小儿颅脑损伤,多数病情危笃,致残率与死亡率很高。故对如何选择保守或手术治疗,以获得良好效果,现报道如下。 1 临床资料 1.1 一般资料:我科1983年3月～1988年3月共收治颅脑损伤202例。其中急性小儿重型颅脑损伤38例,占18.8％,男27例,女11例,男女比较为2:1。年龄:3个月～14岁,其中6岁18例,占47.4％。受伤部位:额部16例,占42.1％;额顶部12例,占31.5％;顶部6例,占 Pediatric craniocerebral injury, most of the disease Danwei, high morbidity and mortality. So on how to choose conservative or surgical treatment, in order to obtain good results, are reported below. 1 Clinical data 1.1 General Information: Our department from March 1983 to March 1988 were treated 202 cases of brain injury. Among them, 38 cases were acute severe pediatric craniocerebral injury, accounting for 18.8%, 27 were male and 11 were female, the ratio of male to female was 2: 1. Age: 3 months to 14 years old, 6 years old in 18 cases, accounting for 47.4%. Injured parts: the amount of 16 cases, accounting for 42.1%; amount of the top of the top 12 cases, accounting for 31.5%; top 6 cases, accounting for