【摘 要】 目的 探讨标准大骨瓣开颅术治疗急性广泛硬膜下血肿的预后影响因素。方法 收集78例经CT证实并行标准大骨瓣开颅术治疗的急性硬膜下血肿患者资料，分析各术前情况对预后的影响。结果 恢复良好36例，中残24例，重残8例，植物生存7例，死亡3例。结论 急性硬膜下血肿患者预后影响因素显著性排序为：术前GCS评分>患者年龄>中线偏移程度>瞳孔对光反射>术前Rotterdam CT评分。

    【关键词】 颅脑外伤 急性硬膜下血肿 标准大骨瓣开颅术 预后

    【Abstract】 Objective To find out the factors that can be used to predict the outcome for patients with acute subdural hematoma. Methods Based on a total of 78 consecutive ASDH patients who were confirmed by CT scan and receive the standard trauma maximus bone flap craniotectomy.The relationship between the clinical and radiological signs and the outcome was studied by the restrospective study with Mann-Whitney’s U-test.5 factors(CT scale ......