我们观察了本院１３５２例颅内疾患颅内高压后的视神经乳头改变，其中颅内肿瘤９３４例（包括胶质瘤、脑膜瘤、垂体瘤、神经纤维瘤、颅咽管瘤等）．颅脑外伤３６０例（均为重型颅脑外伤）。脑血管病５８例（动脉瘤及动、静脉畸形破裂出血）。分析了常见颅内疾患颅内高压后视乳头改变的特征、一般规律和诊断要点，并阐述了颅内高压与视乳头水肿之间的关系，提出发现扣诊断早期视神经乳头水肿的重要性。 We observed 1352 cases of intracranial intracranial hypertension in our hospital after optic nerve head changes, including 934 cases of intracranial tumors (including glioma, meningioma, pituitary tumor, neurofibromatosis, craniopharyngioma, etc.). 360 cases of traumatic brain injury (both heavy traumatic brain injury). 58 cases of cerebrovascular disease (aneurysm and arteriovenous malformation rupture bleeding). The characteristics, general rules and main points of diagnosis of intracranial hypertension in posterior intraocular hypertension were analyzed. The relationship between intracranial hypertension and optic papilla edema was expounded. The importance of deduction for diagnosing early optic papilla edema was pointed out.