颅骨开放性粉碎性骨折在基层医院治疗较少 ,作者在乡镇医院期间曾收治 1例 ,以中西医结合的方法顺利治愈。对此颇有感触 ,现报告并浅谈体会如下。1　临床资料1 1　病史资料　患者周某 ,男 ,3 0岁。 1 998年 8月在某乡镇医院劳动时不慎被 1 5ｍ长的铁管击中头部 ,顿时鲜血直流 Open fractures of the skull in the primary hospital less treatment, the author was treated during the township hospital in 1 case, the combination of traditional Chinese and Western medicine smooth cure. This is quite touching, now report and talk about the experience as follows. 1 clinical data 1 1 historical data patients Zhou, male, 30 years old. In August 1998, when working in a township hospital, he was accidentally hit by a steel pipe of 1 5m in length,