本文总结了婴幼儿重症肺炎并发脑水肿67例,男42例,女25例。2月～6月21例,～12月33例,～2岁10例,3岁3例。主要临床表现有肺炎及颅内压增高的症状和体征。在综合治疗的基础上,积极降颅医治疗,对有呼吸节律不齐,出现异常呼吸动作的患儿及早行气管插管、气管切开,建立机械通气,本组患儿治愈51例(76.12％),好转8例(11.94％),死亡8例(11.94％)。 This article summarizes 67 cases of severe pneumonia complicated with cerebral edema in infants and young children, 42 males and 25 females. From February to June in 21 cases, ~ December in 33 cases, ~ 2 years in 10 cases and 3 years in 3 cases. The main clinical manifestations of pneumonia and increased intracranial pressure symptoms and signs. On the basis of comprehensive treatment, positive craniotomy treatment, for children with respiratory rhythm irregularities, abnormal respiratory movements early tracheal intubation, tracheotomy, the establishment of mechanical ventilation, the group of children cured 51 cases (76.12 %), Improvement in 8 cases (11.94%), and death in 8 cases (11.94%).