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为探寻小婴儿自发性颅内出血最佳治疗方法,我们对56例小婴儿自发性颅内出血先予补充维生素K_1,输新鲜血,配合使用甘露醇、激素、止痉药等综合治疗;在此基础上予外科手术治疗,清除硬脑膜下积血,置管冲洗蛛网膜下腔出血,并在术后常规预防性抗癫痫治疗。术后随访显示满意疗效。文中分析此年龄段自发性颅内出血的原因、内科综合治疗的作用与外科手术治疗必要性,对不同类型颅内血肿的特点、相应的手术方法、影响手术疗效的因素进行讨论。
In order to explore the best treatment for spontaneous intracranial hemorrhage in infants, 56 cases of spontaneous intracranial hemorrhage in young infants were given vitamin K_1 supplemented with fresh blood and combined with mannitol, hormones and antispasmodics. Based on this, Surgical treatment, removal of subdural hemorrhage, catheterization of subarachnoid hemorrhage, and postoperative general preventive antiepileptic treatment. Follow-up showed satisfactory results. This article analyzes the causes of spontaneous intracranial hemorrhage at this age, the role of comprehensive medical treatment and the necessity of surgical treatment, the characteristics of different types of intracranial hematoma, the corresponding surgical methods, the factors that affect the surgical efficacy are discussed.