目的探讨颅脑外伤开颅手术后病情监测的指标及意义。方法回顾性分析47例颅脑外伤,并行开颅手术治疗患者的临床资料。结果治愈18例,治愈率38.3%;死亡17例,死亡率36.2%;致残12例,致残率25.5%。结论术后严密监测神经系统、生命体征、引流情况、颅脑影像学、并发症变化,迅速实施有效的治疗,可降低死亡率、致残率,提高生存质量。 Objective To explore the index and significance of disease monitoring after craniotomy craniocerebral trauma. Methods The clinical data of 47 patients with craniocerebral trauma who underwent craniotomy were retrospectively analyzed. Results 18 cases were cured, the cure rate was 38.3%; 17 cases died, the mortality rate was 36.2%; 12 cases were disabled, and the morbidity was 25.5%. Conclusions The nervous system, vital signs, drainage, brain imaging and complications were closely monitored after operation, and effective treatment could be quickly implemented to reduce the mortality and morbidity and improve the quality of life.