[摘要] 目的：了解枕部着力导致的脑外伤的临床特点与疗效。方法：本科收治枕部着力脑外伤患者65例，均行头颅CT检查，采用手术与非手术法进行治疗，并分析其疗效。结果：本组患者经治疗后良好38例，良好率为58.5%；中度残疾7例，占10.8%；重度残疾3例，占4.6%；植物生存1例，占1.5%；死亡16例，死亡率为24.6%。结论：枕部着力脑损伤死亡率较高，临床诊治中应严密观察病情，及时复查颅脑CT与手术。

    [关键词] 枕部着力；脑外伤；颅脑损伤；疗效

    [中图分类号] R651.1+5 [文献标识码]C[文章编号]1674-4721(2011)07(c)-242-02

    Clinical study of cerebral trauma caused by occipital force

    ZHAO Zhongfu1, ZHENG Lu2*

    1.Xuchang Central Hospital, Henan Province, Xuchang 461000, China; 2.Department of Neurosurgery, 150th Central Hospital of the People's Liberation Army, Henan Province, Luoyang 471031, China

    [Abstract] Objective: To find out the clinical features and therapeutic effect of cerebral trauma caused by occipital force. Methods: 65 cerebral trauma patients our department admitted were examed by head CT scan, and treated by surgical and non-surgical method. The therapeutic effects were analyzed and compared. Results: After treatment 38 patients with a good therapeutic effect, good therapeutic effect rate was 58.5%; 7(10.8%) patients with moderate disability; 3(4.6%) patients with severe disability; 1(1.5%) patient with vegetative survival; 16 death patients, death rate was 24.6%. Conclusion: The mortality rate of occipital force is high, treatment of disease should be closely observed, timely review of brain CT and surgery are required. ......