双侧额叶脑挫裂伤是闭合性颅脑损伤的一种常见严重情况,伤后早期病情常不危重,多采用保守治疗。但这类患者的病情变化较大,血肿扩大的可能较大,继发性脑肿胀较严重,颅内压增高的发生发展极为迅速,且脑疝的发生率较高,给诊断治疗带来困难。2004年9月—2009年9月我院共收治此类患 Bilateral frontal lobe contusion and laceration is a common serious condition of closed craniocerebral injury. In the early stage after injury, the condition is often not critical, and more conservative treatment is used. However, the patient’s condition changes greatly, hematoma enlargement may be larger, more severe secondary brain swelling, the occurrence of intracranial hypertension is extremely rapid and the incidence of hernia is high, to the diagnosis and treatment difficulties . September 2004 - September 2009 in our hospital admitted to such patients