静脉留置针穿刺抽吸术后行持续负压引流治疗儿童帽状腱膜下血肿.pdfVIP

中华小儿外科杂志2011 年6 月第 32 ~毒第 6 期 Chin J Pediatr Surg.June 2011 ,VoL 32.No. 6 417 ，临床研究， 静脉留置针穿刺抽吸术后行持续负压引流 治疗儿童帽状脆膜下血肿 周柯均正城常缺廖君在五进张灿赵丹刘曹岚陈小波 E摘粟 目的 探讨静脉留置针穿刺抽吸术后行持维负应引流方法治疗儿童帽状臆鹏下血肿的 临床效巢。方法将45 例儿童帽状晦膜下血肿的患儿分为两辙。 A组(榆疗组):来用静脉留置针穿 刺抽吸水厨行持续负压号|流治疗 24 例。 B 姐(对照组) :采用性射器穿刺抽吸联合加压也扎治疗 21 例，比较两组的穿刺次数、怡愈时间、并发疲例敬的差异。结果 穿刺次数:A 组 1 眩，日组3.33 土 1. 10)次。两组相比(t 检瞌)差异有统计学意义(PO.01) 。抬愈时间:A 细(2.63 太 O.97)d， B 组 (8 , 10 士1. 87)d。两组相比(t 枪验)差异有统计学意义(PO.O日。并发症例数g 再次出血A 组为。 例，B 组4 例。两组相比(i检验)差异有统计学意义i 且 5. 017 ,PO. 05) 。血肿腔感染 A 组为 0 例.B 组0 例。结论 静脉阳最针穿刺抽咂术脂行持续负ffi号|流油疗儿童帽状臆鹏下血肿，可…lX性 手术治愈，疗程姬，并发症少，患儿痛苦小，疗效好，操作简便，是目前泊疗儿童帽状脏膜下血肿较好的 新方法，值得临床推广应用。 E关键词】 血ßIþ ;引流术 Treatment of children wi仙协IωI hematoma by venous indwelling needle 即iration andωntinuous n鸣ative pressw咆由现inage ZHοUK e-jun ,WANG Cheng. LEI Yuan. LIAO]un-ztω， WANG]in. ZHANG(坝， ZHAO Dan , LIU Xue-lαn ， CHEN Xiacr加• Department 01 Pediatric Surgery , the Affiliated Hosρital ， North Sichuan Medical 仇llege ， Nanchong 6370()O , China Corresponding author: WANG Cheng ， Sωmail: : tuangchengemαi/@126.com (Abstract] Objective To investigate the treatment of children with subgaleal hematoma by ve- nous indwelling needle aspiration comhined with continuous negative pressure drainage. Meth创Is For- t沪five children with subgaleal hematoma were divided into two groups: 24 patients (group A) under- went puncture aspiration by venous indwelling needle combined with contínuous negative pressure draínage , 21 patients (group B) underwent puncture aspíration by syringe comhíned with pressure bandaging. 丁he times of puncture. healíng time 8nd complicatíons were recorded and analyzed. ResuJts The puncture tímes of groupA were significant less than those of group B (PO.O日. The healing tíme of group A (2. 63 土 0.97 days) was significant shorter than that of