【摘要】 目的 探讨重型颅脑损伤、血肿并小脑幕裂孔疝的手术救治与预后。方法对78例重型颅脑损伤、血肿并小脑幕裂孔疝施行急诊手术，比较、分析影响预后的各相关因素。结果 GCS计分、血肿类型、血肿量、伤后手术时间、手术方式、CT中线移位、环池显示、眼球瞳孔变化以及有无并发症、合并伤与颅脑损伤预后明显相关。结论 GCS计分、血肿类型、血肿量、CT中线移位、环池显示以及眼球瞳孔变化显著影响重型颅脑损伤小脑幕裂孔疝抢救的预后。紧急开颅血肿清除，正确选择手术方式，采用标准大骨瓣减压，注重防治并发症，必要的多科合作是抢救该类病人，降低死亡率的关键。

    关键词 重型颅脑损伤 小脑幕裂孔疝 抢救 预后

    The severe craniocerbral injury hematoma combines the surgical

    operation of the tentorial hiatus nernia save to cure with the prognosis

    Zhong Yuchun，Zhong Jianzhong，Wu Xianliang，et al.

    Department of Traumatic Surgery，Ping Yuan County People hospital，Guangdong514600.

    【Abstract】 Objective The severe in study craniocerebral injury hematoma combines the surgical operation of the tentorial hiatus hernia saves to cure with the prognosis.Methods combine to78severe craniocerebral injury hematoma the tentorial hiatus hernia implement the emergency call surgical operation，Comparing，the analysis affects each related factor of the prognosis.Results The Gcs accounts the cent ......