目的　讨论婴儿硬膜下积液的外科治疗。方法　 19例婴儿硬膜下积液中 ,8例外伤后形成 ,11例化脓性脑膜炎所致 ,其中穿刺 +引流 5例 ,直接钻孔引流 12例 ,开颅手术 2例。结果　全部病例均痊愈出院。结论　各种原因引起的婴儿硬膜下积液压迫大脑产生症状 ,均应积极治疗。选择合适的治疗方法 ,效果理想 Objective To discuss the surgical treatment of infant subdural effusion. Methods In 19 cases of infants with subdural effusion, 8 cases were formed after trauma and 11 cases were caused by purulent meningitis. Among them, puncture and drainage were performed in 5 cases, direct drilling drainage in 12 cases and craniotomy in 2 cases. Results All cases were cured and discharged. Conclusion Various causes of infantile subdural effusion oppression of the brain symptoms, should be actively treated. Choose the appropriate treatment, the effect is ideal