xiao-fei,XIA Kai,et al.Department of Neurosurgery,the Second People’s Hospital of Liaocheng,Linqing 252600,China

    【Abstract】 Objective To introduce closed IV cathter system stabs into anterior fontanel associated withurokinase injection which is used in therapy infantile traumatic subdural hematoma,and then analysis its clinical application and curative effect.Methods Stab the lateral angle of anterior fontanel aside of hematoma with 0.7 mm closed IV cathter system,connect with a tube draining consecutively,inject urokinase interruptablely,and then extubate in 3~7 days.Results This is a simple and micro-impaired means in therapy infantile traumatic subdural hematoma,it is also some other advantages such as avoiding tension pneumocephalus、low infection rate、low health care cost、high cure rate etc,and has practical value. ......