【摘要】 目的 探讨婴幼儿外伤性双额部硬膜下积液的治疗方法。方法 对31例婴幼儿外伤性双额部硬脑膜下积液，经前囟门穿刺硬膜下置管持续外引流治疗，引流时间3～12天，平均6.4天;引流量46～347ml，平均97ml。进行临床观察治疗。结果 积液完全消失21例;积液大部分消失7例，症状好转、积液减少2例;症状及积液量无变化1例行硬脑膜下-心房分流术。30例随访1个月及3个月2次颅脑CT复查，双额部硬膜下积液完全消失。结论 及时有效地前囟门穿刺，置管外引流硬脑膜下积液是治疗本病的有效方法。

    关键词 婴幼儿 外伤性 双额部 硬脑膜下积液 外引流

    Clinical study of the childhood traumatic bilated frontal subdural effusion(31cases reported) Nie Zhenming，Nie Yayi，Wang Zhaozhi

    Department of Neurosurgery，the First People’s Hospital of Jining，Shandong272111.

    【Abstract】 Objective To approach treatments of traumatic bilateral frontal subdural effusion in infants.Methˉods 31cases were treated with puncture and subdural continuous drainage through anterior fontanel，draianging time was3～12days，averaged6.4day;drainaging amount was46～347ml，averaged97ml.Results Effusion was vanished totally in21cases，the great mass of effusion was rainaged in7casess.In2cases，states of illness were improved and effusion was diminished.I cas

    es was treated with subdural-auricle shunt because of exacerbation.30cases were followed up for3months ......