特重型颅脑伤的急救十分重要。本文报告了近两年救治的4例就诊时病情为Glasgow损伤评分3～5分的儿童特重型颅脑伤患者，因采取了积极的手术治疗，4例患者在出院后1～2年复查，结果满意，现报告如下。临床资料4例患者中，男3例，女1例。年龄6～9岁。致伤原因：摔伤3例，交通事故 Emergency treatment of extra-severe craniocerebral injury is very important. This paper reports the treatment of 4 cases in the past two years when the condition is Glasgow injury score of 3 to 5 patients with severe traumatic brain injury, due to take a positive surgical treatment, 4 patients were discharged 1 to 2 years after the review, the results Satisfied, the report is as follows. Clinical data 4 patients, 3 males and 1 female. Age 6 to 9 years old. Cause of injury: fall in 3 cases, traffic accidents