乳幼児急性硬膜下血腫の治療—Tapping Only MethodとそのFollow-up

Treatment of Subdural Hematoma in Infancy: Tapping Only Method and a Follow-up Study

Ⅰ．はじめに

　乳幼児急性硬膜下血腫は2歳以下の乳幼児で比較的軽度な頭部外傷後の痙攣発作および意識障害を初発症状とすることが多く，しばしば眼底出血がみられる特徴ある疾患で，このことを念頭におけば診断は比較的容易である．

　中村ら^14）はこれを1歳前後の乳幼児に特有な血腫第I型—脳挫傷のない急性硬膜下血腫—としている．

　Acute subdural hematoma in infants is characterized by convulsive seijure, disturbance of consciousness, vomiting and irritability soon after mild head injury. The majority of cases have tence or bulged anterior fontanel and preretinal hemorrhage.

　Eleven cases, all traumatic in etiology and male under the age of one year were reported. Nine of them were treated by percutaneous subdural tapping alone, i.e., "Tapping Only Method". For the first several days, tappings were carried out daily. The subdural content was liquefied old dark blood or liquefied fresh-appearing blood in most cases.