论文部分内容阅读
慢性硬脑膜下血肿(CSDH)是临床常见的颅脑损伤,属于中医伤科“头部内伤”范畴。小儿慢性硬脑膜下血肿以双侧居多,常由产伤和外伤引起,症状常见嗜睡、头颅增大、顶骨膨隆、囟门凸出、抽搐、痉挛和视乳头水肿等特点,类似脑积水,治疗难度较大,病情易反复[1]。目前,手术仍是西医治疗小儿CSDH的主要手段,但由于小儿血容量少,血压调节能力差,对失血的耐受力差,手术期间引起的颅内出血极易导致神经性低血压[2],加之小儿免疫力不足,术中血肿清除不尽而继发感染等情况时有发生[3],给患儿和家属身体、精神与经济上均带来沉重负担。
Chronic subdural hematoma (CSDH) is a common clinical brain injury, which belongs to the category of traditional Chinese medicine and traumatic head injury. Chronic subdural hematoma in children on both sides of the majority, often caused by birth trauma and trauma, symptoms common drowsiness, head increased, swelling of the parietal bone, fontanelle protruding, convulsions, spasms and papilledema and other characteristics, similar to hydrocephalus, treatment More difficult, easy to repeat the disease [1]. Currently, surgery is still the main method of Western medicine treatment of children with CSDH, but due to less blood volume in children, poor blood pressure regulation, poor tolerance to blood loss, intracranial hemorrhage caused during surgery can easily lead to neurogenic hypotension [2], Coupled with inadequate immunity in children, intraoperative hematoma and secondary infection, etc. have occasionally occurred [3], to the children and their families, both physically and mentally and economically, a heavy burden.