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分析重度颅脑损伤CT表现与格拉斯哥昏迷评分（GCS）之间的关联性。方法选取从2009年5月-2011年5月间来我院脑外科就诊的颅脑损伤患者中110例重度颅脑损伤患者作为本次研究分析对象，110例重度颅脑损伤患者，结合脑C T资料进行对照分析，重度颅脑损伤患者初次C T扫描阳性率为90.9%，10例（9.1%）C T扫描未发现异常病灶，其中重型患者70例，其格拉斯哥昏迷评分（G C S）5-8分，特重型40例，G C S2-4分，死亡12例，占10.9%。结果格拉斯哥昏迷评分（GCS）降低，颅脑CT显示颅内血肿面积增大，说明病情加重；反之，提示病情减轻或明显好转。结论重度颅脑损伤CT表现与格拉斯哥昏迷评分（GCS）密切相关，两者的变化均能提示颅脑损伤病情发展趋势，可作为脑损伤预后判断指标。“,”Objective To investigate relationship between CT findings of severe head trauma and Glasgow coma scale (GCS). Methods From May, 2009 to May, 2011, 110 patients with severe head trauma and CT examinations in our hospital were enrol ed in this retrospective study. GCS was measured by clinicians. CT findings were compared with GCS. Results Areas of encephalic contusion and laceration were found to be negative correlated with GCS. Conclusion CT findings of severe head trauma are wel correlated with patients’ GCS. Both of them can reflect patients’prognosis.