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收集１８４例急性颅脑外伤病例进行头颅ＣＴ扫描，根据Ｇｌａｓｇｏｗ昏迷分级作临床分级评定，就其ＣＴ表现与临床分级进行相关性分析。结果：部分轻、中度颅脑外伤ＣＴ未见异常；局灶性与弥散性颅脑外伤的临床分级差异较为明显（Ｐ＜０．０５），且局灶性颅脑外伤的临床分级因颅内出血量及脑中线移位距离不同有所差异（Ｐ＜０．０１）；单纯性与复合性颅脑外伤的临床分级差异显著（Ｐ＜０．０１），但单纯性外伤的损伤类型与临床分级无明显关联，复合性外伤是否合并颅骨骨折与临床分级无关联。结论：颅脑外伤的病变分布方式、损伤的类型、颅内出血量及脑中线移位距离与神经功能的损伤程度有关。
A total of 184 cases of acute craniocerebral trauma were collected for CT scans. According to the grading of Glasgow coma, the correlation between CT appearance and clinical grade was analyzed. Results: Some mild and moderate craniocerebral trauma CT showed no abnormality. The clinical grade of focal and diffuse traumatic brain injury was more obvious (P <0.05), and the clinical grade of craniocerebral trauma was (P <0.01). There was significant difference in clinical grade between simple and compound craniocerebral trauma (P <0.01). However, the type of injury in simple trauma and the clinical No significant correlation between grading, combined traumatic craniofacial fractures and clinical grade no correlation. Conclusion: The distribution of lesions, the type of injury, the amount of intracranial hemorrhage and the distance of midline shift are related to the severity of neurological injury.