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本文回顾性分析了幕上血肿≥20 ml，幕下血肿≥10 ml，和/或GCS评分≤8分，昏迷≥6 h，年龄在10个月至12岁之间的196例重型颅脑损伤病例。发现小儿重型颅脑损伤有以下几个特点：（1）受伤机制以跌伤为主（77.6%）；（2）颅内血肿发生率高，以硬膜外血肿多见（55.1%）；（3）意识障碍与病情轻重不完全符合，入院时处昏迷状态68例（34.7%）；处嗜睡状态18例（9.2%），神志清楚110例（56.1%）；（4）脑疝发生率高（32.7%）；（5）根据病情正确选择手术治疗或保守治疗，疗效好。死亡率16.3%，存活率83.7%，其中轻、中残占6.1%，良好占77.6%。
This retrospective analysis of supratentorial hematoma ≥ 20 ml, supratentorial hematoma ≥ 10 ml, and / or GCS score ≤ 8 points, coma ≥ 6 h, aged between 10 months and 12 cases of 196 cases of severe traumatic brain injury . Found that children with severe craniocerebral injury has the following characteristics: (1) the injury mechanism mainly fall injury (77.6%); (2) the incidence of intracranial hematoma, epidural hematoma more common (55.1%); ( 3) Disorders of consciousness were not completely consistent with the severity of the illness. 68 patients (34.7%) were in a coma at admission, 18 (9.2%) were lethargic and 110 (56.1%) were conscious; (4) (32.7%); (5) according to the correct choice of surgical treatment or conservative treatment, good effect. The mortality rate was 16.3% and the survival rate was 83.7%, among which, light and moderate residuals accounted for 6.1% and good ones accounted for 77.6%.