目的探讨特重型颅脑损伤患者的急救措施。方法回顾我科2005年来所收治的64例特重型颅脑损伤患者的病情及抢救。结果 9例到院时已失去抢救时机,17例自动出院,其余按GOS标准,恢复良好10例,中残8例,重残4例,植物存在2例,死亡14例。结论特重型颅脑损伤伤势严重,发展快,预后差,死亡率高,但也有大量抢救成功的范例,积极及时准确的抢救是关键,不到最后时刻,不言放弃。 Objective To investigate the emergency treatment of patients with severe traumatic brain injury. Methods A retrospective review of our department in 2005 to 64 cases of patients with severe traumatic brain injury and rescue. Results Nine patients had lost the chance of rescue at the time of hospitalization, and 17 patients were discharged automatically. The others were recovered according to the GOS standard. Among them, 10 were recovered well, 8 were moderate disability, 4 were severe disability, 2 were plant and 14 were death. Conclusions Extra-severe craniocerebral injury is serious and rapidly developing with poor prognosis and high mortality rate. However, there are a large number of successful cases of salvage, and timely and accurate rescue is the key.