(安徽蒙城县第一人民医院安徽蒙城233500)摘要：目的：综合利用脑电图(EEC)、颅内压监测(ICP)、经颅多普勒(TCD)，监护重型颅脑损伤救治临床基础研究，探讨其临床应用价值。方法:对90例重型颅脑损伤患者中45例进行EEC、ICP、TCD监测，综合监测结果并指导临床治疗，另45例常规治疗。结果:综合监测组治愈20例、轻残13例、重残8例，死亡4例。常规组治愈13例、轻残11例、重残13例，死亡8例；综合监测组疗效明显好于常规治疗组(U=1.96，P﹤0.05)。结论:对重型颅脑损伤行综合EEC、ICP、TCD监测能及时发现病情变化，指导临床提供有效治疗、改善患者预后。

    关键词：脑电图;颅内压监护;经颅多普勒;重型颅脑损伤Abstract:Objective: Utilization of EEG，Intracranial pressure monitoring，Transcranial Doppler，Treatment of severe traumatic brain injury clinical care based study of its clinical value. Methods： 90 cases of severe head injury patients, 45 patients were EEC, ICP, TCD monitoring, and comprehensive monitoring results to guide clinical treatment, and the other 45 cases of conventional treatment. Results: Comprehensive monitoring group cured 20 cases, 13 cases of mild disability, severe disability in 8 cases, 4 deaths. Conventional group cured 13 cases, 11 cases of mild disability, severe disability in 13 cases, 8 deaths; integrated monitoring group significantly better than conventional treatment group (U=1.96,P<0.05). Conclusions: Comprehensive line of severe head injury EEC, ICP, TCD monitoring can detect changes in condition, to provide effective guidance to clinical treatment, improved patient outcomes. ......