摘要: 目的 分析总结首诊为轻型颅脑损伤病情恶化的临床特点。 方法 回顾性分析我科1999年12月～2003年1月间收住的41例轻型颅脑损伤病人病情恶化即出现昏迷或手术治疗的临床资料。 结果 本组病情恶化原因为颅内创伤性病变形成，硬膜外血肿占首位(46.3%)，其次为脑挫伤及脑内血肿(29.2%)，硬膜下血肿(19.5%)。32例恶化发生在伤后24小时内，36例病人需手术治疗。按GOS标准评定，本组27例恢复良好，6例中残，3例重残，1例植物生存，死亡2例，自动出院2例。 结论 尽早完善检查，明确诊断，严密动态观察病情变化，掌握手术指征，及时手术治疗处理继发性损伤，是防治轻型颅脑损伤伤情恶化的关健。

    关健词: 轻型颅脑损伤;颅内血肿

    Clinical analysis of the deterioration of patients diagnosed initially as mild head injury in41cases

    RONG Xiao-guo，QIAO Zhen-cai，XUWen-jun，et al.

    (Department of Neurosurgery，Jiangsu Provincial Corps Hospital，Chinese People's Armed Police Forces，Yangzhou 225003，China)

    Abstract: Objective To analyze the clinical features of the deterioration of patients diagnosed primarily as mild head injury.Methods Retrospective analysis of the clinical materials about the deterioration of41patients treated in our hospital from December1999to January2003.Results The deterioration was caused by the following pathological chang-es:extradural hematoma46.3% ......